Management of Advanced Therapies in Parkinson's Disease Patients in Times of Humanitarian Crisis : The COVID-19 Experience
Fasano, Alfonso ; Antonini, Angelo ; Katzenschlager, Regina ; Krack, Paul ; Odin, Per LU
; Evans, Andrew H.
; Foltynie, Thomas
; Volkmann, Jens
and Merello, Marcelo
(2020)
In Movement Disorders Clinical Practice
7(4).
p.361-372
- 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... (More)
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.
(Less)
- author
- Fasano, Alfonso
; Antonini, Angelo
; Katzenschlager, Regina
; Krack, Paul
; Odin, Per
LU
; Evans, Andrew H.
; Foltynie, Thomas
; Volkmann, Jens
and Merello, Marcelo
- organization
- publishing date
- 2020-05
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- advanced therapies, COVID-19, Parkinson's disease, SARS-CoV-2, telemedicine
- in
- Movement Disorders Clinical Practice
- volume
- 7
- issue
- 4
- pages
- 12 pages
- publisher
- John Wiley & Sons Inc.
- external identifiers
-
- scopus:85083956328
- pmid:32373652
- ISSN
- 2330-1619
- DOI
- 10.1002/mdc3.12965
- language
- English
- LU publication?
- yes
- id
- a6a9554b-fecd-4aed-b17b-1c11ace69e11
- date added to LUP
- 2020-05-28 17:45:29
- date last changed
- 2024-04-03 07:00:37
@article{a6a9554b-fecd-4aed-b17b-1c11ace69e11,
abstract = {{<p>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.</p>}},
author = {{Fasano, Alfonso and Antonini, Angelo and Katzenschlager, Regina and Krack, Paul and Odin, Per and Evans, Andrew H. and Foltynie, Thomas and Volkmann, Jens and Merello, Marcelo}},
issn = {{2330-1619}},
keywords = {{advanced therapies; COVID-19; Parkinson's disease; SARS-CoV-2; telemedicine}},
language = {{eng}},
number = {{4}},
pages = {{361--372}},
publisher = {{John Wiley & Sons Inc.}},
series = {{Movement Disorders Clinical Practice}},
title = {{Management of Advanced Therapies in Parkinson's Disease Patients in Times of Humanitarian Crisis : The COVID-19 Experience}},
url = {{http://dx.doi.org/10.1002/mdc3.12965}},
doi = {{10.1002/mdc3.12965}},
volume = {{7}},
year = {{2020}},
}