Recommendations to Advance Social Connectedness in End Stage Kidney Disease Care in a Post-COVID-19 Era.

Social connectedness, defined as a sense of belonging and inclusion among individuals and groups, is crucial for the well-being of end-stage kidney disease (ESKD) patients. This Perspective employs a hypothetical case study to highlight the risks of social isolation and loneliness faced by ESKD patients. It offers guidance on how the ESKD community can effectively address these challenges. Although in-center hemodialysis provides an inherent environment for fostering social connections, the COVID-19 pandemic has intensified the risk of social disconnection. We delineate 5 key recommendations to mitigate this risk: (1) improve detection of loneliness and social isolation; (2) implement evidence-based social support interventions; (3) revitalize the in-center experience; (4) engage family caregivers; and (5) leverage technology for social connectedness. Neglecting opportunities to bolster social connections among ESKD patients would represent a significant interdisciplinary lapse. The proposed recommendations are feasible due to the integral role of interdisciplinary care within dialysis centers.