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
Main Authors: Geetha, Duvuru, Kronbichler, Andreas, Rutter, Megan, Bajpai, Divya, Menez, Steven, Weissenbacher, Annemarie, Anand, Shuchi, Lin, Eugene, Carlson, Nicholas, Sozio, Stephen, Fowler, Kevin, Bignall, Ray, Ducharlet, Kathryn, Tannor, Elliot K, Wijewickrama, Eranga, Hafidz, Muhammad I A, Tesar, Vladimir, Hoover, Robert, Crews, Deidra, Varnell, Charles, Danziger-Isakov, Lara, Jha, Vivekanand, Mohan, Sumit, Parikh, Chirag, Luyckx, Valerie
Format: Journal Article
Language:English
Published: England Nature Publishing Group 01.11.2022
Subjects:
Acute Kidney Injury - epidemiology
Acute Kidney Injury - therapy
Coronaviruses
COVID-19
Humans
Kidney
Kidney diseases
Pandemics
Patients
Renal Dialysis
SARS-CoV-2
ISSN:1759-5061, 1759-507X, 1759-507X
Online Access:Get full text
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Summary: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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ISSN:1759-5061
1759-507X
1759-507X
DOI:10.1038/s41581-022-00618-4