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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Vydané v:Nature reviews. Nephrology Ročník 18; číslo 11; s. 724 - 737
Hlavní autori: 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
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: England Nature Publishing Group 01.11.2022
Predmet:
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
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Shrnutí: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