Secondary Impact of the Coronavirus Disease 19 Pandemic on Patients and the Cellular Therapy Healthcare Ecosystem

Transplant Cell Ther. 2022 Nov;28(11):737-746. doi: 10.1016/j.jtct.2022.07.020. Epub 2022 Jul 25.

Abstract

The Coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has significantly impacted global health and healthcare delivery systems. To characterize the secondary effects of the COVID-19 pandemic and mitigation strategies used in the delivery of hematopoietic stem cell transplantation (HSCT) care, we performed a comprehensive literature search encompassing changes in specific donor collection, processing practices, patient outcomes, and patient-related concerns specific to HSCT and HSCT-related healthcare delivery. In this review, we summarize the available literature on the secondary impacts the COVID-19 pandemic on the fields of HSCT and cellular therapy. The COVID-19 pandemic has had numerous secondary impacts on patients undergoing HSCT and the healthcare delivery systems involved in providing complex care to HSCT recipients. Institutions must identify these influences on outcomes and adjust accordingly to maintain and improve outcomes for the transplantation and cellular therapy community.

Keywords: COVID-19; Cell therapy; Coronavirus; Cryopreservation; Healthcare delivery; Hematopoietic stem cell transplantation; Mitigation strategies; SARS-CoV-2; Severe acute respiratory syndrome.

Publication types

  • Review
  • Research Support, N.I.H., Extramural

MeSH terms

  • COVID-19* / epidemiology
  • Delivery of Health Care
  • Ecosystem
  • Humans
  • Pandemics*
  • SARS-CoV-2