Home Dialysis in the Coronavirus Disease 2019 Era

Yerram, Preethi; Misra, Madhukar

doi:10.1053/j.ackd.2020.07.001

Cited by 22 publications

(24 citation statements)

References 5 publications

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“…Dialysis sessions, which in most cases are necessary to keep these patients alive, last several hours and typically require visits to a dialysis facility three to four times per week. During the COVID-19 pandemic, there has been a push to increase the use of home-based dialysis ( Brown and Perl, 2020 , Yerram and Misra, 2020 ), but most patients are still traveling to dialysis facilities for their care. Dialysis facilities have implemented a number of COVID-19 related safety protocols, including clustering patients during treatments and transportation ( Verma et al, 2020 ) as well as dedicating treatment facilities to dialysis for COVID-19-positive patients ( Ikizler and Kliger, 2020 ).…”

Section: Resultsmentioning

confidence: 99%

How is the COVID-19 pandemic shaping transportation access to health care?

Chen

Brozen

Rollman

et al. 2021

Transportation Research Interdisciplinary Perspectives

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The Coronavirus disease 19 (COVID-19) pandemic has disrupted both transportation and health systems. While about 40% of Americans have delayed seeking medical care during the pandemic, it remains unclear to what extent transportation is contributing to missed care. To understand the relationship between transportation and unmet health care needs during the pandemic, this paper synthesizes existing knowledge on transportation patterns and barriers across five types of health care needs. While the literature is limited by the absence of detailed data for trips to health care, key themes emerged across populations and settings. We find that some patients, many of whom already experience transportation disadvantage, likely need extra support during the pandemic to overcome new travel barriers related to changes in public transit or the inability to rely on others for rides. Telemedicine is working as a partial substitute for some visits but cannot fulfill all health care needs, especially for vulnerable groups. Structural inequality during the pandemic has likely compounded health care access barriers for low-income individuals and people of color, who face not only disproportionate health risks, but also greater difficulty in transportation access and heightened economic hardship due to COVID-19. Partnerships between health and transportation systems hold promise for jointly addressing disparities in health- and transportation-related challenges but are largely limited to Medicaid-enrolled patients. Our findings suggest that transportation and health care providers should look for additional strategies to ensure that transportation access is not a reason for delayed medical care during and after the COVID-19 pandemic.

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Section: Resultsmentioning

confidence: 99%

How is the COVID-19 pandemic shaping transportation access to health care?

Chen

Brozen

Rollman

et al. 2021

Transportation Research Interdisciplinary Perspectives

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“…L'importance de la proportion de patients assistés pour leur traitement par DP chez les patients décédés de la COVID-19 peut être lié à la létalité plus élevée chez les personnes les plus à risque ou à l'augmentation du risque de contamination due à l'intervention d'une personne extérieure. L'isolement à domicile en période pandémique peut être source de complications somatiques et psychologiques graves et il est important chez ces patients de développer tous les moyens de télésurveillance pour assurer leur sécurité à domicile [8].…”

Section: Methodes Population Et Informations Recueilliesunclassified

Symptomatic SARS-CoV2 infections in patients treated in France by hemodialysis in an establishment, or at home or by peritoneal dialysis: Data from the REIN and RDPLF registries

Couchoud

Verger

2020

Bull Dial Domic

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In France all patients treated with dialysis are registered in the REIN registry (Epidemiology and Information Network in Nephrology) ; in addition the RDPLF (French Language Peritoneal Dialysis Registry) monitors patients treated at home in French-speaking regions and countries. Asymptomatic patients with a positive SARS-CoV2 test were excluded : the study focused only on patients with symptomatic COVID-19 disease. Data from REIN and RDPLF were used. In total, 3,541 patients were declared symptomatic with COVID-19. The proportion of patients with symptomatic SAR-coV2 infection was 4.9% in patients treated at home by peritoneal dialysis or hemodialysis and 8.0% in those treated in a dialysis unit. After adjustment for age and comorbidities, being treated at home was associated with a higher risk of mortality. In conclusion, home treatments could represent a solution for preventing the risk of contamination during the circulation of the virus. On the other hand, the risk of mortality in symptomatic patients at home could be linked to a delay in treatment: rigorous remote organization must be implemented so as not to delay the treatment of patients in the event of infection.

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“…45 This tendency has been compounded by the COVID-19 pandemic. 46 Even if a patient does not “crash” into dialysis, they are often not provided timely predialysis education, forestalling proper information and empowerment for decision making, including modality choice. 47 Some experts have advocated for commencement of predialysis education based on kidney function level or symptoms, a widely accepted marker for education initiation is a glomerular filtration rate < 20 to 25 mL/min/1.73 m 2 .…”

Section: Patient Empowerment and Educationmentioning

confidence: 99%

Expanding Utilization of Home Dialysis: An Action Agenda From the First International Home Dialysis Roundtable

et al. 2021

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Home Dialysis in the Coronavirus Disease 2019 Era

Cited by 22 publications

References 5 publications

How is the COVID-19 pandemic shaping transportation access to health care?

How is the COVID-19 pandemic shaping transportation access to health care?

Symptomatic SARS-CoV2 infections in patients treated in France by hemodialysis in an establishment, or at home or by peritoneal dialysis: Data from the REIN and RDPLF registries

Expanding Utilization of Home Dialysis: An Action Agenda From the First International Home Dialysis Roundtable

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