{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T04:52:56Z","timestamp":1777870376810,"version":"3.51.4"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2022,8,23]],"date-time":"2022-08-23T00:00:00Z","timestamp":1661212800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,8,23]],"date-time":"2022-08-23T00:00:00Z","timestamp":1661212800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Nephrol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Due to the many\u00a0implemented restrictions, the SARS-CoV-2 pandemic has rendered some tasks more difficult, for instance, the evaluation of outpatients. Panama\u2019s tertiary care hospital for kidney biopsy referral was transformed into a COVID-only hospital in order to assist the large number of COVID-19 patients. In order to face the impossibility of following patients with nephrotic or nephritic syndrome, a biopsy program was implemented in a southern province in Panama. Thirty kidney biopsies were carried out over a 1-year period. This experience shows that kidney biopsy programs, that are usually run only in large referral centers, can also be implemented in small nephrology centers, allowing to obtain accurate diagnoses and to guide correct treatment.<\/jats:p>","DOI":"10.1007\/s40620-022-01403-z","type":"journal-article","created":{"date-parts":[[2022,8,23]],"date-time":"2022-08-23T06:02:52Z","timestamp":1661234572000},"page":"2387-2389","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Overcoming obstacles in Panama to starting a renal biopsy program in a rural area during the COVID-19 pandemic"],"prefix":"10.1093","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4182-6736","authenticated-orcid":false,"given":"Karen","family":"Courville","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rolando","family":"Milord","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Cerrud","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8896-5194","authenticated-orcid":false,"given":"Norman","family":"Bustamante","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,8,23]]},"reference":[{"key":"1403_CR1","doi-asserted-by":"publisher","DOI":"10.1007\/s11255-021-03059-3","author":"C Loutradis","year":"2021","unstructured":"Loutradis C, Pitoulias AG, Pagkopoulou E, Pitoulias GA (2021) Cardiovascular complications after COVID-19 in chronic kidney disease, dialysis and kidney transplant patients. Int Urol Nephrol. https:\/\/doi.org\/10.1007\/s11255-021-03059-3 (published online ahead of print, 2021 Nov 22)","journal-title":"Int Urol Nephrol"},{"key":"1403_CR2","unstructured":"Giraldo E, Williams R, Bustamante N, Courville K, Viggiano C, Milord R. Estad\u00edsticas de biopsias renales realizadas en el Complejo Hospitalario Dr. Arnulfo Arias Madrid. Panam\u00e1 2005\u20132007. IV Congreso Nacional de Nefrolog\u00eda e Hipertensi\u00f3n 18 y 19 de septiembre de 2009, Cuidad de Panam\u00e1."},{"issue":"2","key":"1403_CR3","doi-asserted-by":"publisher","first-page":"354","DOI":"10.2215\/CJN.05750515","volume":"11","author":"JJ Hogan","year":"2016","unstructured":"Hogan JJ, Mocanu M, Berns JS (2016) The native kidney biopsy: update and evidence for best practice. Clin J Am Soc Nephrol 11(2):354\u2013362. https:\/\/doi.org\/10.2215\/CJN.05750515","journal-title":"Clin J Am Soc Nephrol"},{"key":"1403_CR4","doi-asserted-by":"crossref","unstructured":"Fogo AB (2003) Approach to renal biopsy. Am J Kidney Dis 42(4):826\u2013836. https:\/\/pubmed.ncbi.nlm.nih.gov\/14520635\/","DOI":"10.1016\/S0272-6386(03)01054-0"},{"issue":"4","key":"1403_CR5","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1159\/000484991","volume":"138","author":"B \u0160imunov","year":"2018","unstructured":"\u0160imunov B, Gunja\u010da M, \u010cingel B, \u0160kegro D, Knotek M (2018) Safety of outpatient kidney biopsies. Nephron 138(4):275\u2013279. https:\/\/doi.org\/10.1159\/000484991","journal-title":"Nephron"}],"container-title":["Journal of Nephrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40620-022-01403-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s40620-022-01403-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s40620-022-01403-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:55:32Z","timestamp":1777564532000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/joneph\/article\/35\/9\/2387\/8325950"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,23]]},"references-count":5,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["1403"],"URL":"https:\/\/doi.org\/10.1007\/s40620-022-01403-z","relation":{},"ISSN":["1724-6059"],"issn-type":[{"value":"1724-6059","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,23]]},"assertion":[{"value":"2 March 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 July 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 August 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no competing interests to declare that are relevant to the content of this article.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The institutional review board gave ethical approval since all patients must sign informed consent prior to renal biopsy.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}