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, Cécile; Verger, Christian

doi:10.25796/bdd.v3i4.59643

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…40 These trends were confirmed by studies from the United Kingdom, Canada, Spain and France. [41][42][43] In the United Kingdom, the mortality rate from Covid-19 was more than twice among those who received HD in-centres compared with those on home-based dialysis during the first wave of the pandemic. 44 The ERA-EDTA Registry reported that the mortality in dialysis patients and kidney transplant recipients infected with Covid-19 across Europe was 20% on average, though it reached 30% in Spain, Switzerland and Netherlands.…”

Section: Covid-19 Infectionmentioning

confidence: 99%

Peritoneal dialysis in the modern era

Karkar¹,

Wilkie

2022

Perit Dial Int

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The practice and clinical outcomes of peritoneal dialysis (PD) have demonstrated significant improvement over the past 20 years. The aim of this review is to increase awareness and update healthcare professionals on current PD practice, especially with respect to patient and technique survival, patient modality selection, pathways onto PD, understanding patient experience of care and use prior to kidney transplantation. These improvements have been impacted, at least in part, by greater emphasis on shared decision-making in dialysis modality selection, the use of advanced laparoscopic techniques for PD catheter implantation, developments in PD connecting systems, glucose-sparing strategies, and modernising technology in managing automated PD patients remotely. Evidence-based clinical guidelines such as those prepared by national and international societies such as the International Society of PD have contributed to improved PD practice underpinned by a recognition of the place of continuous quality improvement processes.

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Section: Covid-19 Infectionmentioning

confidence: 99%

Peritoneal dialysis in the modern era

Karkar¹,

Wilkie

2022

Perit Dial Int

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“…La Figure 2 moment de la rédaction de cet article, l'Agence de Biomédecine estimait que 16 % des patients dialysés, toutes méthodes confondues, auraient présenté une infection à SARS-Cov2 et que 20% des décès seraient liés à ce virus [7]. En ne considérant que les patients symptomatiques (donc en excluant ceux qui avaient un test positif sans signe clinique), nous avons trouvé récemment, dans une étude commune des deux registres REIN et RDPLF, un taux de 8 % de patients symptomatiques (donc en excluant ceux qui avaient une recherche de Covid sans signe clinique) chez les patients traités dans une unité de dialyse, alors que ceux traités [8] à domicile par DP ou hémodialyse à domicile étaient symptomatiques dans 4,9 % des cas au cours des neuf premiers mois de l'année 2020 [8]. La volonté des néphrologues de limiter les contacts dans les transports ou les établissements de soins a favorisé en France la constitution d'un réseau de développement de l'hémodialyse à domicile, mais ce dernier se heurte à des contraintes organisationnelles et financières [9].…”

Section: Variation De L'incidenceunclassified

Home dialysis and Covid-19 in french speaking countries (RDPLF data-base)

Verger¹,

Fabre

Durand

et al. 2021

Bull Dial Domic

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Aims of the study: to assess the frequency of symptomatic Covid-19 in home dialysis patients and its influence on the number of patients treated at home in dialysis units of centers included in the French-speaking peritoneal and home hemodialysis Registry (RDPLF). Focus is placed on patients treated by peritoneal dialysis (PD) in mainland France. Results: in home hemodialysis (HHD)the incidence is 6% in Belgium and 4.8% in mainland France. On peritoneal dialysis it is 10.6% in Belgium, 6.7% in mainland France, 10.8% in Morocco and 11.5% in Tunisia. Lethality is less than 5% in HHD and between 8.4% and 42.7% in PD depending on age and associated comorbidities. In France, the percentage of patients who have had symptomatic Covid-19 is lower on home dialysis, all methods combined. Nevertheless, among the home methods, the higher frequencies and severities are observed in mainland France in home assisted PD: these are the oldest and most co-morbid patients. Transfers from PD to in center hemodialysis have increased during Covid-19 pandemic while the number of transplants has decreased. Conclusion: if the drop in the number of transplants can be explained by a reduced availability of operating theaters and surgical teams during a pandemic period, it is paradoxical that the prescription of home dialysis, which should be supposed to limit the risk of contagion, has decreased. More investigation should be performed to understand this paradox.

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Home dialysis in french speaking countries in 2020 (RDPLF database)

Verger

Veniez

Padernoz³

et al. 2021

Bull Dial Domic

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The RDPLF collects the main peritoneal dialysis data from centers in French-speaking countires and, since 2012, home hemodialysis (HHD) data. This article presents a summary of the main results in the RDPLF in 2020. It highlights important differences in the practices and patient profiles between French-speaking countries. Mortality in patients with clinical symptoms of COVID-19 varied from 15 to 63% depending on the country. A slight drop in the incidence rate for peritoneal dialysis in 2020 was observed when the Covid-19 pandemic should have favored a dialysis treatment at home. In patients with HHD, daily hemodialysis five days a week, at a low flow rate of dialysate, is predominant in the new centers and sometimes begins to appear as a mode of transition which allows to maintain at home patients who cannot anymore be treated by PD. In HHD, the use of a central catheter is frequent in Belgium while this is exceptional in France. Likewise, in France, puncture of an arteriovenous fistula remains classic, while in Belgium the Buttonhole technique is widely preferred. We did not observe COVID-19 mortality in HHD in 2020 but only 47% of HDD patients are included in the RDPLF while 98% of PD patients are included.

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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

Cited by 3 publications

References 9 publications

Peritoneal dialysis in the modern era

Peritoneal dialysis in the modern era

Home dialysis and Covid-19 in french speaking countries (RDPLF data-base)

Home dialysis in french speaking countries in 2020 (RDPLF database)

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