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Global challenges with providing vascular access care during COVID era
Karthik Ramani1, Tushar J Vachharajani2,3, Edgar Lerma4
1Division of Nephrology, University of Michigan, Ann Arbor, MI, USA.
The COVID-19 pandemic continues to disrupt global dialysis access care, causing delays and disparities. Innovative solutions are needed to overcome ongoing challenges in providing essential vascular access for kidney disease patients worldwide.
Area of Science:
- Nephrology
- Vascular Access
- Public Health
Background:
- The COVID-19 pandemic has significantly impacted healthcare systems globally, particularly affecting dialysis access care.
- Delays in elective and emergent dialysis access procedures persist worldwide despite interventions.
Purpose of the Study:
- To assess the global challenges in providing dialysis vascular access care during the COVID-19 pandemic.
Main Methods:
- An online survey was conducted in 2021 by the American Society of Diagnostic and Interventional Nephrology (ASDIN).
- The survey targeted an expert panel of international dialysis vascular access specialists and leaders from various professional societies.
Main Results:
- 11 responses were received from a global expert panel, revealing persistent challenges.
- Key issues identified include disparities in care delivery, supply chain disruptions, and logistical, regulatory, and financial hurdles.
Conclusions:
- Challenges in dialysis access care observed in the US extend globally during the ongoing pandemic.
- The study highlights the need for options, opportunities, and innovative tools to ensure continued dialysis and access care.
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