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Emperor’s syndrome in the COVID-19 era:Time for patient-centered nephrology?
Emperor’s syndrome in the COVID-19 era:Time for patient-centered nephrology?
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摘要：
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.
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| 篇名 | Emperor’s syndrome in the COVID-19 era:Time for patient-centered nephrology? | ||
| 来源期刊 | 世界肾病学杂志:英文版 | 学科 | 医学 |
| 关键词 | Emperor’s syndrome Chronic kidney disease Guidelines-based medicine Patient-centered care COVID-19 Evidence-based medicine | ||
| 年，卷（期） | 2021,（1） | 所属期刊栏目 | |
| 研究方向 | 页码范围 | 1-7 | |
| 页数 | 7页 | 分类号 | R69 |
| 字数 | 语种 | ||
| DOI | |||
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Emperor’s
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Chronic
kidney
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Guidelines-based
medicine
Patient-centered
care
COVID-19
Evidence-based
medicine
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世界肾病学杂志：英文版
主办单位：
百世登出版集团有限公司
出版周期：
不定期
ISSN：
2220-6124
CN：
开本：
出版地：
北京市朝阳区东四环中路62号楼远洋国际中
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35
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