COVID-19-related mortality in kidney transplant and dialysis patients: results of the ERACODA collaboration | Zendy

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COVID-19-related mortality in kidney transplant and dialysis patients: results of the ERACODA collaboration

Author(s) -

Luuk B. Hilbrands,

Raphaël Duivenvoorden,

Priya Vart,

Casper Franssen,

Marc H. Hemmelder,

Kitty J. Jager,

Lyanne M. Kieneker,

Marlies Noordzij,

Michelle J. Pena,

Hanne de Vries,

David Arroyo,

Adrian Covic,

Marta Crespo,

Éric Goffin,

Mahmud İslam,

Ziad A. Massy,

Núria Montero,

João Oliveira,

Ana Roca Muñoz,

J. Emilio Sánchez-Álvarez,

Sivakumar Sridharan,

Rebecca Winzeler,

Ron T. Gansevoort,

Jeroen B. van der Net,

Marie Essig,

Peggy W G du Buf-Vereijken,

Betty van Ginneken,

Nanda Maas,

Liffert Vogt,

Brigit C. van Jaarsveld,

Fréderike J. Bemelman,

Farah Klingenberg-Salahova,

Frederiek HeenanVos,

Marc G. Vervloet,

Azam Nurmohamed,

Daniel Abramowicz,

Sabine Verhofstede,

Omar Maoujoud,

Jana Fialová,

Edoardo Melilli,

Àlex Favà,

Josep M. Cruzado,

Joy Lips,

Maaike Hengst,

Ryszard Gellert,

Andrzej Rydzewski,

Daniela G Alferes,

Ivan Rychlík,

Elena Zakharova,

Patrice Max Ambuehl,

Fanny Lepeytre,

Clémentine Rabaté,

Guy Rostoker,

Sofia Marques,

Tijana Azasevac,

Dajana Katičić,

Marc ten Dam,

Thilo Krüger,

S. J. J. Logtenberg,

Lutz Fricke,

Adriaan L Zanen,

Jeroen J P Slebe,

Delphine Kemlin,

Jacqueline van de Wetering,

Jaromír Eiselt,

Lukáš Kielberger,

Hala S El-Wakil,

Samar Abd ElHafeez,

C Canal,

Carme Facundo,

Ana Ramos,

Alicja DębskaŚlizień,

Nicoline M H Veldhuizen,

Stylianos Panagoutsos,

Irina Matceac,

Ionuţ Nistor,

Monica Cordos,

J H M Groeneveld,

Marjolijn van Buren,

Fritz Diekmann,

Ana Cristina Fernandes Maria Ferreira,

Augusto César Soares dos Santos,

Carlos Arias-Cabrales,

Laura Llinàs-Mallol,

Anna Buxeda,

Carla Burballa Tàrrega,

Dolores RedondoPachón,

María Dolores Arenas Jiménez,

Julia M. Hofstra,

Antonio Franco,

María Luisa Rodríguez-Ferrero,

Sagrario Balda Manzanos,

Gabriel de Arriba,

R. Haridian Sosa Barrios,

Karlijn Bartelet,

Erol Demir,

Daan A M J Hollander,

Angèle P. M. Kerckhoffs,

Stefan Büttner,

Aiko P. J. de Vries,

Soufian Meziyerh,

Danny van der Helm,

Marlies E. J. Reinders,

Hanneke Bouwsma,

Kristina Petrulienė,

Sharon Maloney,

Iris Verberk,

Marina Di Luca,

Serhan Z Tuğlular,

Charles Beerenhout,

Peter T Luik,

Julia Kerschbaum,

Martin Tiefenthaler,

Bruno Watschinger,

Aaltje Y Adema,

Vadim Stepanov,

Aleksei Zulkarnaev,

Kültiğin Türkmen,

Bonucchi Decenzio,

Anselm Fliedner,

Hitoshi Miyasato,

Anders Åsberg,

Geir Mjøen,

Stefano Pini,

Consuelo de Biase,

Anne Els van de Logt,

Rutger Maas,

Olga Lebedeva,

Verónica López,

Louis Reichert,

Jacobien C. Verhave,

Denis Titov,

Ekaterina Parshina,

Liesbeth E A van Gils-Verrij,

Charlotte J R de Bruin,

John Harty,

Marleen Meurs,

Marek Myślak,

Yuri Battaglia,

Paolo Lentini,

Edwin den Deurwaarder,

Hormat Rahimzadeh,

Marcel Schouten,

Carlos J Cabezas-Reina,

Anabel Diaz-Mareque,

Armando Coca,

Björn Meijers,

Maarten Naesens,

Dirk Kuypers,

Bruno Desschans,

Annelies Tonnerlier,

Karl Martin Wissing,

Ivana Dedinská,

Giuseppina Pessolano,

Frank M. van der Sande,

Maarten H. L. Christiaans,

Ilaria Gandolfini,

Umberto Maggiore,

Nada Kanaan,

Laura Labriola,

Arnaud Devresse,

Shafi Malik,

Stefan P. Berger,

Esther Meijer,

JanStephan Sanders,

Jadranka ButurovićPonikvar,

Alferso C Abrahams,

F. Molenaar,

Arjan D. van Zuilen,

Sabine C A Meijvis,

Helma Dolmans,

Luca Zanoli,

Carmelita Marcantoni,

Pasquale Esposito,

Jean-Marie Krzesinski,

Jean Damacène Barahira,

Maurizio Gallieni,

Paloma Leticia Martín-Moreno,

Gabriele Guglielmetti,

Gabriella Guzzo,

Antinus J. Luik,

W.H.M. van Kuijk,

Lonneke W H Stikkelbroeck,

Marc M.H. Hermans,

Laurynas Rimševičius,

Marco Righetti,

Nicole Heitink-ter Braak

Publication year - 2020

Publication title -

nephrology dialysis transplantation

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.654

H-Index - 168

eISSN - 1460-2385

pISSN - 0931-0509

DOI - 10.1093/ndt/gfaa261

Subject(s) - medicine , dialysis , hazard ratio , kidney transplantation , transplantation , population , confidence interval , kidney disease , hemodialysis , renal replacement therapy , environmental health

Background. Patients on kidney replacement therapy comprise a vulnerable population and may be at increased risk of death from coronavirus disease 2019 (COVID-19). Currently, only limited data are available on outcomes in this patient population. Methods. We set up the ERACODA (European Renal Association COVID-19 Database) database, which is specifically designed to prospectively collect detailed data on kidney transplant and dialysis patients with COVID-19. For this analysis, patients were included who presented between 1 February and 1 May 2020 and had complete information available on the primary outcome parameter, 28-day mortality. Results. Of the 1073 patients enrolled, 305 (28%) were kidney transplant and 768 (72%) dialysis patients with a mean age of 60 ± 13 and 67 ± 14 years, respectively. The 28-day probability of death was 21.3% [95% confidence interval (95% CI) 14.3–30.2%] in kidney transplant and 25.0% (95% CI 20.2–30.0%) in dialysis patients. Mortality was primarily associated with advanced age in kidney transplant patients, and with age and frailty in dialysis patients. After adjusting for sex, age and frailty, in-hospital mortality did not significantly differ between transplant and dialysis patients [hazard ratio (HR) 0.81, 95% CI 0.59–1.10, P = 0.18]. In the subset of dialysis patients who were a candidate for transplantation (n = 148), 8 patients died within 28 days, as compared with 7 deaths in 23 patients who underwent a kidney transplantation <1 year before presentation (HR adjusted for sex, age and frailty 0.20, 95% CI 0.07–0.56, P < 0.01). Conclusions. The 28-day case-fatality rate is high in patients on kidney replacement therapy with COVID-19 and is primarily driven by the risk factors age and frailty. Furthermore, in the first year after kidney transplantation, patients may be at increased risk of COVID-19-related mortality as compared with dialysis patients on the waiting list for transplantation. This information is important in guiding clinical decision-making, and for informing the public and healthcare authorities on the COVID-19-related mortality risk in kidney transplant and dialysis patients.

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