March 24, 2020
ASDIN and VASA Issue Statement on Maintaining Lifelines for ESKD Patients
March 24, 2020—The American Society of Diagnostic and Interventional Nephrology (ASDIN) and the Vascular Access Society of the Americas (VASA) issued a joint statement, "Maintaining Lifelines for End-Stage Kidney Disease (EKSD) Patients" to address challenges of the COVID-19 pandemic. The document is available online here.
The document includes three appendices: (1) Triage Process for Endovascular Procedures; (2) Open Hemodialysis Access Cases Performance Plan; and (3) Procedure Names and Usual CPT Codes.
The document noted that with the Covid19 pandemic, infection rates and patterns of disease severity manifestations indicate that in-patient care will face extreme challenges, including possible lack of intensive care unit beds; ventilators; personal protective equipment; and nursing and physician staff.
ASDIN and VASA are urging local and state governments as well as hospital administrations to categorize dialysis access procedures as Tier 3a and 3b, performed in ambulatory settings in addition to hospitals. This step will be instrumental in maintaining health and survival for ESKD patients as well as protecting hospitals from an eventual wave of high-urgency/emergency procedures to deal with lost dialysis accesses.
Additionally, the statement noted that on March 18, the Centers for Medicare & Medicaid Services published recommendations for adult elective surgeries to conserve critical resources, available online here.