CovidFranceV1, Main, Exploration, bibRecord, 000806

Rapid response in the COVID-19 pandemic: a Delphi study from the European Pediatric Dialysis Working Group.

Identifieur interne : 000806 ( Main/Exploration ); précédent : 000805; suivant : 000807

Rapid response in the COVID-19 pandemic: a Delphi study from the European Pediatric Dialysis Working Group.

Auteurs : Fabian Eibensteiner [Autriche] ; Valentin Ritschl [Autriche] ; Gema Ariceta [Espagne] ; Augustina Jankauskiene [Lituanie] ; Günter Klaus [Allemagne] ; Fabio Paglialonga [Italie] ; Alberto Edefonti [Italie] ; Bruno Ranchin [France] ; Claus Peter Schmitt [Allemagne] ; Rukshana Shroff [Royaume-Uni] ; Constantinos J. Stefanidis [Grèce] ; Johan Vande Walle [Belgique] ; Enrico Verrina [Italie] ; Karel Vondrak [République tchèque] ; Aleksandra Zurowska [Pologne] ; Tanja Stamm [Autriche] ; Christoph Aufricht [Autriche]

Source :

Pediatric nephrology (Berlin, Germany) [ 1432-198X ] ; 2020.

RBID : pubmed:32418146

Descripteurs français

English descriptors

KwdEn :
- Adolescent (MeSH), Child (MeSH), Child, Preschool (MeSH), Coronavirus Infections (complications), Coronavirus Infections (prevention & control), Coronavirus Infections (therapy), Delphi Technique (MeSH), Europe (MeSH), Evidence-Based Medicine (MeSH), Humans (MeSH), Infant (MeSH), Infection Control (MeSH), Pandemics (prevention & control), Pneumonia, Viral (complications), Pneumonia, Viral (prevention & control), Pneumonia, Viral (therapy), Renal Dialysis (MeSH), Renal Insufficiency, Chronic (complications), Renal Insufficiency, Chronic (therapy).
MESH :
- geographic : Europe.
- complications : Coronavirus Infections, Pneumonia, Viral, Renal Insufficiency, Chronic.
- prevention & control : Coronavirus Infections, Pandemics, Pneumonia, Viral.
- therapy : Coronavirus Infections, Pneumonia, Viral, Renal Insufficiency, Chronic.
- Adolescent, Child, Child, Preschool, Delphi Technique, Evidence-Based Medicine, Humans, Infant, Infection Control, Renal Dialysis.

Abstract

BACKGROUND

COVID-19 was declared a global health emergency. Since children are less than 1% of reported cases, there is limited information to develop evidence-based practice recommendations. The objective of this study was to rapidly gather expert knowledge and experience to guide the care of children with chronic kidney disease during the COVID-19 pandemic.

METHODS

A four-round multi-center Delphi exercise was conducted among 13 centers in 11 European countries of the European Pediatric Dialysis Working Group (EPDWG) between March, 16th and 20th 2020. Results were analyzed using a mixed methods qualitative approach and descriptive statistics.

RESULTS

Thirteen COVID-19 specific topics of particular need for guidance were identified. Main themes encompassed testing strategies and results (n = 4), changes in use of current therapeutics (n = 3), preventive measurements of transmission and management of COVID-19 (n = 3), and changes in standard clinical care (n = 3). Patterns of center-specific responses varied according to regulations and to availability of guidelines.

CONCLUSIONS

As limited quantitative evidence is available in real time during the rapid spread of the COVID-19 pandemic, qualitative expert knowledge and experience represent the best evidence available. This Delphi exercise demonstrates that use of mixed methodologies embedded in an established network of experts allowed prompt analysis of pediatric nephrologists' response to COVID-19 during this fast-emerging public health crisis. Such rapid sharing of knowledge and local practices is essential to timely and optimal guidance for medical management of specific patient groups in multi-country health care systems such as those of Europe and the US.

DOI: 10.1007/s00467-020-04584-6
PubMed: 32418146
PubMed Central: PMC7230035

Affiliations:

Allemagne, Autriche, Belgique, Espagne, France, Grèce, Italie, Lituanie, Pologne, Royaume-Uni, République tchèque
Angleterre, Attique (région), Auvergne-Rhône-Alpes, Bade-Wurtemberg, Bohême centrale, Catalogne, District de Giessen, District de Karlsruhe, Grand Londres, Hesse (Land), Lombardie, Rhône-Alpes, Vienne (Autriche)
Athènes, Barcelone, Heidelberg, Londres, Lyon, Marbourg, Milan, Prague, Vienne (Autriche)

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Le document en format XML

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<author><name sortKey="Ranchin, Bruno" sort="Ranchin, Bruno" uniqKey="Ranchin B" first="Bruno" last="Ranchin">Bruno Ranchin</name>
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<author><name sortKey="Schmitt, Claus Peter" sort="Schmitt, Claus Peter" uniqKey="Schmitt C" first="Claus Peter" last="Schmitt">Claus Peter Schmitt</name>
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<author><name sortKey="Shroff, Rukshana" sort="Shroff, Rukshana" uniqKey="Shroff R" first="Rukshana" last="Shroff">Rukshana Shroff</name>
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<author><name sortKey="Stefanidis, Constantinos J" sort="Stefanidis, Constantinos J" uniqKey="Stefanidis C" first="Constantinos J" last="Stefanidis">Constantinos J. Stefanidis</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Pediatric Nephrology, Mitera Children's Hospital, Athens, Greece.</nlm:affiliation>
<country xml:lang="fr">Grèce</country>
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<author><name sortKey="Walle, Johan Vande" sort="Walle, Johan Vande" uniqKey="Walle J" first="Johan Vande" last="Walle">Johan Vande Walle</name>
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<author><name sortKey="Verrina, Enrico" sort="Verrina, Enrico" uniqKey="Verrina E" first="Enrico" last="Verrina">Enrico Verrina</name>
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<author><name sortKey="Vondrak, Karel" sort="Vondrak, Karel" uniqKey="Vondrak K" first="Karel" last="Vondrak">Karel Vondrak</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Pediatric Nephrology, University Hospital Motol, Prague, Czech Republic.</nlm:affiliation>
<country xml:lang="fr">République tchèque</country>
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<author><name sortKey="Zurowska, Aleksandra" sort="Zurowska, Aleksandra" uniqKey="Zurowska A" first="Aleksandra" last="Zurowska">Aleksandra Zurowska</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatric Nephrology, Medical University of Gdansk, Gdansk, Poland.</nlm:affiliation>
<country xml:lang="fr">Pologne</country>
<wicri:regionArea>Department of Pediatric Nephrology, Medical University of Gdansk, Gdansk</wicri:regionArea>
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<author><name sortKey="Stamm, Tanja" sort="Stamm, Tanja" uniqKey="Stamm T" first="Tanja" last="Stamm">Tanja Stamm</name>
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<author><name sortKey="Aufricht, Christoph" sort="Aufricht, Christoph" uniqKey="Aufricht C" first="Christoph" last="Aufricht">Christoph Aufricht</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Rapid response in the COVID-19 pandemic: a Delphi study from the European Pediatric Dialysis Working Group.</title>
<author><name sortKey="Eibensteiner, Fabian" sort="Eibensteiner, Fabian" uniqKey="Eibensteiner F" first="Fabian" last="Eibensteiner">Fabian Eibensteiner</name>
<affiliation wicri:level="3"><nlm:affiliation>Division of Pediatric Nephrology and Gastroenterology, Comprehensive Center for Pediatrics, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.</nlm:affiliation>
<country xml:lang="fr">Autriche</country>
<wicri:regionArea>Division of Pediatric Nephrology and Gastroenterology, Comprehensive Center for Pediatrics, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna</wicri:regionArea>
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<region nuts="2" type="province">Vienne (Autriche)</region>
</placeName>
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<author><name sortKey="Ritschl, Valentin" sort="Ritschl, Valentin" uniqKey="Ritschl V" first="Valentin" last="Ritschl">Valentin Ritschl</name>
<affiliation wicri:level="3"><nlm:affiliation>Section for Outcomes Research, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria.</nlm:affiliation>
<country xml:lang="fr">Autriche</country>
<wicri:regionArea>Section for Outcomes Research, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna</wicri:regionArea>
<placeName><settlement type="city">Vienne (Autriche)</settlement>
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<author><name sortKey="Ariceta, Gema" sort="Ariceta, Gema" uniqKey="Ariceta G" first="Gema" last="Ariceta">Gema Ariceta</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Pediatric Nephrology, University Hospital Vall d' Hebron, Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Pediatric Nephrology, University Hospital Vall d' Hebron, Barcelona</wicri:regionArea>
<placeName><settlement type="city">Barcelone</settlement>
<region nuts="2" type="region">Catalogne</region>
</placeName>
</affiliation>
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<author><name sortKey="Jankauskiene, Augustina" sort="Jankauskiene, Augustina" uniqKey="Jankauskiene A" first="Augustina" last="Jankauskiene">Augustina Jankauskiene</name>
<affiliation wicri:level="1"><nlm:affiliation>Pediatric Center, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania.</nlm:affiliation>
<country xml:lang="fr">Lituanie</country>
<wicri:regionArea>Pediatric Center, Institute of Clinical Medicine, Vilnius University, Vilnius</wicri:regionArea>
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</affiliation>
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<author><name sortKey="Klaus, Gunter" sort="Klaus, Gunter" uniqKey="Klaus G" first="Günter" last="Klaus">Günter Klaus</name>
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<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Department of Pediatric Nephrology, KfH Children's Kidney Center, Marburg</wicri:regionArea>
<placeName><region type="land" nuts="1">Hesse (Land)</region>
<region type="district" nuts="2">District de Giessen</region>
<settlement type="city">Marbourg</settlement>
</placeName>
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<author><name sortKey="Paglialonga, Fabio" sort="Paglialonga, Fabio" uniqKey="Paglialonga F" first="Fabio" last="Paglialonga">Fabio Paglialonga</name>
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<country xml:lang="fr">Italie</country>
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<author><name sortKey="Edefonti, Alberto" sort="Edefonti, Alberto" uniqKey="Edefonti A" first="Alberto" last="Edefonti">Alberto Edefonti</name>
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<country xml:lang="fr">Italie</country>
<wicri:regionArea>Pediatric Nephrology, Dialysis and Transplant Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan</wicri:regionArea>
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</placeName>
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<author><name sortKey="Ranchin, Bruno" sort="Ranchin, Bruno" uniqKey="Ranchin B" first="Bruno" last="Ranchin">Bruno Ranchin</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Pediatric Nephrology, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Lyon, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Pediatric Nephrology, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Lyon</wicri:regionArea>
<placeName><region type="region">Auvergne-Rhône-Alpes</region>
<region type="old region">Rhône-Alpes</region>
<settlement type="city">Lyon</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Schmitt, Claus Peter" sort="Schmitt, Claus Peter" uniqKey="Schmitt C" first="Claus Peter" last="Schmitt">Claus Peter Schmitt</name>
<affiliation wicri:level="3"><nlm:affiliation>Pediatric Nephrology, Center for Child and Adolescent Medicine, Heidelberg, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Pediatric Nephrology, Center for Child and Adolescent Medicine, Heidelberg</wicri:regionArea>
<placeName><region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
<settlement type="city">Heidelberg</settlement>
</placeName>
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<author><name sortKey="Shroff, Rukshana" sort="Shroff, Rukshana" uniqKey="Shroff R" first="Rukshana" last="Shroff">Rukshana Shroff</name>
<affiliation wicri:level="3"><nlm:affiliation>Renal Unit, UCL Great Ormond Street Hospital for Children NHS Foundation Trust, and Institute of Child Health, London, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Renal Unit, UCL Great Ormond Street Hospital for Children NHS Foundation Trust, and Institute of Child Health, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Stefanidis, Constantinos J" sort="Stefanidis, Constantinos J" uniqKey="Stefanidis C" first="Constantinos J" last="Stefanidis">Constantinos J. Stefanidis</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Pediatric Nephrology, Mitera Children's Hospital, Athens, Greece.</nlm:affiliation>
<country xml:lang="fr">Grèce</country>
<wicri:regionArea>Department of Pediatric Nephrology, Mitera Children's Hospital, Athens</wicri:regionArea>
<placeName><settlement type="city">Athènes</settlement>
<region nuts="2" type="region">Attique (région)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Walle, Johan Vande" sort="Walle, Johan Vande" uniqKey="Walle J" first="Johan Vande" last="Walle">Johan Vande Walle</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatric Nephrology, Utoped, Universitair Ziekenhuis Gent, Ghent, Belgium.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Pediatric Nephrology, Utoped, Universitair Ziekenhuis Gent, Ghent</wicri:regionArea>
<wicri:noRegion>Ghent</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Verrina, Enrico" sort="Verrina, Enrico" uniqKey="Verrina E" first="Enrico" last="Verrina">Enrico Verrina</name>
<affiliation wicri:level="1"><nlm:affiliation>Dialysis Unit, Department of Pediatrics, IRCCS Giannina Gaslini, Genoa, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Dialysis Unit, Department of Pediatrics, IRCCS Giannina Gaslini, Genoa</wicri:regionArea>
<wicri:noRegion>Genoa</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Vondrak, Karel" sort="Vondrak, Karel" uniqKey="Vondrak K" first="Karel" last="Vondrak">Karel Vondrak</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Pediatric Nephrology, University Hospital Motol, Prague, Czech Republic.</nlm:affiliation>
<country xml:lang="fr">République tchèque</country>
<wicri:regionArea>Department of Pediatric Nephrology, University Hospital Motol, Prague</wicri:regionArea>
<placeName><settlement type="city">Prague</settlement>
<region type="région" nuts="2">Bohême centrale</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Zurowska, Aleksandra" sort="Zurowska, Aleksandra" uniqKey="Zurowska A" first="Aleksandra" last="Zurowska">Aleksandra Zurowska</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Pediatric Nephrology, Medical University of Gdansk, Gdansk, Poland.</nlm:affiliation>
<country xml:lang="fr">Pologne</country>
<wicri:regionArea>Department of Pediatric Nephrology, Medical University of Gdansk, Gdansk</wicri:regionArea>
<wicri:noRegion>Gdansk</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Stamm, Tanja" sort="Stamm, Tanja" uniqKey="Stamm T" first="Tanja" last="Stamm">Tanja Stamm</name>
<affiliation wicri:level="3"><nlm:affiliation>Section for Outcomes Research, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria.</nlm:affiliation>
<country xml:lang="fr">Autriche</country>
<wicri:regionArea>Section for Outcomes Research, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna</wicri:regionArea>
<placeName><settlement type="city">Vienne (Autriche)</settlement>
<region nuts="2" type="province">Vienne (Autriche)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Aufricht, Christoph" sort="Aufricht, Christoph" uniqKey="Aufricht C" first="Christoph" last="Aufricht">Christoph Aufricht</name>
<affiliation wicri:level="3"><nlm:affiliation>Division of Pediatric Nephrology and Gastroenterology, Comprehensive Center for Pediatrics, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria. christoph.aufricht@meduniwien.ac.at.</nlm:affiliation>
<country xml:lang="fr">Autriche</country>
<wicri:regionArea>Division of Pediatric Nephrology and Gastroenterology, Comprehensive Center for Pediatrics, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna</wicri:regionArea>
<placeName><settlement type="city">Vienne (Autriche)</settlement>
<region nuts="2" type="province">Vienne (Autriche)</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">Pediatric nephrology (Berlin, Germany)</title>
<idno type="eISSN">1432-198X</idno>
<imprint><date when="2020" type="published">2020</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term>
<term>Child (MeSH)</term>
<term>Child, Preschool (MeSH)</term>
<term>Coronavirus Infections (complications)</term>
<term>Coronavirus Infections (prevention & control)</term>
<term>Coronavirus Infections (therapy)</term>
<term>Delphi Technique (MeSH)</term>
<term>Europe (MeSH)</term>
<term>Evidence-Based Medicine (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Infant (MeSH)</term>
<term>Infection Control (MeSH)</term>
<term>Pandemics (prevention & control)</term>
<term>Pneumonia, Viral (complications)</term>
<term>Pneumonia, Viral (prevention & control)</term>
<term>Pneumonia, Viral (therapy)</term>
<term>Renal Dialysis (MeSH)</term>
<term>Renal Insufficiency, Chronic (complications)</term>
<term>Renal Insufficiency, Chronic (therapy)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term>
<term>Dialyse rénale (MeSH)</term>
<term>Enfant (MeSH)</term>
<term>Enfant d'âge préscolaire (MeSH)</term>
<term>Europe (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections à coronavirus (complications)</term>
<term>Infections à coronavirus (prévention et contrôle)</term>
<term>Infections à coronavirus (thérapie)</term>
<term>Insuffisance rénale chronique (complications)</term>
<term>Insuffisance rénale chronique (thérapie)</term>
<term>Médecine factuelle (MeSH)</term>
<term>Méthode Delphi (MeSH)</term>
<term>Nourrisson (MeSH)</term>
<term>Pandémies (prévention et contrôle)</term>
<term>Pneumopathie virale (complications)</term>
<term>Pneumopathie virale (prévention et contrôle)</term>
<term>Pneumopathie virale (thérapie)</term>
<term>Prévention des infections (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Europe</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
<term>Renal Insufficiency, Chronic</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pandemics</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pandémies</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
<term>Renal Insufficiency, Chronic</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Insuffisance rénale chronique</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Delphi Technique</term>
<term>Evidence-Based Medicine</term>
<term>Humans</term>
<term>Infant</term>
<term>Infection Control</term>
<term>Renal Dialysis</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Dialyse rénale</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Europe</term>
<term>Humains</term>
<term>Infections à coronavirus</term>
<term>Insuffisance rénale chronique</term>
<term>Médecine factuelle</term>
<term>Méthode Delphi</term>
<term>Nourrisson</term>
<term>Pneumopathie virale</term>
<term>Prévention des infections</term>
</keywords>
</textClass>
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<front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b>
</p>
<p>COVID-19 was declared a global health emergency. Since children are less than 1% of reported cases, there is limited information to develop evidence-based practice recommendations. The objective of this study was to rapidly gather expert knowledge and experience to guide the care of children with chronic kidney disease during the COVID-19 pandemic.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>A four-round multi-center Delphi exercise was conducted among 13 centers in 11 European countries of the European Pediatric Dialysis Working Group (EPDWG) between March, 16th and 20th 2020. Results were analyzed using a mixed methods qualitative approach and descriptive statistics.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Thirteen COVID-19 specific topics of particular need for guidance were identified. Main themes encompassed testing strategies and results (n = 4), changes in use of current therapeutics (n = 3), preventive measurements of transmission and management of COVID-19 (n = 3), and changes in standard clinical care (n = 3). Patterns of center-specific responses varied according to regulations and to availability of guidelines.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>As limited quantitative evidence is available in real time during the rapid spread of the COVID-19 pandemic, qualitative expert knowledge and experience represent the best evidence available. This Delphi exercise demonstrates that use of mixed methodologies embedded in an established network of experts allowed prompt analysis of pediatric nephrologists' response to COVID-19 during this fast-emerging public health crisis. Such rapid sharing of knowledge and local practices is essential to timely and optimal guidance for medical management of specific patient groups in multi-country health care systems such as those of Europe and the US.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32418146</PMID>
<DateCompleted><Year>2020</Year>
<Month>08</Month>
<Day>06</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>09</Month>
<Day>09</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-198X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>35</Volume>
<Issue>9</Issue>
<PubDate><Year>2020</Year>
<Month>09</Month>
</PubDate>
</JournalIssue>
<Title>Pediatric nephrology (Berlin, Germany)</Title>
<ISOAbbreviation>Pediatr. Nephrol.</ISOAbbreviation>
</Journal>
<ArticleTitle>Rapid response in the COVID-19 pandemic: a Delphi study from the European Pediatric Dialysis Working Group.</ArticleTitle>
<Pagination><MedlinePgn>1669-1678</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00467-020-04584-6</ELocationID>
<Abstract><AbstractText Label="BACKGROUND">COVID-19 was declared a global health emergency. Since children are less than 1% of reported cases, there is limited information to develop evidence-based practice recommendations. The objective of this study was to rapidly gather expert knowledge and experience to guide the care of children with chronic kidney disease during the COVID-19 pandemic.</AbstractText>
<AbstractText Label="METHODS">A four-round multi-center Delphi exercise was conducted among 13 centers in 11 European countries of the European Pediatric Dialysis Working Group (EPDWG) between March, 16th and 20th 2020. Results were analyzed using a mixed methods qualitative approach and descriptive statistics.</AbstractText>
<AbstractText Label="RESULTS">Thirteen COVID-19 specific topics of particular need for guidance were identified. Main themes encompassed testing strategies and results (n = 4), changes in use of current therapeutics (n = 3), preventive measurements of transmission and management of COVID-19 (n = 3), and changes in standard clinical care (n = 3). Patterns of center-specific responses varied according to regulations and to availability of guidelines.</AbstractText>
<AbstractText Label="CONCLUSIONS">As limited quantitative evidence is available in real time during the rapid spread of the COVID-19 pandemic, qualitative expert knowledge and experience represent the best evidence available. This Delphi exercise demonstrates that use of mixed methodologies embedded in an established network of experts allowed prompt analysis of pediatric nephrologists' response to COVID-19 during this fast-emerging public health crisis. Such rapid sharing of knowledge and local practices is essential to timely and optimal guidance for medical management of specific patient groups in multi-country health care systems such as those of Europe and the US.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Eibensteiner</LastName>
<ForeName>Fabian</ForeName>
<Initials>F</Initials>
<Identifier Source="ORCID">https://orcid.org/0000-0001-5012-3082</Identifier>
<AffiliationInfo><Affiliation>Division of Pediatric Nephrology and Gastroenterology, Comprehensive Center for Pediatrics, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ritschl</LastName>
<ForeName>Valentin</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Section for Outcomes Research, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ariceta</LastName>
<ForeName>Gema</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Department of Pediatric Nephrology, University Hospital Vall d' Hebron, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Jankauskiene</LastName>
<ForeName>Augustina</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Pediatric Center, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Klaus</LastName>
<ForeName>Günter</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Department of Pediatric Nephrology, KfH Children's Kidney Center, Marburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Paglialonga</LastName>
<ForeName>Fabio</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Pediatric Nephrology, Dialysis and Transplant Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Edefonti</LastName>
<ForeName>Alberto</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Pediatric Nephrology, Dialysis and Transplant Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ranchin</LastName>
<ForeName>Bruno</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Department of Pediatric Nephrology, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Schmitt</LastName>
<ForeName>Claus Peter</ForeName>
<Initials>CP</Initials>
<AffiliationInfo><Affiliation>Pediatric Nephrology, Center for Child and Adolescent Medicine, Heidelberg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Shroff</LastName>
<ForeName>Rukshana</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Renal Unit, UCL Great Ormond Street Hospital for Children NHS Foundation Trust, and Institute of Child Health, London, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Stefanidis</LastName>
<ForeName>Constantinos J</ForeName>
<Initials>CJ</Initials>
<AffiliationInfo><Affiliation>Department of Pediatric Nephrology, Mitera Children's Hospital, Athens, Greece.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Walle</LastName>
<ForeName>Johan Vande</ForeName>
<Initials>JV</Initials>
<AffiliationInfo><Affiliation>Department of Pediatric Nephrology, Utoped, Universitair Ziekenhuis Gent, Ghent, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Verrina</LastName>
<ForeName>Enrico</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Dialysis Unit, Department of Pediatrics, IRCCS Giannina Gaslini, Genoa, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Vondrak</LastName>
<ForeName>Karel</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Department of Pediatric Nephrology, University Hospital Motol, Prague, Czech Republic.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zurowska</LastName>
<ForeName>Aleksandra</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Pediatric Nephrology, Medical University of Gdansk, Gdansk, Poland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Stamm</LastName>
<ForeName>Tanja</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Section for Outcomes Research, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Aufricht</LastName>
<ForeName>Christoph</ForeName>
<Initials>C</Initials>
<Identifier Source="ORCID">http://orcid.org/0000-0002-0487-4296</Identifier>
<AffiliationInfo><Affiliation>Division of Pediatric Nephrology and Gastroenterology, Comprehensive Center for Pediatrics, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria. christoph.aufricht@meduniwien.ac.at.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><CollectiveName>European Pediatric Dialysis Working Group</CollectiveName>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>05</Month>
<Day>17</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>Germany</Country>
<MedlineTA>Pediatr Nephrol</MedlineTA>
<NlmUniqueID>8708728</NlmUniqueID>
<ISSNLinking>0931-041X</ISSNLinking>
</MedlineJournalInfo>
<SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName>
</SupplMeshList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003697" MajorTopicYN="N">Delphi Technique</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005060" MajorTopicYN="N" Type="Geographic">Europe</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019317" MajorTopicYN="N">Evidence-Based Medicine</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017053" MajorTopicYN="N">Infection Control</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006435" MajorTopicYN="Y">Renal Dialysis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D051436" MajorTopicYN="N">Renal Insufficiency, Chronic</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">COVID-19</Keyword>
<Keyword MajorTopicYN="Y">Delphi</Keyword>
<Keyword MajorTopicYN="Y">Dialysis</Keyword>
<Keyword MajorTopicYN="Y">Pandemic</Keyword>
<Keyword MajorTopicYN="Y">Transplantation</Keyword>
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<Month>04</Month>
<Day>22</Day>
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<Month>04</Month>
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<Reference><Citation>Lancet. 2020 Feb 15;395(10223):497-506</Citation>
<ArticleIdList><ArticleId IdType="pubmed">31986264</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>J Infect. 2020 Apr;80(4):401-406</Citation>
<ArticleIdList><ArticleId IdType="pubmed">32112886</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>JAMA. 2020 Feb 14;:</Citation>
<ArticleIdList><ArticleId IdType="pubmed">32058570</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>J Card Fail. 2020 May;26(5):370</Citation>
<ArticleIdList><ArticleId IdType="pubmed">32439095</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Am J Transplant. 2020 Jul;20(7):1768-1772</Citation>
<ArticleIdList><ArticleId IdType="pubmed">32090448</ArticleId>
</ArticleIdList>
</Reference>
<Reference><Citation>Nat Med. 2020 Apr;26(4):502-505</Citation>
<ArticleIdList><ArticleId IdType="pubmed">32284613</ArticleId>
</ArticleIdList>
</Reference>
</ReferenceList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Allemagne</li>
<li>Autriche</li>
<li>Belgique</li>
<li>Espagne</li>
<li>France</li>
<li>Grèce</li>
<li>Italie</li>
<li>Lituanie</li>
<li>Pologne</li>
<li>Royaume-Uni</li>
<li>République tchèque</li>
</country>
<region><li>Angleterre</li>
<li>Attique (région)</li>
<li>Auvergne-Rhône-Alpes</li>
<li>Bade-Wurtemberg</li>
<li>Bohême centrale</li>
<li>Catalogne</li>
<li>District de Giessen</li>
<li>District de Karlsruhe</li>
<li>Grand Londres</li>
<li>Hesse (Land)</li>
<li>Lombardie</li>
<li>Rhône-Alpes</li>
<li>Vienne (Autriche)</li>
</region>
<settlement><li>Athènes</li>
<li>Barcelone</li>
<li>Heidelberg</li>
<li>Londres</li>
<li>Lyon</li>
<li>Marbourg</li>
<li>Milan</li>
<li>Prague</li>
<li>Vienne (Autriche)</li>
</settlement>
</list>
<tree><country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Eibensteiner, Fabian" sort="Eibensteiner, Fabian" uniqKey="Eibensteiner F" first="Fabian" last="Eibensteiner">Fabian Eibensteiner</name>
</region>
<name sortKey="Aufricht, Christoph" sort="Aufricht, Christoph" uniqKey="Aufricht C" first="Christoph" last="Aufricht">Christoph Aufricht</name>
<name sortKey="Ritschl, Valentin" sort="Ritschl, Valentin" uniqKey="Ritschl V" first="Valentin" last="Ritschl">Valentin Ritschl</name>
<name sortKey="Stamm, Tanja" sort="Stamm, Tanja" uniqKey="Stamm T" first="Tanja" last="Stamm">Tanja Stamm</name>
</country>
<country name="Espagne"><region name="Catalogne"><name sortKey="Ariceta, Gema" sort="Ariceta, Gema" uniqKey="Ariceta G" first="Gema" last="Ariceta">Gema Ariceta</name>
</region>
</country>
<country name="Lituanie"><noRegion><name sortKey="Jankauskiene, Augustina" sort="Jankauskiene, Augustina" uniqKey="Jankauskiene A" first="Augustina" last="Jankauskiene">Augustina Jankauskiene</name>
</noRegion>
</country>
<country name="Allemagne"><region name="Hesse (Land)"><name sortKey="Klaus, Gunter" sort="Klaus, Gunter" uniqKey="Klaus G" first="Günter" last="Klaus">Günter Klaus</name>
</region>
<name sortKey="Schmitt, Claus Peter" sort="Schmitt, Claus Peter" uniqKey="Schmitt C" first="Claus Peter" last="Schmitt">Claus Peter Schmitt</name>
</country>
<country name="Italie"><region name="Lombardie"><name sortKey="Paglialonga, Fabio" sort="Paglialonga, Fabio" uniqKey="Paglialonga F" first="Fabio" last="Paglialonga">Fabio Paglialonga</name>
</region>
<name sortKey="Edefonti, Alberto" sort="Edefonti, Alberto" uniqKey="Edefonti A" first="Alberto" last="Edefonti">Alberto Edefonti</name>
<name sortKey="Verrina, Enrico" sort="Verrina, Enrico" uniqKey="Verrina E" first="Enrico" last="Verrina">Enrico Verrina</name>
</country>
<country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Ranchin, Bruno" sort="Ranchin, Bruno" uniqKey="Ranchin B" first="Bruno" last="Ranchin">Bruno Ranchin</name>
</region>
</country>
<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Shroff, Rukshana" sort="Shroff, Rukshana" uniqKey="Shroff R" first="Rukshana" last="Shroff">Rukshana Shroff</name>
</region>
</country>
<country name="Grèce"><region name="Attique (région)"><name sortKey="Stefanidis, Constantinos J" sort="Stefanidis, Constantinos J" uniqKey="Stefanidis C" first="Constantinos J" last="Stefanidis">Constantinos J. Stefanidis</name>
</region>
</country>
<country name="Belgique"><noRegion><name sortKey="Walle, Johan Vande" sort="Walle, Johan Vande" uniqKey="Walle J" first="Johan Vande" last="Walle">Johan Vande Walle</name>
</noRegion>
</country>
<country name="République tchèque"><region name="Bohême centrale"><name sortKey="Vondrak, Karel" sort="Vondrak, Karel" uniqKey="Vondrak K" first="Karel" last="Vondrak">Karel Vondrak</name>
</region>
</country>
<country name="Pologne"><noRegion><name sortKey="Zurowska, Aleksandra" sort="Zurowska, Aleksandra" uniqKey="Zurowska A" first="Aleksandra" last="Zurowska">Aleksandra Zurowska</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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{{Explor lien
   |wiki=    Sante
   |area=    CovidFranceV1
   |flux=    Main
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   |clé=     pubmed:32418146
   |texte=   Rapid response in the COVID-19 pandemic: a Delphi study from the European Pediatric Dialysis Working Group.
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	Serveur d'exploration sur la COVID en France
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Rapid response in the COVID-19 pandemic: a Delphi study from the European Pediatric Dialysis Working Group.

Rapid response in the COVID-19 pandemic: a Delphi study from the European Pediatric Dialysis Working Group.

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