Healthcare systems worldwide were challenged during the COVID-19 pandemic. In Mexico, the public hospitals that perform most transplants were adapted to provide care for COVID-19 patients. Using a nationwide database, we describe the first report of the impact of COVID-19 and related transplantation healthcare policies in a middle-income country by comparing statistics before and during the pandemic (pre-COVID: March 2019–February 2020 vs. COVID era: March 2020–February 2021) and by type of institution (public vs. private). The global reduction in transplantation was higher in public institutions compared with private institutions, 89% versus 62%, respectively, p < .001. When analyzing by organ, kidney transplantation decreased by 89% at public versus 57% at private, p < .001; cornea by 88% at public versus 64% at private, p < .001; liver by 88% at public versus 35% at private, p < .001; and heart by 88% in public versus 67% at private institutions, p = .4. The COVID-19 pandemic along with the implemented health policies were associated with a decrease in donations, waiting list additions, and a decrease in transplantation, particularly at public institutions, which care for the most vulnerable.

中文翻译：

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COVID-19 大流行期间墨西哥的移植趋势：医疗保健部门内部的差异

在 COVID-19 大流行期间，全世界的医疗保健系统都受到了挑战。在墨西哥，进行大部分移植手术的公立医院经过调整，可以为 COVID-19 患者提供护理。我们使用全国性数据库，通过比较大流行之前和期间的统计数据（COVID-19 之前：2019 年 3 月至 2020 年 2 月与 COVID 时代）的统计数据，描述了 COVID-19 和相关移植医疗保健政策对中等收入国家的影响的第一份报告：2020 年 3 月至 2021 年 2 月）和机构类型（公立与私立）。与私立机构相比，公立机构的全球移植减少率更高，分别为 89% 和 62%，p  < .001。按器官分析时，公共肾移植减少了 89%，私人减少了 57%，p <.001; 角膜在公共场所为 88%，而在私人场所为 64%，p  < .001；肝脏在公共场所减少了 88%，在私人场所减少了 35%，p  < .001；公立机构的心脏为 88%，而私人机构为 67%，p  = .4。COVID-19 大流行以及实施的卫生政策与捐赠减少、等候名单增加和移植减少有关，特别是在照顾最弱势群体的公共机构。