Evidence map›Paper›PMID 34957349›Full record

ArticleKidney international reports2022

The Global Impact of the COVID-19 Pandemic on In-Center Hemodialysis Services: An ISN-Dialysis Outcomes Practice Patterns Study Survey.

Ryan Aylward, Brian Bieber, Murilo Guedes, Ronald Pisoni, Elliot Koranteng Tannor, Gavin Dreyer, Adrian Liew, Valerie Luyckx, Dibya Singh Shah, Chimota Phiri and 7 more

Abstract read
In one paragraph

Article in Kidney international reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Article
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  6. Review
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  9. Disasters and kidney care: pitfalls and solutions.Nature reviews. Nephrology · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. How Was Kidney Care Reshaped by the COVID-19 Pandemic?Kidney international reports · 2022
    Article
  18. Article
  19. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Ryan AylwardPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Brian BieberArbor Research Collaborative for Health, Ann Arbor, Michigan, USA.
Murilo GuedesPontifícia Universidade Católica do Paraná, Curitiba, Brazil.
Ronald PisoniArbor Research Collaborative for Health, Ann Arbor, Michigan, USA.
Elliot Koranteng TannorDepartment of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Gavin DreyerDepartment of Renal Medicine, Barts Health NHS Trust, London, UK.
Adrian LiewMount Elizabeth Novena Hospital, Singapore.
Valerie LuyckxRenal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Dibya Singh ShahDepartment of Nephrology and Transplant Medicine, Institute of Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Chimota PhiriQueen Elizabeth Central Hospital, Blantyre, Malawi.
Rhys EvansDepartment of Transplantation, The University of British Columbia, Vancouver, British Columbia, Canada.
Rehab AlbakrDivision of Nephrology, University of Toronto, Toronto, Ontario, Canada.
Jeffrey PerlSt. Michael's Hospital, Toronto, Ontario, Canada.
Vivekanand JhaGeorge Institute for Global Health, New Delhi, India.
Roberto Pecoits-FilhoArbor Research Collaborative for Health, Ann Arbor, Michigan, USA.
Bruce RobinsonArbor Research Collaborative for Health, Ann Arbor, Michigan, USA.
Fergus J CaskeyPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo assess the impact of the COVID-19 pandemic impact on hemodialysis (HD) centers, The Dialysis Outcomes and Practice Patterns Study and ISN collaborated on a web-survey of centers.

methodsA combined approach of random sampling and open invitation was used between March 2020 and March 2021. Responses were obtained from 412 centers in 78 countries and all 10 ISN regions.

resultsIn 8 regions, rates of SARS-CoV-2 infection were <20% in most centers, but in North East Asia (NE Asia) and Newly Independent States and Russia (NIS & Russia), rates were ≥20% and ≥30%, respectively. Mortality was ≥10% in most centers in 8 regions, although lower in North America and Caribbean (N America & Caribbean) and NE Asia. Diagnostic testing was not available in 33%, 37%, and 61% of centers in Latin America, Africa, and East and Central Europe, respectively. Surgical masks were widely available, but severe shortages of particulate-air filter masks were reported in Latin America (18%) and Africa (30%). Rates of infection in staff ranged from 0% in 90% of centers in NE Asia to ≥50% in 63% of centers in the Middle East and 68% of centers in NIS & Russia. In most centers, <10% of staff died, but in Africa and South Asia (S Asia), 2% and 6% of centers reported ≥50% mortality, respectively.

conclusionThere has been wide global variation in SARS-CoV-2 infection rates among HD patients and staff, personal protective equipment (PPE) availability, and testing, and the ways in which services have been redesigned in response to the pandemic.

Indexed as

advocacychronic dialysisnephrology

Identifiers

PMID34957349
PMCPMC8684834

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.