Worldwide Management of Inflammatory Bowel Disease During the COVID-19 Pandemic: An International Survey.
Identifieur interne : 000233 ( Main/Exploration ); précédent : 000232; suivant : 000234Worldwide Management of Inflammatory Bowel Disease During the COVID-19 Pandemic: An International Survey.
Auteurs : Charles N. Bernstein [Canada] ; Siew C. Ng [République populaire de Chine] ; Rupa Banerjee [Inde] ; Flavio Steinwurz [Brésil] ; Bo Shen [États-Unis] ; Franck Carbonnel [France] ; Saeed Hamid [Pakistan] ; Ajit Sood [Inde] ; Jesus K. Yamamoto-Furusho [Mexique] ; Anne Griffiths [Canada] ; Eric I. Benchimol [Canada] ; Simon Travis [Royaume-Uni] ; Susana Lopes [Portugal] ; David T. Rubin [États-Unis] ; Gilaad G. Kaplan [Canada] ; David Armstrong [Canada] ; Richard Gearry [Nouvelle-Zélande]Source :
- Inflammatory bowel diseases [ 1536-4844 ] ; 2020.
Abstract
BACKGROUND AND AIMS
Persons with inflammatory bowel disease (IBD) may be particularly vulnerable to COVID-19 either because of their underlying disease or its management. Guidance has been presented on the management of persons with IBD in the time of this pandemic by different groups. We aimed to determine how gastroenterologists around the world were approaching the management of IBD.
METHODS
Members of the World Gastroenterology Organization (WGO) IBD Task Force contacted colleagues in countries largely beyond North America and Europe, inviting them to review the WGO website for IBD and COVID-19 introduction, with links to guideline documents, and then to respond to 9 ancillary open-ended management questions.
RESULTS
Fifty-two gastroenterologists from 33 countries across 6 continents completed the survey (April 14 to May 16, 2020). They were all adhering for the most part to published guidelines on IBD management in the COVID-19 era. Some differences and reductions in services related to access, and some related to approach within their communities in terms of limiting virus spread. In particular, most gastroenterologists reduced in-person clinics (43 of 52), limited steroid use (47 of 51), limited elective endoscopy (45 of 52), and limited elective surgeries (48 of 51). If a patient was diagnosed with COVID-19, immunomodulatory therapy was mostly held.
CONCLUSIONS
In most countries, the COVID-19 pandemic significantly altered the approach to persons with IBD. The few exceptions were mostly based on low burden of COVID-19 in individual communities. Regardless of resources or health care systems, gastroenterologists around the world took a similar approach to the management of IBD.
DOI: 10.1093/ibd/izaa202
PubMed: 32793973
PubMed Central: PMC7454666
Affiliations:
- Brésil, Canada, France, Inde, Mexique, Nouvelle-Zélande, Pakistan, Portugal, Royaume-Uni, République populaire de Chine, États-Unis
- Alberta, Angleterre, Illinois, Ontario, Oxfordshire, État de New York, État de São Paulo
- Calgary, Chicago, Oxford, Sha Tin, São Paulo, Toronto
- Université chinoise de Hong Kong, Université de Calgary, Université de Chicago, Université de Toronto
Links toward previous steps (curation, corpus...)
Le document en format XML
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Yamamoto-Furusho</name><affiliation wicri:level="1"><nlm:affiliation>National Institute of Medical Sciences and Nutrition, Mexico City, Mexico.</nlm:affiliation><country xml:lang="fr">Mexique</country><wicri:regionArea>National Institute of Medical Sciences and Nutrition, Mexico City</wicri:regionArea><wicri:noRegion>Mexico City</wicri:noRegion></affiliation></author><author><name sortKey="Griffiths, Anne" sort="Griffiths, Anne" uniqKey="Griffiths A" first="Anne" last="Griffiths">Anne Griffiths</name><affiliation wicri:level="4"><nlm:affiliation>Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Hospital for Sick Children, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Benchimol, Eric I" sort="Benchimol, Eric I" uniqKey="Benchimol E" first="Eric I" last="Benchimol">Eric I. Benchimol</name><affiliation wicri:level="1"><nlm:affiliation>Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Travis, Simon" sort="Travis, Simon" uniqKey="Travis S" first="Simon" last="Travis">Simon Travis</name><affiliation wicri:level="3"><nlm:affiliation>Translational Gastroenterology Unit, NIHR Oxford Biomedical Research Centre, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Translational Gastroenterology Unit, NIHR Oxford Biomedical Research Centre, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford</wicri:regionArea><placeName><settlement type="city">Oxford</settlement><region type="country">Angleterre</region><region type="comté" nuts="2">Oxfordshire</region></placeName></affiliation></author><author><name sortKey="Lopes, Susana" sort="Lopes, Susana" uniqKey="Lopes S" first="Susana" last="Lopes">Susana Lopes</name><affiliation wicri:level="1"><nlm:affiliation>Centro Hospitalar e Universitário São João, Porto, Portugal.</nlm:affiliation><country xml:lang="fr">Portugal</country><wicri:regionArea>Centro Hospitalar e Universitário São João, Porto</wicri:regionArea><wicri:noRegion>Porto</wicri:noRegion></affiliation></author><author><name sortKey="Rubin, David T" sort="Rubin, David T" uniqKey="Rubin D" first="David T" last="Rubin">David T. Rubin</name><affiliation wicri:level="4"><nlm:affiliation>University of Chicago, Chicago, Illinois, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Chicago, Chicago, Illinois</wicri:regionArea><placeName><region type="state">Illinois</region><settlement type="city">Chicago</settlement></placeName><orgName type="university">Université de Chicago</orgName></affiliation></author><author><name sortKey="Kaplan, Gilaad G" sort="Kaplan, Gilaad G" uniqKey="Kaplan G" first="Gilaad G" last="Kaplan">Gilaad G. Kaplan</name><affiliation wicri:level="4"><nlm:affiliation>University of Calgary, Calgary, Alberta, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>University of Calgary, Calgary, Alberta</wicri:regionArea><orgName type="university">Université de Calgary</orgName><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName></affiliation></author><author><name sortKey="Armstrong, David" sort="Armstrong, David" uniqKey="Armstrong D" first="David" last="Armstrong">David Armstrong</name><affiliation wicri:level="1"><nlm:affiliation>McMaster University Medical Centre, Hamilton, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>McMaster University Medical Centre, Hamilton, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Gearry, Richard" sort="Gearry, Richard" uniqKey="Gearry R" first="Richard" last="Gearry">Richard Gearry</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medicine, University of Otago, Christchurch, New Zealand.</nlm:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>Department of Medicine, University of Otago, Christchurch</wicri:regionArea><wicri:noRegion>Christchurch</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32793973</idno><idno type="pmid">32793973</idno><idno type="doi">10.1093/ibd/izaa202</idno><idno type="pmc">PMC7454666</idno><idno type="wicri:Area/Main/Corpus">000608</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000608</idno><idno type="wicri:Area/Main/Curation">000608</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000608</idno><idno type="wicri:Area/Main/Exploration">000608</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Worldwide Management of Inflammatory Bowel Disease During the COVID-19 Pandemic: An International Survey.</title><author><name sortKey="Bernstein, Charles N" sort="Bernstein, Charles N" uniqKey="Bernstein C" first="Charles N" last="Bernstein">Charles N. Bernstein</name><affiliation wicri:level="1"><nlm:affiliation>University of Manitoba IBD Clinical and Research Centre, Winnipeg, Manitoba, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>University of Manitoba IBD Clinical and Research Centre, Winnipeg, Manitoba</wicri:regionArea><wicri:noRegion>Manitoba</wicri:noRegion></affiliation></author><author><name sortKey="Ng, Siew C" sort="Ng, Siew C" uniqKey="Ng S" first="Siew C" last="Ng">Siew C. Ng</name><affiliation wicri:level="4"><nlm:affiliation>Department of Medicine and Therapeutics, Institute of Digestive Disease, LK Institute of Health Science, The Chinese University of Hong Kong, Hong Kong, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Medicine and Therapeutics, Institute of Digestive Disease, LK Institute of Health Science, The Chinese University of Hong Kong, Hong Kong</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Banerjee, Rupa" sort="Banerjee, Rupa" uniqKey="Banerjee R" first="Rupa" last="Banerjee">Rupa Banerjee</name><affiliation wicri:level="1"><nlm:affiliation>Asian Institute of Gastroenterology, Hyderabad, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Asian Institute of Gastroenterology, Hyderabad</wicri:regionArea><wicri:noRegion>Hyderabad</wicri:noRegion></affiliation></author><author><name sortKey="Steinwurz, Flavio" sort="Steinwurz, Flavio" uniqKey="Steinwurz F" first="Flavio" last="Steinwurz">Flavio Steinwurz</name><affiliation wicri:level="3"><nlm:affiliation>Hospital Israelita Albert Einstein, Sao Paulo, Brazil.</nlm:affiliation><country xml:lang="fr">Brésil</country><wicri:regionArea>Hospital Israelita Albert Einstein, Sao Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author><author><name sortKey="Shen, Bo" sort="Shen, Bo" uniqKey="Shen B" first="Bo" last="Shen">Bo Shen</name><affiliation wicri:level="2"><nlm:affiliation>Columbia University Irving Medical Center, New York, NY, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Columbia University Irving Medical Center, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Carbonnel, Franck" sort="Carbonnel, Franck" uniqKey="Carbonnel F" first="Franck" last="Carbonnel">Franck Carbonnel</name><affiliation wicri:level="1"><nlm:affiliation>Service de Gastroentérologie, Hôpital de Bicêtre, Assistance Publique-Hôpitaux de Paris, Université Paris Saclay, Le Kremlin-Bicêtre, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de Gastroentérologie, Hôpital de Bicêtre, Assistance Publique-Hôpitaux de Paris, Université Paris Saclay, Le Kremlin-Bicêtre</wicri:regionArea><wicri:noRegion>Le Kremlin-Bicêtre</wicri:noRegion><wicri:noRegion>Le Kremlin-Bicêtre</wicri:noRegion></affiliation></author><author><name sortKey="Hamid, Saeed" sort="Hamid, Saeed" uniqKey="Hamid S" first="Saeed" last="Hamid">Saeed Hamid</name><affiliation wicri:level="1"><nlm:affiliation>Aga Khan University, Karachi, Pakistan.</nlm:affiliation><country xml:lang="fr">Pakistan</country><wicri:regionArea>Aga Khan University, Karachi</wicri:regionArea><wicri:noRegion>Karachi</wicri:noRegion></affiliation></author><author><name sortKey="Sood, Ajit" sort="Sood, Ajit" uniqKey="Sood A" first="Ajit" last="Sood">Ajit Sood</name><affiliation wicri:level="1"><nlm:affiliation>Dayanand Medical College and Hospital, Ludhiana, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Dayanand Medical College and Hospital, Ludhiana</wicri:regionArea><wicri:noRegion>Ludhiana</wicri:noRegion></affiliation></author><author><name sortKey="Yamamoto Furusho, Jesus K" sort="Yamamoto Furusho, Jesus K" uniqKey="Yamamoto Furusho J" first="Jesus K" last="Yamamoto-Furusho">Jesus K. Yamamoto-Furusho</name><affiliation wicri:level="1"><nlm:affiliation>National Institute of Medical Sciences and Nutrition, Mexico City, Mexico.</nlm:affiliation><country xml:lang="fr">Mexique</country><wicri:regionArea>National Institute of Medical Sciences and Nutrition, Mexico City</wicri:regionArea><wicri:noRegion>Mexico City</wicri:noRegion></affiliation></author><author><name sortKey="Griffiths, Anne" sort="Griffiths, Anne" uniqKey="Griffiths A" first="Anne" last="Griffiths">Anne Griffiths</name><affiliation wicri:level="4"><nlm:affiliation>Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Hospital for Sick Children, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Benchimol, Eric I" sort="Benchimol, Eric I" uniqKey="Benchimol E" first="Eric I" last="Benchimol">Eric I. Benchimol</name><affiliation wicri:level="1"><nlm:affiliation>Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Travis, Simon" sort="Travis, Simon" uniqKey="Travis S" first="Simon" last="Travis">Simon Travis</name><affiliation wicri:level="3"><nlm:affiliation>Translational Gastroenterology Unit, NIHR Oxford Biomedical Research Centre, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Translational Gastroenterology Unit, NIHR Oxford Biomedical Research Centre, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford</wicri:regionArea><placeName><settlement type="city">Oxford</settlement><region type="country">Angleterre</region><region type="comté" nuts="2">Oxfordshire</region></placeName></affiliation></author><author><name sortKey="Lopes, Susana" sort="Lopes, Susana" uniqKey="Lopes S" first="Susana" last="Lopes">Susana Lopes</name><affiliation wicri:level="1"><nlm:affiliation>Centro Hospitalar e Universitário São João, Porto, Portugal.</nlm:affiliation><country xml:lang="fr">Portugal</country><wicri:regionArea>Centro Hospitalar e Universitário São João, Porto</wicri:regionArea><wicri:noRegion>Porto</wicri:noRegion></affiliation></author><author><name sortKey="Rubin, David T" sort="Rubin, David T" uniqKey="Rubin D" first="David T" last="Rubin">David T. Rubin</name><affiliation wicri:level="4"><nlm:affiliation>University of Chicago, Chicago, Illinois, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>University of Chicago, Chicago, Illinois</wicri:regionArea><placeName><region type="state">Illinois</region><settlement type="city">Chicago</settlement></placeName><orgName type="university">Université de Chicago</orgName></affiliation></author><author><name sortKey="Kaplan, Gilaad G" sort="Kaplan, Gilaad G" uniqKey="Kaplan G" first="Gilaad G" last="Kaplan">Gilaad G. Kaplan</name><affiliation wicri:level="4"><nlm:affiliation>University of Calgary, Calgary, Alberta, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>University of Calgary, Calgary, Alberta</wicri:regionArea><orgName type="university">Université de Calgary</orgName><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName></affiliation></author><author><name sortKey="Armstrong, David" sort="Armstrong, David" uniqKey="Armstrong D" first="David" last="Armstrong">David Armstrong</name><affiliation wicri:level="1"><nlm:affiliation>McMaster University Medical Centre, Hamilton, Ontario, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>McMaster University Medical Centre, Hamilton, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Gearry, Richard" sort="Gearry, Richard" uniqKey="Gearry R" first="Richard" last="Gearry">Richard Gearry</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medicine, University of Otago, Christchurch, New Zealand.</nlm:affiliation><country xml:lang="fr">Nouvelle-Zélande</country><wicri:regionArea>Department of Medicine, University of Otago, Christchurch</wicri:regionArea><wicri:noRegion>Christchurch</wicri:noRegion></affiliation></author></analytic><series><title level="j">Inflammatory bowel diseases</title><idno type="eISSN">1536-4844</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND AND AIMS</b></p><p>Persons with inflammatory bowel disease (IBD) may be particularly vulnerable to COVID-19 either because of their underlying disease or its management. Guidance has been presented on the management of persons with IBD in the time of this pandemic by different groups. We aimed to determine how gastroenterologists around the world were approaching the management of IBD.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Members of the World Gastroenterology Organization (WGO) IBD Task Force contacted colleagues in countries largely beyond North America and Europe, inviting them to review the WGO website for IBD and COVID-19 introduction, with links to guideline documents, and then to respond to 9 ancillary open-ended management questions.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Fifty-two gastroenterologists from 33 countries across 6 continents completed the survey (April 14 to May 16, 2020). They were all adhering for the most part to published guidelines on IBD management in the COVID-19 era. Some differences and reductions in services related to access, and some related to approach within their communities in terms of limiting virus spread. In particular, most gastroenterologists reduced in-person clinics (43 of 52), limited steroid use (47 of 51), limited elective endoscopy (45 of 52), and limited elective surgeries (48 of 51). If a patient was diagnosed with COVID-19, immunomodulatory therapy was mostly held.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>In most countries, the COVID-19 pandemic significantly altered the approach to persons with IBD. The few exceptions were mostly based on low burden of COVID-19 in individual communities. Regardless of resources or health care systems, gastroenterologists around the world took a similar approach to the management of IBD.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32793973</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1536-4844</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Aug</Month><Day>14</Day></PubDate></JournalIssue><Title>Inflammatory bowel diseases</Title><ISOAbbreviation>Inflamm. Bowel Dis.</ISOAbbreviation></Journal><ArticleTitle>Worldwide Management of Inflammatory Bowel Disease During the COVID-19 Pandemic: An International Survey.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">izaa202</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1093/ibd/izaa202</ELocationID><Abstract><AbstractText Label="BACKGROUND AND AIMS" NlmCategory="OBJECTIVE">Persons with inflammatory bowel disease (IBD) may be particularly vulnerable to COVID-19 either because of their underlying disease or its management. Guidance has been presented on the management of persons with IBD in the time of this pandemic by different groups. We aimed to determine how gastroenterologists around the world were approaching the management of IBD.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Members of the World Gastroenterology Organization (WGO) IBD Task Force contacted colleagues in countries largely beyond North America and Europe, inviting them to review the WGO website for IBD and COVID-19 introduction, with links to guideline documents, and then to respond to 9 ancillary open-ended management questions.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Fifty-two gastroenterologists from 33 countries across 6 continents completed the survey (April 14 to May 16, 2020). They were all adhering for the most part to published guidelines on IBD management in the COVID-19 era. Some differences and reductions in services related to access, and some related to approach within their communities in terms of limiting virus spread. In particular, most gastroenterologists reduced in-person clinics (43 of 52), limited steroid use (47 of 51), limited elective endoscopy (45 of 52), and limited elective surgeries (48 of 51). If a patient was diagnosed with COVID-19, immunomodulatory therapy was mostly held.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In most countries, the COVID-19 pandemic significantly altered the approach to persons with IBD. The few exceptions were mostly based on low burden of COVID-19 in individual communities. Regardless of resources or health care systems, gastroenterologists around the world took a similar approach to the management of IBD.</AbstractText><CopyrightInformation>© 2020 Crohn’s & Colitis Foundation. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bernstein</LastName><ForeName>Charles N</ForeName><Initials>CN</Initials><AffiliationInfo><Affiliation>University of Manitoba IBD Clinical and Research Centre, Winnipeg, Manitoba, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ng</LastName><ForeName>Siew C</ForeName><Initials>SC</Initials><AffiliationInfo><Affiliation>Department of Medicine and Therapeutics, Institute of Digestive Disease, LK Institute of Health Science, The Chinese University of Hong Kong, Hong Kong, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Banerjee</LastName><ForeName>Rupa</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Asian Institute of Gastroenterology, Hyderabad, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Steinwurz</LastName><ForeName>Flavio</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Hospital Israelita Albert Einstein, Sao Paulo, Brazil.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shen</LastName><ForeName>Bo</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Columbia University Irving Medical Center, New York, NY, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Carbonnel</LastName><ForeName>Franck</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Service de Gastroentérologie, Hôpital de Bicêtre, Assistance Publique-Hôpitaux de Paris, Université Paris Saclay, Le Kremlin-Bicêtre, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hamid</LastName><ForeName>Saeed</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Aga Khan University, Karachi, Pakistan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sood</LastName><ForeName>Ajit</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Dayanand Medical College and Hospital, Ludhiana, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yamamoto-Furusho</LastName><ForeName>Jesus K</ForeName><Initials>JK</Initials><AffiliationInfo><Affiliation>National Institute of Medical Sciences and Nutrition, Mexico City, Mexico.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Griffiths</LastName><ForeName>Anne</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Benchimol</LastName><ForeName>Eric I</ForeName><Initials>EI</Initials><AffiliationInfo><Affiliation>Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Travis</LastName><ForeName>Simon</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Translational Gastroenterology Unit, NIHR Oxford Biomedical Research Centre, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lopes</LastName><ForeName>Susana</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Centro Hospitalar e Universitário São João, Porto, Portugal.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rubin</LastName><ForeName>David T</ForeName><Initials>DT</Initials><AffiliationInfo><Affiliation>University of Chicago, Chicago, Illinois, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kaplan</LastName><ForeName>Gilaad G</ForeName><Initials>GG</Initials><AffiliationInfo><Affiliation>University of Calgary, Calgary, Alberta, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Armstrong</LastName><ForeName>David</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>McMaster University Medical Centre, Hamilton, Ontario, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gearry</LastName><ForeName>Richard</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Medicine, University of Otago, Christchurch, New Zealand.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>IBD-Emerging Nations Consortium and the WGO IBD Task Force on COVID-19
</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>08</Month><Day>14</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Inflamm Bowel Dis</MedlineTA><NlmUniqueID>9508162</NlmUniqueID><ISSNLinking>1078-0998</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-9</Keyword><Keyword MajorTopicYN="N">immunomodulatory therapy</Keyword><Keyword MajorTopicYN="N">inflammatory bowel disease</Keyword><Keyword MajorTopicYN="N">management</Keyword><Keyword MajorTopicYN="N">pandemic</Keyword></KeywordList><InvestigatorList><Investigator ValidYN="Y"><LastName>Rahman</LastName><ForeName>M Masudur</ForeName><Initials>MM</Initials></Investigator><Investigator ValidYN="Y"><LastName>Mohsin</LastName><ForeName>Mostafa 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