3
Ukrainian Journal of Nephrology and Dialysis, 3 (75)’2022
Український журнал нефрології та діалізу №3 (75) 2022
Проблеми організації та економіки
нефрологічної допомоги
Problems of Organization and Economics
of Nephrological Care
Abstract. The occurrence of an emergency situation (ES) forced international (ISN, EDTA/
ERA) and national (Turkey) nephrological associations to establish the Renal Disaster Relief Task
Force, which is primarily concerned with the treatment of patients with acute kidney injury and
end-stage renal disease requiring dialysis. The war started by the RF is putting the Ukrainian state,
Ukrainian society, and the healthcare system in the catastrophic ES. Under these circumstances,
all nephrological patients became one of the most vulnerable categories of patients.
To provide immediate support in solving problems within the Ukrainian Association of Nephrologists
and Kidney Transplant Specialists (UAN&KTS), the Ukrainian Renal Disaster Relief Committee
(URDRC) has been established. One of the most important tasks was to form a group of experts to
develop recommendations for specialized medical care for kidney patients in wartime.
According to the experts, the key person for this type of medical care is the leading nephrologist
in the region or city. He/she establishes a local Renal Disaster Relief Committee (LRDRC) and
decides through horizontal (with other LRDRC) or vertical (with UAN &KTS) collaboration,
using available communication tools, on the problems that arise; the most appropriate tool is
the Viber platform “Nephrology. Dialysis. Transplantation”. In this way, a network without
administrative subordination and a non-hierarchical functional system was created, which, on
the one hand, functions according to similar working principles, but, on the other hand, may
differ in terms of LRDRC composition, communication methods, and more.
The LRDRC divides all patients into three groups and provides work preparation measures
before, during and after the cancellation of ES.
Key words: war, emergency situation (ES), Ukrainian Renal Disaster Relief Committee, Local
Renal Disaster Relief Committee, chronic kidney disease, hemodialysis, peritoneal dialysis,
kidney transplantation, acute kidney injury.
Conflict of interest statement. The authors declare no competing interest.
© M. Kolesnyk, I. Dudar, N. Stepanova, V. Novakivskyy, Y. Honchar, E. Krasyuk,
I. Shifris, R. Zograbian, M. Velychko, O. Loboda, S. Fomina, 2022. All rights reserved.
Correspondence should be addressed to Mykola Kolesnyk: director@inephrology.kiev.ua
Ukrainian Journal of Nephrology and Dialysis
Scientific and Practical, Medical Journal
Founders:
• State Institution «Institute of Nephrology NAMS of Ukraine»
• National Kidney Foundation of Ukraine
ISSN 2304-0238;
eISSN 2616-7352 Journal homepage: https://ukrjnd.com.ua
Research Article Expert group: M. Kolesnyk
1,2
, I. Dudar
1,2,4
, N. Stepanova
1,2
,
V. Novakivskyy
2,3
, Y. Honchar
1,2,4
, E. Krasyuk
2,4
, I. Shifris
1,2
,
R. Zograbian
2,5
, M. Velychko
1,2
, O. Loboda
1,2
, S. Fomina
1,2
doi: 10.31450/ukrjnd.3(75).2022.01 Recommendations of the Ukrainian Renal Disaster Relief
Committee of the Ukrainian Association of Nephrologists and
Kidney Transplant Specialists regarding medical care to kidney
disease patients during the war
1
State Institution «Institute of Nephrology of the National Academy of
Medical Sciences», Kyiv, Ukraine
2
Ukrainian Association of Nephrologists and Kidney Transplant Specialists
3
LLC «Fresenius Medical Care Ukraine»
4
MNCE «Kyiv Сity Сenter of Nephrology and Dialysis» Kyiv, Ukraine
5
SI «Shalimov’s National Institute of Surgery and Transplantation NAMS
of Ukraine», Kyiv, Ukraine
Citation: Kolesnyk M, Dudar I, Stepanova N, Novakivskyy V, Honchar Y, Krasyuk E, et
al. Recommendations of the Ukrainian Renal Disaster Relief Committee of
the Ukrainian Association of Nephrologists and Kidney Transplant Specialists
regarding medical care to kidney disease patients during the war. Ukr J Nephr
Dial. 2022;3(75):3-12. doi: 10.31450/ukrjnd.3(75).2022.01.
Article history:
Received June 19, 2022
Received in revised form
June 29, 2022
Accepted July 01, 2022