Currently Colombia and Latin America in general are the epicenter of the SARS CoV2 / COVID-19 pandemic. In Colombia, there are more than 3,000 cases of kidney disease in children, 45,000 people with stage 5 CKD or requiring kidney replacement therapy, about 7,000 people with kidney transplants. Approximately 56% correspond to adults over 60 years of age with two or more chronic pathologies. 70% of cases of COVID-19 infection occur in people with cardiovascular disease, high blood pressure, diabetes and chronic kidney disease, and about 90% of deaths occur in people over 60 years with multiple pathologies. Circumstance that is exacerbated by the very dynamics of care, the periodicity of dialysis, the need to travel frequently to dialysis units, the limitations of literacy in health to meet the isolation and social distancing standards, the group inevitable of patients during dialysis shifts, in addition to the human, social and economic repercussions of the pandemic that further increase the risk of viral transmission.
In consideration of the commitment of the International Society of Nephrology (ISN) in promoting and collaborating with global scientific societies, generating a community of scientific knowledge to improve prevention, diagnosis and treatment in the context of people with chronic kidney disease, and appealing to this philosophy, the Colombian Association of Nephrology and Arterial Hypertension (ASOCOLNEF) and the Colombian Association of Pediatric Nephrology (ACONEPE), the Committee of Knowledge Management and the Coordinating Committee of the Colombian Consensus is allowed to put ISN for consideration, as contribute to its repository, the first chapters developed by a multidisciplinary team of experts, who, based on a rigorous methodology, consolidate informed and evidence-based recommendations, in order to guide clinical decision-making within the framework of a care focused on people with chronic kidney disease, focused on 5 chap Titles: Dialysis, Acute Kidney Injury, Pediatrics, Older Adults- Multimorbid and Kidney Transplant
In this first phase we make available the first three chapters published in advance version of the Colombian Journal of Nephrology: https://revistanefrologia.org/index.php/rcn
- Colombian consensus of experts on informed recommendations in the evidence for the prevention, diagnosis and management of SARS-CoV-2 / COVID-19 infection in people with Chronic Kidney Disease on dialysis.https://revistanefrologia.org/index.php/rcn/article/view/474
- Colombian consensus of experts on recommendations informed in the evidence for the prevention, diagnosis and management of acute kidney injury by SARS-CoV-2 / COVID-19. https://revistanefrologia.org/index.php/rcn/article/view/473
- Colombian consensus of experts on recommendations informed in the evidence for the prevention, diagnosis and management of SARS CoV2 / COVID-19 infection in people with Kidney Transplantation.https://revistanefrologia.org/index.php/rcn/article/view/447
- In the course of the week, the fourth Consensus will be published in advance:
- Colombian consensus of experts on recommendations informed in the evidence for the prevention, diagnosis and management of SARS-CoV-2 / COVID-19 infection in a pediatric patient with chronic kidney disease or acute kidney injury associated with COVID-19.
ASOCOLNEF and ACONEPE ratify the need to generate global academic networks of collaborative work that, based on a critical analysis of the evidence, with a sense of solidarity and trust, propose real solutions to public health problems. On the other hand, we consider that these are living documents that will evolve as new evidence becomes available, therefore a plan for periodic updating is planned.