Management of Advanced Therapies in Parkinson's Disease Patients in Times of Humanitarian Crisis: The COVID-19 Experience

Forskningsoutput: TidskriftsbidragÖversiktsartikel

Abstract

Background: Although the COVID-19 pandemic is affecting a relatively small proportion of the global population, its effects have already reached everyone. The pandemic has the potential to differentially disadvantage chronically ill patients, including those with Parkinson's disease (PD). The first health care reaction has been to limit access to clinics and neurology wards to preserve fragile patients with PD from being infected. In some regions, the shortage of medical staff has also forced movement disorders neurologists to provide care for patients with COVID-19. Objective: To share the experience of various movement disorder neurologists operating in different world regions and provide a common approach to patients with PD, with a focus on those already on advanced therapies, which may serve as guidance in the current pandemic and for emergency situations that we may face in the future. Conclusion: Most of us were unprepared to deal with this condition given that in many health care systems, telemedicine has been only marginally available or only limited to email or telephone contacts. In addition, to ensure sufficient access to intensive care unit beds, most elective procedures (including deep brain stimulation or the initiation of infusion therapies) have been postponed. We all hope there will soon be a time when we will return to more regular hospital schedules. However, we should consider this crisis as an opportunity to change our approach and encourage our hospitals and health care systems to facilitate the remote management of chronic neurological patients, including those with advanced PD.

Detaljer

Författare
  • Alfonso Fasano
  • Angelo Antonini
  • Regina Katzenschlager
  • Paul Krack
  • Per Odin
  • Andrew H. Evans
  • Thomas Foltynie
  • Jens Volkmann
  • Marcelo Merello
Enheter & grupper
Externa organisationer
  • Toronto Western Hospital
  • University of Padova
  • Bern University Hospital
  • Royal Melbourne Hospital
  • University Hospital of Wϋrzburg
  • National Scientific and Technical Research Council, Argentina
  • Sozialmedizinisches Zentrum Ost - Donauspital
  • University College London
Forskningsområden

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi

Nyckelord

Originalspråkengelska
Sidor (från-till)361-372
Antal sidor12
TidskriftMovement Disorders Clinical Practice
Volym7
Utgåva nummer4
StatusPublished - 2020 maj
PublikationskategoriForskning
Peer review utfördJa