Impacts of COVID-19 pandemic and public policies on corneal transplantations in Brazil

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dc.contributor.authorGarcia, Ana Maria Guimarães
dc.contributor.authorde Sousa, Luciene Barbosa
dc.contributor.authorShiguematsu, Alvio Isao [UNESP]
dc.contributor.institutionAssociação Pan-Americana de Banco de Olhos
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.date.accessioned2023-03-01T20:51:17Z
dc.date.available2023-03-01T20:51:17Z
dc.date.issued2022-01-01
dc.description.abstractPurpose: The study aimed to evaluate the impact of coronavirus disease 2019 (COVID-19) pandemic and public policies on corneal donations and transplantations in Brazil and get reliable indicators to support effective measures for improving the system of obtaining, processing, distributing, using, and controlling donated ocular tissues. Methods: A questionnaire was applied by the Brazilian office of the Pan-American Association of Eye Banks (APABO) to Brazilian Eye Banks to collect data from January to August 2020 and generate reliable indicators about the impact of the COVID-19 pandemic on corneal donations and transplantations in Brazil. Results: Data from 37 Eye Banks showed that 76.1% of the 3,060 donations and 74.5% of the 3,167 transplants occurred in the pre-pandemic period. From the 6,052 processed corneas, 71.8% were provided for therapeutic purposes: 72.9% were transplanted, 26.1% ended up being discarded (45% of which qualified for optical transplantation), and 1% remained in stock in glycerin. Of the 1,706 corneas that could not be eligible for therapeutic use, 47.9% were excluded due to tissue conditions, 43.6% for serological reasons, 6.7% due to contraindications found in clinical history after retrieval, and 1.8% for other factors. Conclusions: The negative impact of the COVID-19 pandemic on corneal donations and transplantations in Brazil resulted from the recommendation of the Health Ministry to suspend the retrieval of ocular tissues from donors in cardiopulmonary arrest for almost six months. The indicators reveal the compelling requirement for updating both the classification and cornea provision criteria by the Eye Banks and improving the Brazilian corneal distribution system.en
dc.description.affiliationAssociação Pan-Americana de Banco de Olhos, RJ
dc.description.affiliationDepartment of Ophthalmology and Visual Sciences Escola Paulista de Medicina Universidade Federal de São Paulo, SP
dc.description.affiliationDepartment of Ophthalmology and Eye Bank Faculdade de Medicina de Botucatu Universidade Estadual Paulista “Júlio de Mesquita Filho”, SP
dc.description.affiliationUnespDepartment of Ophthalmology and Eye Bank Faculdade de Medicina de Botucatu Universidade Estadual Paulista “Júlio de Mesquita Filho”, SP
dc.format.extent277-285
dc.identifierhttp://dx.doi.org/10.5935/0004-2749.20230074
dc.identifier.citationArquivos Brasileiros de Oftalmologia, v. 85, n. 3, p. 277-285, 2022.
dc.identifier.doi10.5935/0004-2749.20230074
dc.identifier.issn1678-2925
dc.identifier.issn0004-2749
dc.identifier.scopus2-s2.0-85132454087
dc.identifier.urihttp://hdl.handle.net/11449/241197
dc.language.isoeng
dc.language.isopor
dc.relation.ispartofArquivos Brasileiros de Oftalmologia
dc.sourceScopus
dc.subjectBancos de Olhos
dc.subjectBrasil
dc.subjectBrazil
dc.subjectCornea
dc.subjectCorneal transplantation
dc.subjectCOVID-19
dc.subjectCórnea
dc.subjectDoação de tecidos
dc.subjectEye Banks
dc.subjectPolítica pública
dc.subjectPublic policy
dc.subjectTissue donation
dc.subjectTransplante de Córnea
dc.titleImpacts of COVID-19 pandemic and public policies on corneal transplantations in Brazilen
dc.title.alternativeImpactos da pandemia da COVID-19 e das políticas públicas nos transplantes de córnea no Brasilpt
dc.typeArtigo

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