• Reginaldo Passoni, Bruno Gadonski, Ariana Rodrigues da Silva Carvalho, Tainá Veras de Sanders Freitas, and PeresLuis Alberto BatistaLAB0000-0001-5863-6720MD, PhD. Professor, Postgraduate Program in Biosciences and Health, Center for Biological and Health Sciences, Universidade Estadual do Oeste do Paraná (UNIOSTE), Cascavel (PR), Brazil..
• RN, MSc. Nurse, Department of Nursing, Hospital Universitário, Universidade Estadual do Oeste do Paraná (UNIOSTE), Cascavel (PR), Brazil.
• Sao Paulo Med J. 2023 Jan 1; 141 (1): 606660-66.

BackgroundThe coronavirus 19 (COVID-19) pandemic has reached services, systems, and world society. Despite its certified efficiency, the Brazilian National Transplant System is not exempt from the side effects of COVID-19.ObjectiveTo compare kidney transplantation activity registered in Brazil between the pandemic (2020) and pre-pandemic (2019) periods.Design And SettingA descriptive study was conducted in March 2021. The annual reports of the Brazilian Transplantation Registry for 2019 and 2020 were included in this study.MethodsWe conducted a descriptive study of kidney transplant activity in Brazil in 2019 and 2020.ResultsA 23.9% decrease in kidney transplants per million population was observed during the pandemic period (22.9 in 2020 versus 30.1 in 2019). Kidney transplants with a living donor (-58.8%) and in the North Region (-79.5%) experienced the greatest declines. The pandemic waiting list increased by 6.8%, and deaths during the waiting period increased by 36.8%. The number of patients on the waiting list and transplant teams decreased by 31.3% and 9.5%, respectively.ConclusionThe COVID-19 pandemic drastically affected Brazil and had a significant negative impact on KT activities in the country.

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