Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Typ-2-Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Die Highlights vom Kongress des American College of Cardiology 2024

Im April diskutierten die Herz-Kreislauf-Spezialisten aus der ganzen Welt auf dem  Kongress des American College of Cardiology (ACC) u.a. neue Therapieansätze bei akutem Myokardinfarkt, koronarer Herzerkrankung, kardiogenem Schock oder Aortenklappenstenose. In unserem Kongress-Dossier haben wir für Sie Berichte über die „Late-Breaking Trials“ und andere wichtige Studien zusammengestellt. 
Erweiterte Suche
Anmelden
nach oben
Pediatric Nephrology
Erschienen in: Pediatric Nephrology 8/2022

31.12.2021 | COVID-19 | Original Article Zur Zeit gratis

Impact of coronavirus disease-2019 on pediatric nephrology practice and education: an ESPN survey

verfasst von: Burcu Yazıcıoğlu, Sevcan A. Bakkaloğlu, the European Society for Pediatric Nephrology

Erschienen in: Pediatric Nephrology | Ausgabe 8/2022

Einloggen, um Zugang zu erhalten

Abstract

Background

Coronavirus disease-2019 (COVID-19) has been challenging for patients and medical staff. Radical changes have been needed to prevent disruptions in patient care and medical education.

Methods

A web-based survey was sent to European Society for Pediatric Nephrology (ESPN) members via the ESPN mailing list to evaluate the effects of the COVID-19 pandemic on delivery of pediatric nephrology (PN) care and educational activities. There were ten questions with subheadings.

Results

Seventy-six centers from 24 countries completed the survey. The time period was between the beginning of the pandemic and May 30, 2020. The number of patients admitted in PN wards and outpatient clinics were significantly decreased (2.2 and 4.5 times, respectively). Telemedicine tools, electronic prescriptions, online applications for off-label drugs, and remote access to laboratory/imaging results were used in almost half of the centers. Despite staff training and protective measures, 33% of centers reported COVID-19 infected staff, and 29% infected patients. Difficulties in receiving pharmaceuticals were reported in 25% of centers. Sixty percent of centers suspended living-related kidney transplantation, and one-third deceased-donor kidney transplantation. Hands-on education was suspended in 91% of medical schools, and face-to-face teaching was replaced by online systems in 85%. Multidisciplinary training in PN was affected in 54% of the centers.

Conclusions

This survey showed a sharp decline in patient admissions and a significant decrease in kidney transplantation. Telemedicine and online teaching became essential tools, requiring integration into the current system. The prolonged and fluctuating course of the pandemic may pose additional challenges necessitating urgent and rational solutions.

Graphical abstract

Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Lu R, Zhao X, Li J, Niu P, Yang B, Wu H, Wang W, Song H, Huang B, Zhu N, Bi Y, Ma X, Zhan F, Wang L, Hu T, Zhou H, Hu Z, Zhou W, Zhao L, Chen J, Meng Y, Wang J, Lin Y, Yuan J, Xie Z, Ma J, Liu WJ, Wang D, Xu W, Holmes EC, Gao GF, Wu G, Chen W, Shi W, Tan W (2020) Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet 395:565–574CrossRef
2.
3.
Bernard SS, Rolland P, Silue Y, Mailles A, Campese C, Simondon A, Mechain M, Meurice L, Nguyen M, Bassi C, Yamani E, Behillil S, Ismael S, Nguyen D, Malvy D, Lescure FX, Georges S, Lazarus C, Tabaï A, Stempfelet M, Enouf V, Coignard B, Levy-Bruhl D; Investigation Team (2020) First cases of coronavirus disease 2019 (COVID-19) in France: surveillance, investigations and control measures. Euro Surveill 25:2000094
4.
5.
6.
7.
Cai K, He J, Wong PK, Manolios N (2020) The impact of COVID-19 on rheumatology clinical practice and university teaching in Sydney, Australia. Eur J Rheumatol 7:S91–S93CrossRef
8.
Ajibade A, Younas H, Pullan M, Harky A (2020) Telemedicine in cardiovascular surgery during COVID-19 pandemic: A systematic review and our experience. J Card Surg 35:2773–2784CrossRef
9.
Annis T, Pleasants S, Hultman G, Lindemann E, Thompson JA, Billecke S, Badlani S, Melton GB (2020) Rapid ımplementation of a COVID-19 remote patient monitoring program. J Am Med Inform Assoc 27:1326–1330CrossRef
10.
Burke BL Jr, Hall RW, Section on telehealth care, (2015) Telemedicine: pediatric applications. Pediatrics 136:e293–e308CrossRef
11.
Iwamoto J, Yonezawa Y, Maki H, Ogawa H, Ninomiya I, Sada K, Hamada S, Hahn AW, Caldwell WM (2006) A mobile phone-based ECG monitoring system. Biomed Sci Instrum 42:217–222PubMed
12.
Leng S, Tan RS, Chai KT, Wang C, Ghista D, Zhong L (2015) The electronic stethoscope. Biomed Eng Online 14:66CrossRef
13.
Wallace EL, Rosner MH, Alscher MD, Schmitt CP, Jain A, Tentori F, Firanek C, Rheuban KS, Florez-Arango J, Jha V, Foo M, de Blok K, Marshall MR, Sanabria M, Kudelka T, Sloand JA (2017) Remote patient management for home dialysis patients. Kidney Int Rep 2:1009–1017CrossRef
14.
Milan Manani S, Crepaldi C, Giuliani A, Virzì GM, Garzotto F, Riello C, de Cal M, Rosner MH, Ronco C (2018) Remote monitoring of automated peritoneal dialysis improves personalisation of dialytic prescription and patient’s independence. Blood Purif 46:111–117CrossRef
15.
Zimmermann P, Curtis N (2020) Coronavirus infections in children including COVID-19: an overview of the epidemiology, clinical features, diagnosis, treatment and prevention options in children. Pediatr Infect Dis J 39:355–368CrossRef
16.
Rajapakse N, Dixit D (2020) Human and novel coronavirus infections in children: a review. Paediatr Int Child Health 25:1–20CrossRef
17.
Nogrady B (2020) How kids’ immune systems can evade COVID. Nature 588:382CrossRef
18.
Ozturk S, Turgutalp K, Arici M, Odabas AR, Altiparmak MR, Aydin Z, Cebeci E, Basturk T, Soypacaci Z, Sahin G, Elif Ozler T, Kara E, Dheir H, Eren N, Suleymanlar G, Islam M, Ogutmen MB, Sengul E, Ayar Y, Dolarslan ME, Bakirdogen S, Safak S, Gungor O, Sahin I, Mentese IB, Merhametsiz O, Oguz EG, Genek DG, Alpay N, Aktas N, Duranay M, Alagoz S, Colak H, Adibelli Z, Pembegul I, Hur E, Azak A, Taymez DG, Tatar E, Kazancioglu R, Oruc A, Yuksel E, Onan E, Turkmen K, Hasbal NB, Gurel A, Yelken B, Sahutoglu T, Gok M, Seyahi N, Sevinc M, Ozkurt S, Sipahi S, Bek SG, Bora F, Demirelli B, Oto OA, Altunoren O, Tuglular SZ, Demir ME, Ayli MD, Huddam B, Tanrisev M, Bozaci I, Gursu M, Bakar B, Tokgoz B, Tonbul HZ, Yildiz A, Sezer S, Ates K (2020) Mortality analysis of COVID-19 infection in chronic kidney disease, haemodialysis and renal transplant patients compared with patients without kidney disease: a nationwide analysis from Turkey. Nephrol Dial Transplant 35:2083–2095CrossRef
19.
Mastrangelo A, Morello W, Vidal E, Guzzo I, Annicchiarico Petruzzelli L, Benetti E, Materassi M, Giordano M, Pasini A, Corrado C, Puccio G, Chimenz R, Pecoraro C, Massella L, Peruzzi L, Montini G; COVID-19 Task Force of the Italian Society of Pediatric Nephrology (2021) Impact of COVID-19 pandemic in children with CKD or ımmunosuppression. Clin J Am Soc Nephrol 16:449-451
20.
Rawson A, Wilson AC, Schwaderer AL, Spiwak E, Johnston B, Anderson S, Nailescu C, Gupta S, Christenson JC, Hains DS, Starr MC (2021) Coronavirus disease 2019 (COVID-19) in two pediatric patients with kidney disease on chronic immunosuppression: a case series. Hemodial Int 25:E1–E5CrossRef
21.
Singh K, Srivastav S, Bhardwaj A, Dixit A, Misra S (2020) Medical education during the COVID-19 pandemic: a single ınstitution experience. Indian Pediat 57:678–679CrossRef
22.
Eibensteiner F, Ritschl V, Ariceta G, Jankauskiene A, Klaus G, Paglialonga F, Edefonti A, Ranchin B, Schmitt CP, Shroff R, Stefanidis CJ, Walle JV, Verrina E, Vondrak K, Zurowska A, Stamm T, Aufricht C; European Pediatric Dialysis Working Group (2020) Rapid response in the COVID-19 pandemic: a Delphi study from the European Pediatric Dialysis Working Group. Pediatr Nephrol 35:1669–1678
23.
Doná D, Torres Canizales J, Benetti E, Cananzi M, De Corti F, Calore E, Hierro L, Ramos Boluda E, Melgosa Hijosa M, Garcia Guereta L, Pérez Martínez A, Barrios M, Costa Reis P, Teixeira A, Lopes MF, Kaliciński P, Branchereau S, Boyer O, Debray D, Sciveres M, Wennberg L, Fischler B, Barany P, Baker A, Baumann U, Schwerk N, Nicastro E, Candusso M, Toporski J, Sokal E, Stephenne X, Lindemans C, Miglinas M, Rascon J, Jara P; ERN TransplantChild (2020) Pediatric transplantation in Europe during the COVID-19 pandemic: early impact on activity and healthcare. Clin Transplant 34:e14063
24.
Shafiekhani M, Kazemi K, Bahador A, Imanieh MH, Karimmzadeh P (2021) Pediatric liver and kidney transplantation in the era of COVID-19: a follow-up study from a tertiary referral center in Iran. BMC Surg 21:240CrossRef
25.
Massie AB, Boyarsky BJ, Werbel WA, Bae S, Chow EKH, Avery RK, Durand CM, Desai N, Brennan D, Garonzik-Wang JM, Segev DL (2020) Identifying scenarios of benefit or harm from kidney transplantation during the COVID-19 pandemic: a stochastic simulation and machine learning study. Am J Transplant 20:2997–3007CrossRef
26.
Marlais M, Wlodkowski T, Al-Akash S, Ananin P, Bandi VK, Baudouin V, Boyer O, Vásquez L, Govindan S, Hooman N, Ijaz I, Loza R, Melgosa M, Pande N, Pape L, Saha A, Samsonov D, Schreuder MF, Sharma J, Siddiqui S, Sinha R, Stewart H, Tasic V, Tönshoff B, Twombley K, Upadhyay K, Vivarelli M, Weaver DJ, Woroniecki R, Schaefer F, Tullus K. (2021) COVID-19 in children treated with immunosuppressive medication for kidney diseases. Arch Dis Child 106:798–801
27.
Goss MB, Galván NTN, Ruan W, Munoz FM, Brewer ED, O’Mahony CA, Melicoff-Portillo E, Dreyer WJ, Miloh TA, Cigarroa FG, Ranch D, Yoeli D, Adams MA, Koohmaraie S, Harter DM, Rana A, Cotton RT, Carter B, Patel S, Moreno NF, Leung DH, Goss JA (2021) The pediatric solid organ transplant experience with COVID-19: an initial multi-center, multi-organ case series. Pediatr Transplant 25:e13868PubMed
28.
D’Antiga L (2020) Coronaviruses and ımmunosuppressed patients: the facts during the third epidemic. Liver Transpl 26:832–834CrossRef
29.
Melgosa M, Madrid A, Alvárez O, Lumbreras J, Nieto F, Parada E, Perez-Beltrán V, Spanish Pediatric Nephrology Association (2020) SARS-CoV-2 infection in Spanish children with chronic kidney pathologies. Pediatr Nephrol 35:1521–1524
30.
Mehta P, McAuley DF, Brown M, Sanchez E, Tattersall RS, Manson JJ, HLH Across Speciality Collaboration, UK (2020) COVID-19: consider cytokine storm syndromes and immunosuppression. Lancet 395:1033–1034
31.
Ajaimy M, Melamed ML (2020) COVID-19 in patients with kidney disease. Clin J Am Soc Nephrol 15:1087–1089CrossRef
32.
Klasen JM, Meienberg A, Bogie BJM (2021) Medical student engagement during COVID-19: lessons learned and areas for improvement. Med Educ 55:115–118CrossRef
33.
Hauer KE, Lockspeiser TM, Chen HC (2021) The COVID-19 pandemic as an ımperative to advance medical student assessment: three areas for change. Acad Med 96:182–185CrossRef
Metadaten
Titel
Impact of coronavirus disease-2019 on pediatric nephrology practice and education: an ESPN survey
verfasst von
Burcu Yazıcıoğlu
Sevcan A. Bakkaloğlu
the European Society for Pediatric Nephrology
Publikationsdatum
31.12.2021
Verlag
Springer Berlin Heidelberg
Schlagwort
COVID-19
Erschienen in
Pediatric Nephrology / Ausgabe 8/2022
Print ISSN: 0931-041X
Elektronische ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-021-05226-1

Weitere Artikel der Ausgabe 8/2022

Pediatric Nephrology 8/2022 Zur Ausgabe

Systematic Review/Meta-analysis

Furosemide and albumin for the treatment of nephrotic edema: a systematic review

Original Article

Validation of the STARZ neonatal acute kidney injury risk stratification score

Editorial

Supportive peer review: Why and how to constructively review a paper

Correction

Correction to: Correction to: Impact of coronavirus disease-2019 on pediatric nephrology practice and education: an ESPN survey

Review

Cystinuria: an update on pathophysiology, genetics, and clinical management

Educational Review

Therapeutic plasma exchange in children with acute liver failure (ALF): is it time for incorporation into the ALF armamentarium?

Neu im Fachgebiet Pädiatrie

ADHS-Medikation erhöht das kardiovaskuläre Risiko

16.05.2024 Herzinsuffizienz Nachrichten

Erwachsene, die Medikamente gegen das Aufmerksamkeitsdefizit-Hyperaktivitätssyndrom einnehmen, laufen offenbar erhöhte Gefahr, an Herzschwäche zu erkranken oder einen Schlaganfall zu erleiden. Es scheint eine Dosis-Wirkungs-Beziehung zu bestehen.

Erstmanifestation eines Diabetes-Typ-1 bei Kindern: Ein Notfall!

16.05.2024 DDG-Jahrestagung 2024 Kongressbericht

Manifestiert sich ein Typ-1-Diabetes bei Kindern, ist das ein Notfall – ebenso wie eine diabetische Ketoazidose. Die Grundsäulen der Therapie bestehen aus Rehydratation, Insulin und Kaliumgabe. Insulin ist das Medikament der Wahl zur Behandlung der Ketoazidose.

Frühe Hypertonie erhöht späteres kardiovaskuläres Risiko

16.05.2024 Arterielle Hypertonie in der Pädiatrie Nachrichten

Wie wichtig es ist, pädiatrische Patienten auf Bluthochdruck zu screenen, zeigt eine kanadische Studie: Hypertone Druckwerte in Kindheit und Jugend steigern das Risiko für spätere kardiovaskuläre Komplikationen.

Betalaktam-Allergie: praxisnahes Vorgehen beim Delabeling

16.05.2024 Pädiatrische Allergologie Nachrichten

Die große Mehrheit der vermeintlichen Penicillinallergien sind keine. Da das „Etikett“ Betalaktam-Allergie oft schon in der Kindheit erworben wird, kann ein frühzeitiges Delabeling lebenslange Vorteile bringen. Ein Team von Pädiaterinnen und Pädiatern aus Kanada stellt vor, wie sie dabei vorgehen.

Update Pädiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise