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COVID-19 in children with chronic kidney disease: findings from the UK renal registry
  1. Lucy Plumb1,2,
  2. Fran Benoy-Deeney1,
  3. Anna Casula1,
  4. Fiona E M Braddon1,
  5. Yincent Tse3,
  6. Carol Inward4,
  7. Stephen Marks5,6,
  8. Retha Steenkamp1,
  9. James Medcalf1,7,
  10. Dorothea Nitsch1,8
  1. 1 UK Renal Registry, The Renal Association, Bristol, UK
  2. 2 Population Health Sciences, University of Bristol Medical School, Bristol, UK
  3. 3 Department of Paediatric Nephrology, Great North Children's Hospital, Newcastle upon Tyne, UK
  4. 4 Department of Paediatric Nephrology, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK
  5. 5 Faculty of Population Health Sciences, University College London Institute of Child Health, London, UK
  6. 6 NIHR Great Ormond Street Hospital Biomedical Research Centre, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
  7. 7 Department of Cardiovascular Sciences, University of Leicester, Leicester, UK
  8. 8 Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK
  1. Correspondence to Dr Lucy Plumb, UK Renal Registry, Bristol BS34 7RR, UK; lucy.plumb{at}

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As Munro and Faust point out, there appears a stark contrast in the case and mortality rates of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among children compared with the adult population.1 Whether infection in children is generally mild or asymptomatic, which goes undetected, or children are less susceptible to contracting the infection is unclear until screening programmes are introduced. What also remains uncertain is the risk of severe infection for children with significant underlying health concerns, including those with chronic kidney disease (CKD). The few studies reported have so far shown reassuringly low numbers and complication rates in children with coexisting diseases such as cancer and liver transplant recipients.2 3 The NHS England COVID-19 service evaluation (, to date, has identified 220 confirmed cases in England of whom 44.4% of cases have coexisting disease; two children are reported to have CKD.

At the UK Renal Registry (UKRR) and in collaboration with the British Association for …

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