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Nephrology and COVID-19

Educational Objective
To understand how COVID-19 is impacting the field of nephrology
1 Credit CME

Initial reports about the new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) epidemic suggested that the incidence of kidney complications was low.1,2 Few would have anticipated the profound effect that the coronavirus disease 2019 (COVID-19) pandemic would have on the field of kidney health care. Early in the pandemic, it became apparent that patients with kidney disease were particularly vulnerable to SARS-CoV-2.3 In addition, it also became apparent that acute kidney injury (AKI) was occurring at several-fold higher rates in hospitalized patients with COVID-19 in the US than in earlier series in China.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Corresponding Author: Wolfgang C. Winkelmayer, MD, MPH, ScD, Section of Nephrology, Baylor College of Medicine, One Baylor Plaza, Ste ABBR R705, MS 395, Houston, TX 77030 (winkelma@bcm.edu).

Conflict of Interest Disclosures: Dr Winkelmayer reported receipt of personal fees from Akebia, AstraZeneca, Bayer, Daichii-Sankyo, Janssen, Merck, Relypsa, and Vifor Fresenius Medical Care Renal Pharma and grants from the National Institutes of Health. Dr Charytan reported receipt of personal fees from PLC Medical, Janssen, GlaxoSmithKline, Merck, and Fresenius; grants and personal fees from Gilead, AstraZeneca, and Amgen; and grants from Bioporto. No other disclosures were reported.

References
1.
Deng  Y , Liu  W , Liu  K ,  et al.  Clinical characteristics of fatal and recovered cases of coronavirus disease 2019 (COVID-19) in Wuhan, China.   Chin Med J (Engl). 2020;133(11):1261-1267. doi:10.1097/CM9.0000000000000824PubMedGoogle ScholarCrossref
2.
Guan  WJ , Ni  ZY , Hu  Y ,  et al.  Clinical characteristics of coronavirus disease 2019 in China.   N Engl J Med. 2020;382(18):1708-1720. doi:10.1056/NEJMoa2002032PubMedGoogle ScholarCrossref
3.
Kliger  AS , Silberzweig  J .  Mitigating risk of COVID-19 in dialysis facilities.   Clin J Am Soc Nephrol. 2020;15(5):707-709. doi:10.2215/CJN.03340320PubMedGoogle ScholarCrossref
4.
Rezoagli  E , McNicholas  B , Pham  T ,  et al.  Lung-kidney cross-talk in the critically ill.   Intensive Care Med. 2020;46(5):1072-1073. doi:10.1007/s00134-020-05962-2PubMedGoogle ScholarCrossref
5.
Su  H , Yang  M , Wan  C ,  et al.  Renal histopathological analysis of 26 postmortem findings of patients with COVID-19 in China.   Kidney Int. 2020;98(1):219-227. doi:10.1016/j.kint.2020.04.003PubMedGoogle ScholarCrossref
6.
Santoriello  D , Khairallah  P , Bomback  AS ,  et al.  Postmortem kidney pathology findings in patients with COVID-19.   J Am Soc Nephrol. 2020;31(9):2158-2167. doi:10.1681/ASN.2020050744PubMedGoogle ScholarCrossref
7.
Goldfarb  DS , Benstein  JA , Zhdanova  O ,  et al.  Impending shortages of kidney replacement therapy for COVID-19 patients.   Clin J Am Soc Nephrol. 2020;15(6):880-882. doi:10.2215/CJN.05180420PubMedGoogle ScholarCrossref
8.
Chan  L , Chaudhary  K , Saha  A ,  et al. Acute kidney injury in hospitalized patients with COVID-19. medRxiv. Preprint posted May 8, 2020. doi:10.1101/2020.05.04.20090944
9.
Loupy  A , Aubert  O , Reese  PP ,  et al.  Organ procurement and transplantation during the COVID-19 pandemic.   Lancet. 2020;395(10237):e95-e96. doi:10.1016/S0140-6736(20)31040-0PubMedGoogle ScholarCrossref
10.
Boyarsky  BJ , Werbel  WA , Durand  CM ,  et al.  Early national and center-level changes to kidney transplantation in the United States during the COVID-19 epidemic.   Am J Transplant. Published online June 28, 2020. doi:10.1111/ajt.16167PubMedGoogle Scholar
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