Emperor’s syndrome in the COVID-19 era: Time for patient-centered nephrology?
| Autor: | Athanasios Diamandopoulos, Dimitra Bacharaki |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Nephrology
Opinion Review medicine.medical_specialty Evidence-based medicine Patient-centered care 030232 urology & nephrology 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Diabetes mellitus Internal medicine Chronic kidney disease Pandemic Health care medicine Intensive care medicine business.industry Emperor’s syndrome COVID-19 Guidelines-based medicine medicine.disease Clinical trial business Kidney disease |
| Zdroj: | World Journal of Nephrology |
| ISSN: | 2220-6124 |
| Popis: | The coronavirus disease-19 (COVID-19) pandemic has been a wake-up call in which has forced us to react worldwide. Health policies and practices have attracted particular attention in terms of human and financial cost. Before COVID-19, chronic kidney disease was already considered a risk multiplier in patients with diabetes and hypertension, the two now being the major risk factors for COVID-19 infection and adverse outcome. In contrast to the urgent need for action, the nephrology field is considered to be in a state of stagnation regarding the management of chronic kidney disease patients who still experience unacceptably high morbidity and mortality. Ironically and paradoxically in a field lacking robust clinical trials, clinical practice is driven by guidelines-based medicine on weak evidence. The Emperor's syndrome, referring to Hans Christian Andersen's fairy tale, has been described in medicine as voluntary blindness to an obvious truth, being a weak evidence-based therapeutic intervention or weak health care. A promising positive example of improving heart and kidney outcomes is the emerging treatment with sodium-glucose cotransporter 2 inhibitors. COVID-19 could boost actions for patient-centered care as a positive shift in nephrology care. |
| Databáze: | OpenAIRE |
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