PandemieGrippaleV1, Main, Exploration, bibRecord, 000070

Management challenges for chronic dysimmune neuropathies during the COVID-19 pandemic

Identifieur interne : 000070 ( Main/Exploration ); précédent : 000069; suivant : 000071

Management challenges for chronic dysimmune neuropathies during the COVID-19 pandemic

Auteurs : Yusuf Rajabally [Royaume-Uni] ; H Stephan Goedee [Pays-Bas] ; Shahram Attarian [France] ; Hans-Peter Hartung [Allemagne]

Source :

RBID : Hal:inserm-02559603

English descriptors

mix :
- COVID-19, chronic inflammatory demyelinating polyneuropathy, dysimmune, multifocal motor neuropathy, pandemic, paraproteinemic neuropathy.

Abstract

Since March 2020, the COVID-19 pandemic has led to the need to re-think the delivery of services to patients with chronic dysimmune neuropathies. Telephone/video consultations have become widespread but have compounded concerns about objective evaluation. Therapeutic decisions need, more than ever before, to be considered in the best interests of both patients, and society, while not denying function-preserving/restoring treatment. Immunoglobulin therapy and plasma exchange, for those treated outside of the home, expose patients to the hazards of hospital or outpatient infusion centers. Steroid therapy initiation and continuation pose increased infectious risk. Immunosuppressant therapy similarly becomes highly problematic, with the risks of treatment continuation enhanced by uncertainties regarding duration of the pandemic. The required processes necessitate considerable time and effort especially as resources and staff are re-deployed to face the pandemic, but are essential for protecting this group of patients and as an integral part of wider public health actions.

Url:

https://www.hal.inserm.fr/inserm-02559603

DOI: 10.1002/mus.26896

Affiliations:

Allemagne, France, Pays-Bas, Royaume-Uni

Links toward previous steps (curation, corpus...)

to stream Hal, to step Corpus: 000375
to stream Hal, to step Curation: 000375
to stream Hal, to step Checkpoint: 000070
to stream Main, to step Merge: 000070
to stream Main, to step Curation: 000070

Le document en format XML

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<front><div type="abstract" xml:lang="en">              <p>Since March 2020, the COVID-19 pandemic has led to the need to re-think the delivery of services to patients with chronic dysimmune neuropathies. Telephone/video consultations have become widespread but have compounded concerns about objective evaluation. Therapeutic decisions need, more than ever before, to be considered in the best interests of both patients, and society, while not denying function-preserving/restoring treatment. Immunoglobulin therapy and plasma exchange, for those treated outside of the home, expose patients to the hazards of hospital or outpatient infusion centers. Steroid therapy initiation and continuation pose increased infectious risk. Immunosuppressant therapy similarly becomes highly problematic, with the risks of treatment continuation enhanced by uncertainties regarding duration of the pandemic. The required processes necessitate considerable time and effort especially as resources and staff are re-deployed to face the pandemic, but are essential for protecting this group of patients and as an integral part of wider public health actions.</p>
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Management challenges for chronic dysimmune neuropathies during the COVID-19 pandemic

Management challenges for chronic dysimmune neuropathies during the COVID-19 pandemic

Source :

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri