J Med Assoc Thai 2021; 104 (10):134-142

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Quality Improvement by Offline-Online Hybrid Kidney Transplantation Waiting List Clinic in the New Normal in Srinagarind Hospital
Yongyuangpan S Mail, Pimsawat T , Pongskul C , Anutrakulchai S , Tonsawan P , Chotmongkol W , Lukkanalikitkul E , Kongpetch S , Chan-on C

Objective: Recent Coronavirus disease (COVID-19) outbreak has made restricted non-COVID-19 disease care to limit viral spreading, and the kidney transplant waitlist clinic has offered an offline-online-hybrid-kidney transplantation waiting list clinic. The quality outcomes were compared between the new and the conventional service.
Materials and Methods: A retrospective review was done with data of the hybrid clinic, which opened from January to April 2021, and the conventional clinic, which explored from 2018 to 2020. The percentage of passing the peri-operative health evaluation, PRA (panel reactive antibody) test records, and monthly serum sample records were assessed.
Results: There were 823 cases on the list with 637 active cases. The passing of peri-operative health evaluation increased from 68.8%, 81.4%, and 76.4% in 2018 to 2020 to 100% in early 2021. The percentage of PRA test records and serum sample records of transplant candidates increased from less than 50% in the conventional clinic service to 82% and 93.9%, consecutively in the hybrid clinic service. The hybrid clinic significantly improved the PRA test records (p<0.001), the serum sample records rates (p<0.001), and the passing health check rate when compared to the median performance of the three years of the conventional clinic (p=0.027).
Conclusion: During the pandemic, the hybrid kidney transplantation waiting list clinic supports kidney transplant candidates by maintaining qualification in the organ allocation system and improve the passing of peri-operative health assessment.

Keywords: Online waiting list clinic; Waiting list during the pandemic; KT waiting list in the pandemic; Hybrid waiting list clinic; Offline-online service in waitlist

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