Impact of Transitioning from In-Person to Virtual Heart Transplantation Selection Committee Meetings: An Observational Study (Preprint)

BACKGROUND Heart transplant selection committee meetings have transitioned from in-person to remote video meetings during the COVID-19 pandemic, but how this impacts committee members and patient outcomes is unknown. OBJECTIVE To determine perceived impact of remote video transplant selection meetings on usability and patient care and to measure patient selection outcomes during the transition period from in-person to virtual meetings. METHODS A 35-item anonymous survey was developed and distributed electronically to the heart transplant selection committee. We reviewed medical records to compare outcomes of patients presented at in-person meetings (January-March 2020) to those presented at video meetings (March-June 2020). RESULTS Among 83 committee members queried, 50 were regular attendees (48% physicians, 52% non-physicians), and 46 responses were received (50% physicians, 50% non-physicians) and included in the analysis. Overall, respondents were satisfied with the video conference format, felt that video meetings did not impact patient care and were an acceptable alternative to in-person meetings. However, 54% preferred in-person meetings, with 71% of non-physicians preferring in-person meetings compared to only 35% of physicians (P=.02). Of the 46 new patient evaluations presented, there was a statistically nonsignificant trend towards fewer patients initially declined at video meetings compared with in-person meetings (25% vs. 45%, P=.32). CONCLUSIONS The transition from in-person to video heart transplant selection committee meetings was well-received and did not appear to affect committee members’ perceived ability to deliver patient care. Patient selection outcomes were similar between meeting modalities.