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An ISN-DOPPS Survey of the Global Impact of the COVID-19 Pandemic on Peritoneal Dialysis Services
INTRODUCTION: Home dialysis may minimize SARS-CoV2 exposure risks compared to center-based dialysis. We explored how the pandemic may have introduced challenges related to peritoneal dialysis (PD) supply availability, routine patient care, and how facility practices changed during this time. METHODS...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9349355/ https://www.ncbi.nlm.nih.gov/pubmed/35941999 http://dx.doi.org/10.1016/j.ekir.2022.07.013 |
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author | Albakr, Rehab Bieber, Brian Aylward, Ryan Caskey, Fergus J. Dreyer, Gavin Evans, Rhys Guedes, Murilo Jha, Vivekanand Luyckx, Valerie Pecoits-Filho, Roberto Phiri, Chimota Pisoni, Ronald L. Robinson, Bruce Shah, Dibya Singh Tannor, Elliot Koranteng Liew, Adrian Perl, Jeffrey |
author_facet | Albakr, Rehab Bieber, Brian Aylward, Ryan Caskey, Fergus J. Dreyer, Gavin Evans, Rhys Guedes, Murilo Jha, Vivekanand Luyckx, Valerie Pecoits-Filho, Roberto Phiri, Chimota Pisoni, Ronald L. Robinson, Bruce Shah, Dibya Singh Tannor, Elliot Koranteng Liew, Adrian Perl, Jeffrey |
author_sort | Albakr, Rehab |
collection | PubMed |
description | INTRODUCTION: Home dialysis may minimize SARS-CoV2 exposure risks compared to center-based dialysis. We explored how the pandemic may have introduced challenges related to peritoneal dialysis (PD) supply availability, routine patient care, and how facility practices changed during this time. METHODS: The PD/Dialysis Outcomes and Practice Patterns Study (PDOPPS/DOPPS) and International Society of Nephrology (ISN) administered a web-based survey from November 2020 to March 2021. Medical director responses were compared across 10 ISN regions. RESULTS: One hundered sixy-five PD facilities in 51 countries returned surveys. During the initial COVID-19 wave, the reported frequency of in-person patient visits decreased in 9 of 10 ISN regions. Before the pandemic, most facilities required a mask during PD exchanges which continued over the course of the pandemic. Although most facilities in different regions did not report PD supply disruptions, sites in Africa and South Asia reported major disruptions. Reductions in laparoscopic surgical procedures for PD catheters were reported by facilities in 9 of 10 regions whereas nonsurgical percutaneous procedures increased in facilities in 6 regions. Training of new PD patients declined in facilities in each region. Increased use of remote technology by patients to communicate with clinics was observed in all regions compared to prepandemic levels. CONCLUSION: Marked within-region and across-region variability was noted in PD facility burden, clinical practice, and adaptation to the COVID-19 pandemic. This study highlights opportunities to improve routine PD care, adapt to the ongoing pandemic, and increase preparedness for potential future interruptions in PD care. |
format | Online Article Text |
id | pubmed-9349355 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-93493552022-08-04 An ISN-DOPPS Survey of the Global Impact of the COVID-19 Pandemic on Peritoneal Dialysis Services Albakr, Rehab Bieber, Brian Aylward, Ryan Caskey, Fergus J. Dreyer, Gavin Evans, Rhys Guedes, Murilo Jha, Vivekanand Luyckx, Valerie Pecoits-Filho, Roberto Phiri, Chimota Pisoni, Ronald L. Robinson, Bruce Shah, Dibya Singh Tannor, Elliot Koranteng Liew, Adrian Perl, Jeffrey Kidney Int Rep Clinical Research INTRODUCTION: Home dialysis may minimize SARS-CoV2 exposure risks compared to center-based dialysis. We explored how the pandemic may have introduced challenges related to peritoneal dialysis (PD) supply availability, routine patient care, and how facility practices changed during this time. METHODS: The PD/Dialysis Outcomes and Practice Patterns Study (PDOPPS/DOPPS) and International Society of Nephrology (ISN) administered a web-based survey from November 2020 to March 2021. Medical director responses were compared across 10 ISN regions. RESULTS: One hundered sixy-five PD facilities in 51 countries returned surveys. During the initial COVID-19 wave, the reported frequency of in-person patient visits decreased in 9 of 10 ISN regions. Before the pandemic, most facilities required a mask during PD exchanges which continued over the course of the pandemic. Although most facilities in different regions did not report PD supply disruptions, sites in Africa and South Asia reported major disruptions. Reductions in laparoscopic surgical procedures for PD catheters were reported by facilities in 9 of 10 regions whereas nonsurgical percutaneous procedures increased in facilities in 6 regions. Training of new PD patients declined in facilities in each region. Increased use of remote technology by patients to communicate with clinics was observed in all regions compared to prepandemic levels. CONCLUSION: Marked within-region and across-region variability was noted in PD facility burden, clinical practice, and adaptation to the COVID-19 pandemic. This study highlights opportunities to improve routine PD care, adapt to the ongoing pandemic, and increase preparedness for potential future interruptions in PD care. Elsevier 2022-08-04 /pmc/articles/PMC9349355/ /pubmed/35941999 http://dx.doi.org/10.1016/j.ekir.2022.07.013 Text en © 2022 International Society of Nephrology. Published by Elsevier Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Clinical Research Albakr, Rehab Bieber, Brian Aylward, Ryan Caskey, Fergus J. Dreyer, Gavin Evans, Rhys Guedes, Murilo Jha, Vivekanand Luyckx, Valerie Pecoits-Filho, Roberto Phiri, Chimota Pisoni, Ronald L. Robinson, Bruce Shah, Dibya Singh Tannor, Elliot Koranteng Liew, Adrian Perl, Jeffrey An ISN-DOPPS Survey of the Global Impact of the COVID-19 Pandemic on Peritoneal Dialysis Services |
title | An ISN-DOPPS Survey of the Global Impact of the COVID-19 Pandemic on Peritoneal Dialysis Services |
title_full | An ISN-DOPPS Survey of the Global Impact of the COVID-19 Pandemic on Peritoneal Dialysis Services |
title_fullStr | An ISN-DOPPS Survey of the Global Impact of the COVID-19 Pandemic on Peritoneal Dialysis Services |
title_full_unstemmed | An ISN-DOPPS Survey of the Global Impact of the COVID-19 Pandemic on Peritoneal Dialysis Services |
title_short | An ISN-DOPPS Survey of the Global Impact of the COVID-19 Pandemic on Peritoneal Dialysis Services |
title_sort | isn-dopps survey of the global impact of the covid-19 pandemic on peritoneal dialysis services |
topic | Clinical Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9349355/ https://www.ncbi.nlm.nih.gov/pubmed/35941999 http://dx.doi.org/10.1016/j.ekir.2022.07.013 |
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