Nat Rev Nephrol . Impact of the COVID-19 pandemic on the kidney community: lessons learned and future directions

[tetano]

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 ^{# 1} , Andreas Kronbichler ^{# 2} , Megan Rutter ³ , Divya Bajpai ⁴ , Steven Menez ⁵ , Annemarie Weissenbacher ⁶ , Shuchi Anand ⁷ , Eugene Lin ^{8 9} , Nicholas Carlson ^{10 11} , Stephen Sozio ⁵ , Kevin Fowler ¹² , Ray Bignall ¹³ , Kathryn Ducharlet ^{14 15} , Elliot K Tannor ^{16 17} , Eranga Wijewickrama ^{18 19} , Muhammad I A Hafiz ²⁰ , Vladimir Tesar ²¹ , Robert Hoover ²² , Deidra Crews ⁵ , Charles Varnell ^{23 24 25} , Lara Danziger-Isakov ²⁶ , Vivekanand Jha ^{27 28 29} , Sumit Mohan ³⁰ , Chirag Parikh ⁵ , Valerie Luyckx ^{31 32 33}



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.