Colombian consensus of experts on evidence-informed recommendations for the management of SARS-CoV-2 / COVID-19 infection in multimorbid older adults with chronic kidney disease
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Severe acute respiratory syndrome coronavirus 2
frail elderly
kidney disease

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Ramírez Marmolejo R, Yomayusa González N, González González CA, Yama E, Vargas JG, Rico Fontalvo JE, Ariza García AM, Aroca G, Baquero R, Chacón Acevedo KR, Torres R, Robayo A, Mercado Juri Álvaro, Rebolledo C, Gayón D, Cárdenas Ramírez HM, Villanueva Bendek I, Raoch I, Galeano J, Coronado Daza J, Aristizábal Gómez LY, Vargas MJ, Rodríguez Sánchez MP, Alfaro Tejada M, Tobón Pérez NC, Daza Arnedo R, Musso CG, Mera MV. Colombian consensus of experts on evidence-informed recommendations for the management of SARS-CoV-2 / COVID-19 infection in multimorbid older adults with chronic kidney disease. Rev. Colomb. Nefrol. [Internet]. 2021 May 5 [cited 2021 Dec. 7];8(2):e525. Available from:


Introduction: SARS-CoV-2 infection is a pandemic with a significant impact on the elderly population with multiple morbidities.

Objective: To develop evidence-informed recommendations for the prevention, diagnosis, and management of SARS CoV2 / COVID-19 infection in multimorbed elderly patients with chronic kidney disease, through a consensus of experts.

Methodology: Based on the evidence collected through a literature review in Pubmed, Embase and scientific societies, recommendations were formulated that were submitted to the consultation of experts in nephrology, geriatrics and palliative care. The quality of evidence was evaluated with tools based on the type of document. The approved recommendations were classified according to their direction and strength.

Results: Twenty-two experts declared their conflict of interest and filled out the consultation tool between August 02 and 10, 2020. The percentage of agreement for each recommendation ranged between 90.9 and 100%.Thirty-two recommendations are presented for the management of SARS-CoV-2 infection in multimorbed elderly patients with chronic kidney disease.

Conclusion: The recommendations formulated guide the decision-making of health professionals involved in the care of elderly patients with chronic kidney disease and other morbidities with SARS-CoV-2 infection.
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