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COVID-19 and care for patients with chronic kidney disease: Challenges and lessons

Smita Divyaveer1, Vivekanand Jha2,3,4,5

  • 1Department of Nephrology Postgraduate Institute of Medical Education and Research Chandigarh India.

FASEB Bioadvances
|July 7, 2021
PubMed

Insights

The COVID-19 pandemic impacts kidney health, causing acute kidney injury and worsening chronic kidney disease (CKD). This highlights the need for universal health coverage and equitable healthcare access, especially for those with kidney failure.

Area of Science:

  • Public Health
  • Nephrology
  • Infectious Diseases

Background:

  • COVID-19's impact on kidney health was initially underestimated.
  • Kidney involvement in COVID-19, including acute kidney injury, is now recognized as common and linked to adverse outcomes.
  • The pandemic disrupted care for patients with chronic kidney disease (CKD), including dialysis and transplant recipients.

Purpose of the Study:

  • To analyze the multifaceted impact of the COVID-19 pandemic on kidney health and healthcare delivery.
  • To underscore the interconnectedness of communicable and noncommunicable diseases in the context of global health crises.
  • To advocate for improved health system preparedness and equitable access to care, particularly for vulnerable populations with kidney disease.

Main Methods:

  • Review of emerging scientific literature and clinical observations regarding COVID-19 and kidney disease.
  • Analysis of pandemic-related disruptions to healthcare services for patients with CKD.
  • Assessment of global health system responses and inequities highlighted by the pandemic.

Main Results:

  • COVID-19 frequently causes kidney injury and exacerbates existing CKD, leading to poorer prognoses.
  • Pandemic-related lockdowns and resource limitations severely impacted CKD patient care and access to essential treatments like dialysis.
  • The pandemic exposed significant global health system vulnerabilities and inequities in diagnostics and essential medications.

Conclusions:

  • The COVID-19 pandemic necessitates a paradigm shift, integrating communicable and noncommunicable disease management and emphasizing kidney health.
  • Accessible home-based therapies, telemedicine, and remote monitoring are crucial for resilient healthcare systems.
  • Achieving universal health coverage and adopting a One Health approach are vital to prevent future health crises and protect individuals with kidney failure.

Keywords:
COVID 19chronic kidney diseasenon‐communicable diseasesuniversal health care

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