Impact of the COVID-19 pandemic on the kidney community: lessons learned and future directions
The coronavirus disease 2019 (COVID-19) pandemic has disproportionately affected patients with kidney disease, causing significant challenges in disease management, kidney research and trainee education. For patients, increased infection risk and disease severity, often complicated by acute kidney i...
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| Published in: | Nature reviews. Nephrology Vol. 18; no. 11; pp. 724 - 737 |
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| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Nature Publishing Group
01.11.2022
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| ISSN: | 1759-5061, 1759-507X, 1759-507X |
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| Abstract | The coronavirus disease 2019 (COVID-19) pandemic has disproportionately affected patients with kidney disease, causing significant challenges in disease management, kidney research and trainee education. For patients, increased infection risk and disease severity, often complicated by acute kidney injury, have contributed to high mortality. Clinicians were faced with high clinical demands, resource shortages and novel ethical dilemmas in providing patient care. In this review, we address the impact of COVID-19 on the entire spectrum of kidney care, including acute kidney injury, chronic kidney disease, dialysis and transplantation, trainee education, disparities in health care, changes in health care policies, moral distress and the patient perspective. Based on current evidence, we provide a framework for the management and support of patients with kidney disease, infection mitigation strategies, resource allocation and support systems for the nephrology workforce. |
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| AbstractList | The coronavirus disease 2019 (COVID-19) pandemic has disproportionately affected patients with kidney disease, causing significant challenges in disease management, kidney research and trainee education. For patients, increased infection risk and disease severity, often complicated by acute kidney injury, have contributed to high mortality. Clinicians were faced with high clinical demands, resource shortages and novel ethical dilemmas in providing patient care. In this review, we address the impact of COVID-19 on the entire spectrum of kidney care, including acute kidney injury, chronic kidney disease, dialysis and transplantation, trainee education, disparities in health care, changes in health care policies, moral distress and the patient perspective. Based on current evidence, we provide a framework for the management and support of patients with kidney disease, infection mitigation strategies, resource allocation and support systems for the nephrology workforce. The coronavirus disease 2019 (COVID-19) pandemic has disproportionately affected patients with kidney disease, causing significant challenges in disease management, kidney research and trainee education. For patients, increased infection risk and disease severity, often complicated by acute kidney injury, have contributed to high mortality. Clinicians were faced with high clinical demands, resource shortages and novel ethical dilemmas in providing patient care. In this review, we address the impact of COVID-19 on the entire spectrum of kidney care, including acute kidney injury, chronic kidney disease, dialysis and transplantation, trainee education, disparities in health care, changes in health care policies, moral distress and the patient perspective. Based on current evidence, we provide a framework for the management and support of patients with kidney disease, infection mitigation strategies, resource allocation and support systems for the nephrology workforce.In this Review, the authors summarize the challenges associated with the care of patients with kidney disease during the COVID-19 pandemic. They describe the major challenges and missed opportunities, global inequalities in health care, and offer a framework for future pandemic preparedness. The coronavirus disease 2019 (COVID-19) pandemic has disproportionately affected patients with kidney disease, causing significant challenges in disease management, kidney research and trainee education. For patients, increased infection risk and disease severity, often complicated by acute kidney injury, have contributed to high mortality. Clinicians were faced with high clinical demands, resource shortages and novel ethical dilemmas in providing patient care. In this review, we address the impact of COVID-19 on the entire spectrum of kidney care, including acute kidney injury, chronic kidney disease, dialysis and transplantation, trainee education, disparities in health care, changes in health care policies, moral distress and the patient perspective. Based on current evidence, we provide a framework for the management and support of patients with kidney disease, infection mitigation strategies, resource allocation and support systems for the nephrology workforce.The coronavirus disease 2019 (COVID-19) pandemic has disproportionately affected patients with kidney disease, causing significant challenges in disease management, kidney research and trainee education. For patients, increased infection risk and disease severity, often complicated by acute kidney injury, have contributed to high mortality. Clinicians were faced with high clinical demands, resource shortages and novel ethical dilemmas in providing patient care. In this review, we address the impact of COVID-19 on the entire spectrum of kidney care, including acute kidney injury, chronic kidney disease, dialysis and transplantation, trainee education, disparities in health care, changes in health care policies, moral distress and the patient perspective. Based on current evidence, we provide a framework for the management and support of patients with kidney disease, infection mitigation strategies, resource allocation and support systems for the nephrology workforce. |
| Author | Varnell, Charles Tesar, Vladimir Tannor, Elliot K Kronbichler, Andreas Sozio, Stephen Bajpai, Divya Fowler, Kevin Lin, Eugene Ducharlet, Kathryn Geetha, Duvuru Hafidz, Muhammad I A Hoover, Robert Carlson, Nicholas Rutter, Megan Weissenbacher, Annemarie Bignall, Ray Menez, Steven Jha, Vivekanand Wijewickrama, Eranga Danziger-Isakov, Lara Crews, Deidra Anand, Shuchi Parikh, Chirag Luyckx, Valerie Mohan, Sumit |
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Schaeffer Center for Health Policy & Economics, University of Southern California, Los Angeles, California, USA – sequence: 9 givenname: Nicholas surname: Carlson fullname: Carlson, Nicholas organization: Department of Research, The Danish Heart Foundation, Copenhagen, Denmark – sequence: 10 givenname: Stephen surname: Sozio fullname: Sozio, Stephen organization: Department of Medicine, Division of Nephrology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA – sequence: 11 givenname: Kevin surname: Fowler fullname: Fowler, Kevin organization: Principal, Voice of the Patient Inc, St. Louis, Missouri, USA – sequence: 12 givenname: Ray surname: Bignall fullname: Bignall, Ray organization: Division of Nephrology and Hypertension, Nationwide Children's Hospital and Department of Paediatrics, The Ohio State University College of Medicine, Columbus, Ohio, USA – sequence: 13 givenname: Kathryn surname: Ducharlet fullname: Ducharlet, Kathryn organization: Department of Nephrology and Palliative Care, St Vincent's Hospital Melbourne, Australia and Department of Medicine, University of Melbourne, Parkville, Australia – sequence: 14 givenname: Elliot K surname: Tannor fullname: Tannor, Elliot K organization: Renal Unit, Komfo Anokye Teaching Hospital, Kumasi, Ghana – sequence: 15 givenname: Eranga surname: Wijewickrama fullname: Wijewickrama, Eranga organization: University Medical Unit, National Hospital of Sri Lanka and National Institute of Nephrology, Dialysis & Transplantation, Colombo, Sri Lanka – sequence: 16 givenname: Muhammad I A surname: Hafidz fullname: Hafidz, Muhammad I A organization: Faculty of Medicine, Universiti Teknologi MARA, Selangor, Malaysia – sequence: 17 givenname: Vladimir surname: Tesar fullname: Tesar, Vladimir organization: Department of Nephrology, Charles University, Prague, Czech Republic – sequence: 18 givenname: Robert surname: Hoover fullname: Hoover, Robert organization: Deming Department of Medicine, Tulane University School of Medicine, New Orleans, Louisiana, USA – sequence: 19 givenname: Deidra surname: Crews fullname: Crews, Deidra organization: Department of Medicine, Division of Nephrology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA – sequence: 20 givenname: Charles surname: Varnell fullname: Varnell, Charles organization: Department of Paediatrics, University of Cincinnati School of Medicine, Cincinnati, Ohio, USA – sequence: 21 givenname: Lara surname: Danziger-Isakov fullname: Danziger-Isakov, Lara organization: Cincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio, USA – sequence: 22 givenname: Vivekanand orcidid: 0000-0002-8015-9470 surname: Jha fullname: Jha, Vivekanand organization: Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India – sequence: 23 givenname: Sumit surname: Mohan fullname: Mohan, Sumit organization: Division of Nephrology, Department of Medicine, Vagelos College of Physicians and Surgeons and the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA – sequence: 24 givenname: Chirag orcidid: 0000-0001-9051-7385 surname: Parikh fullname: Parikh, Chirag organization: Department of Medicine, Division of Nephrology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA – sequence: 25 givenname: Valerie surname: Luyckx fullname: Luyckx, Valerie organization: Nephrologist, University Childrens Hospital, Zurich, Switzerland |
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| Snippet | The coronavirus disease 2019 (COVID-19) pandemic has disproportionately affected patients with kidney disease, causing significant challenges in disease... |
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| SubjectTerms | Acute Kidney Injury - epidemiology Acute Kidney Injury - therapy Coronaviruses COVID-19 Humans Kidney Kidney diseases Pandemics Patients Renal Dialysis SARS-CoV-2 |
| Title | Impact of the COVID-19 pandemic on the kidney community: lessons learned and future directions |
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