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(1)

[Survey of the coronavirus disease 2019 (COVID-19) prevention and treatment systems for patients with kidney disease]

(English translation)

Questions:

[1] Please select each option that applies to your facility.

□ Facility is a member of the Japanese Association of Dialysis Physicians (JADP)

□ Facility is a member of the Japanese Society of Dialysis Therapy (JSDT)

□ Certified Japanese Society of Nephrology (JSN) educational facility

[2] Is your facility a designated hospital for the treatment of infectious diseases?

□ Yes

□ No

<Scale of the facility>

How many of the following staff members are involved in the nephrology department?

[3] Full-time doctors ( ) persons

[4] How many outpatients does your department treat each week? Please provide a rough estimate.

( ) persons

[5] What is the average number of inpatients in your department? Please provide a rough estimate.

( ) persons

<Infection prevention measures in general nephrology practice>

No. Infection prevention measures Yes No

[6] All medical staff wear goggles or face shields at all times during general

practice. □ □

[7] All medical staff wear disposable, non-permeable gowns or plastic

aprons at all times during general practice. □ □

[8] Medical staffs who are performing invasive procedures wear goggles or

face shields. □ □

[9] Medical staffs who are performing invasive procedures wear

disposable, non-permeable gowns or plastic aprons. □ □

[10]

Upon visiting the facility, all patients are screened for infectious diseases using temperature measurements and interviews about their symptoms.

□ □

(2)

< Impact of COVID-19 on general nephrology practice>

[11] Have there been any changes in the number of outpatients in the general nephrology department?

□ Yes

□ No

[12] If yes, approximately how much has it changed?

* –10% to +10% is equivalent to no change and was not provided as a choice.

□ –50% or less

□ –50% to –30%

□ –30% to –10%

□ 10% to 30%

□ 30% to 50%

□ 50% or more

No. Questions Yes No

[13]

Did you increase the duration of the intervals between outpatient visits more than usual due to the COVID-19 pandemic?

□ □

[14] Have you introduced online or telephonic medical care? □ □

[15] Have there been any incidents where the lengthening of the intervals between outpatient visits and/or introduction of online/telephonic medical care caused obvious inconveniences?

□ Yes

□ No

[16] If yes, please describe the inconvenience, in detail, to the greatest extent possible.

( )

[17] Is there an inpatient ward at your facility?

□ Yes

□ No

[18] What is the total number of inpatient beds (not limited to nephrology) at your facility?

( ) beds

(3)

[19] If there is an inpatient ward for COVID-19 at your facility, please provide the number of beds in the ward.

( ) beds

Please select the infection prevention measures that your facility is currently taking

No. Polymerase

chain reaction

test

Antigen test Chest computed tomography

None of these

[20] Emergency admission cases □ □ □ □

[21] Scheduled admission cases □ □ □ □

[22] Have there been any changes in the number of hospitalized patients in the general nephrology department?

□ Yes

□ No

[23] If yes, please provide an approximation of this change.

* –10% to +10% is equivalent to no change and is not provided as a choice.

□ –50% or less

□ –50% to –30%

□ –30% to –10%

□ 10% to 30%

□ 30% to 50%

□ 50% or more

[24] Do you have any experience with treating chronic kidney disease (CKD) patients with COVID-19?

□ Yes

□ No

[25] If yes, how many cases have you treated?

( ) cases

[26] How many of the CKD patients with COVID-19 who were treated at your facility received the following treatments?

Oxygen administration ( ) cases

(4)

Ventilatory management ( ) cases

Extracorporeal membrane oxygenation ( ) cases

Continuous hemodiafiltration ( ) cases

Transient hemodialysis ( ) cases

Introduction of maintenance dialysis that was triggered by COVID-19 ( ) cases Polymyxin B-immobilized fiber column direct hemoperfusion ( ) cases

[27] If you had experiences that involved transferring COVID-19 positive cases to another hospital, what hospital did you transfer them to?

□ No experience in treating COVID-19 cases that required hospital transfers

□ Designated hospital for the management of infectious diseases

□ University hospital

□ General hospital

[28] When a CKD patient with COVID-19 needed to be transferred to a hospital, did you experience difficulties with coordinating a hospital that would accept them?

□ Yes

□ No

[29] With respect to the patients with CKD who were affected by COVID-19, please indicate the number of cases with the following outcomes:

Remission ( ) cases

Severe complications (e.g., cerebral infarction, foot gangrene, etc.) ( ) cases

Death due to COVID-19 ( ) cases

Death due to another cause (not COVID-19) ( ) cases

[30] Were there any cases in which COVID-19 was diagnosed immediately after the introduction of dialysis?

□ Yes

□ No

[31] Were there any cases of nosocomial COVID-19 transmission (horizontal COVID-19 transmission among staff members or patients within the facility) that were related to the nephrology unit?

□ Yes

□ No

(5)

[32] If this happened, how many people were infected in total?

( ) persons

[33] How many of the infected people were staff members?

( ) persons

[34] Please tell us about any innovations, difficulties, or other points you have noticed with respect to your facility’s COVID-19 prevention measures and medical treatment systems.

( )

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