Nesrallah Gihad, Gilmour Loreen, Levin Adeera, Mustafa Reem, Soroka Steven, Zimmerman Deborah
Faculty of Medicine, University of Toronto, Ontario, Canada.
Nephrology Program, Humber River Hospital, Toronto, Ontario, Canada.
Can J Kidney Health Dis. 2020 Oct 21;7:2054358120949110. doi: 10.1177/2054358120949110. eCollection 2020.
The coronavirus disease (COVID-19) pandemic has created unprecedented challenges in caring for individuals living with kidney disease. In response to a growing call for up-to-date information and evidence-informed advice, the Canadian Society of Nephrology has established a COVID-19 Rapid Response Team that will leverage existing evidence and national expertise to inform kidney care practices in the COVID-19 era. Given limited published evidence and compressed timelines, formal clinical practice guidelines are not feasible, and we have adopted rapid review methods to instead provide interim guidance across identified priority areas. In this article, we describe the methodological approach that was applied in developing a first iteration of guidance documents addressing clinical and operational aspects of care for patients treated with in-center hemodialysis, home dialysis, those with advanced chronic kidney disease, those with glomerulonephritis, and those with acute kidney injury. We further describe strategies for maintaining ongoing engagement with the renal community to elicit emerging needs and perspectives as the situation unfolds.
冠状病毒病（COVID-19）大流行给照顾肾病患者带来了前所未有的挑战。为回应日益增长的对最新信息和循证建议的需求，加拿大肾脏病学会成立了COVID-19快速反应小组，该小组将利用现有证据和国家专业知识，为COVID-19时代的肾脏护理实践提供指导。鉴于已发表的证据有限且时间紧迫，制定正式的临床实践指南不可行，因此我们采用了快速审查方法，以便在确定的优先领域提供临时指导。在本文中，我们描述了用于制定第一轮指导文件的方法，这些文件涉及接受中心血液透析、家庭透析的患者、晚期慢性肾病患者、肾小球肾炎患者以及急性肾损伤患者的临床和操作护理方面。我们还进一步描述了在情况发展过程中与肾脏领域保持持续互动以了解新出现的需求和观点的策略。
