tetano
Editor, Senior Moderator
Nat Rev Nephrol
. 2022 Aug 24.
doi: 10.1038/s41581-022-00618-4. Online ahead of print.
Impact of the COVID-19 pandemic on the kidney community: lessons learned and future directions
Duvuru Geetha[SUP] #[/SUP][SUP] 1 [/SUP], Andreas Kronbichler[SUP] #[/SUP][SUP] 2 [/SUP], Megan Rutter[SUP] 3 [/SUP], Divya Bajpai[SUP] 4 [/SUP], Steven Menez[SUP] 5 [/SUP], Annemarie Weissenbacher[SUP] 6 [/SUP], Shuchi Anand[SUP] 7 [/SUP], Eugene Lin[SUP] 8 9 [/SUP], Nicholas Carlson[SUP] 10 11 [/SUP], Stephen Sozio[SUP] 5 [/SUP], Kevin Fowler[SUP] 12 [/SUP], Ray Bignall[SUP] 13 [/SUP], Kathryn Ducharlet[SUP] 14 15 [/SUP], Elliot K Tannor[SUP] 16 17 [/SUP], Eranga Wijewickrama[SUP] 18 19 [/SUP], Muhammad I A Hafiz[SUP] 20 [/SUP], Vladimir Tesar[SUP] 21 [/SUP], Robert Hoover[SUP] 22 [/SUP], Deidra Crews[SUP] 5 [/SUP], Charles Varnell[SUP] 23 24 25 [/SUP], Lara Danziger-Isakov[SUP] 26 [/SUP], Vivekanand Jha[SUP] 27 28 29 [/SUP], Sumit Mohan[SUP] 30 [/SUP], Chirag Parikh[SUP] 5 [/SUP], Valerie Luyckx[SUP] 31 32 33 [/SUP]
Affiliations
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.
. 2022 Aug 24.
doi: 10.1038/s41581-022-00618-4. Online ahead of print.
Impact of the COVID-19 pandemic on the kidney community: lessons learned and future directions
Duvuru Geetha[SUP] #[/SUP][SUP] 1 [/SUP], Andreas Kronbichler[SUP] #[/SUP][SUP] 2 [/SUP], Megan Rutter[SUP] 3 [/SUP], Divya Bajpai[SUP] 4 [/SUP], Steven Menez[SUP] 5 [/SUP], Annemarie Weissenbacher[SUP] 6 [/SUP], Shuchi Anand[SUP] 7 [/SUP], Eugene Lin[SUP] 8 9 [/SUP], Nicholas Carlson[SUP] 10 11 [/SUP], Stephen Sozio[SUP] 5 [/SUP], Kevin Fowler[SUP] 12 [/SUP], Ray Bignall[SUP] 13 [/SUP], Kathryn Ducharlet[SUP] 14 15 [/SUP], Elliot K Tannor[SUP] 16 17 [/SUP], Eranga Wijewickrama[SUP] 18 19 [/SUP], Muhammad I A Hafiz[SUP] 20 [/SUP], Vladimir Tesar[SUP] 21 [/SUP], Robert Hoover[SUP] 22 [/SUP], Deidra Crews[SUP] 5 [/SUP], Charles Varnell[SUP] 23 24 25 [/SUP], Lara Danziger-Isakov[SUP] 26 [/SUP], Vivekanand Jha[SUP] 27 28 29 [/SUP], Sumit Mohan[SUP] 30 [/SUP], Chirag Parikh[SUP] 5 [/SUP], Valerie Luyckx[SUP] 31 32 33 [/SUP]
Affiliations
- PMID: 36002770
- DOI: 10.1038/s41581-022-00618-4
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.