A guide for urogynecologic patient care utilizing telemedicine during the COVID-19 pandemic: review of existing evidence
Identifieur interne : 000797 ( Main/Exploration ); précédent : 000796; suivant : 000798A guide for urogynecologic patient care utilizing telemedicine during the COVID-19 pandemic: review of existing evidence
Auteurs : Cara L. Grimes [États-Unis] ; Ethan M. Balk [États-Unis] ; Catrina C. Crisp [États-Unis] ; Danielle D. Antosh [États-Unis] ; Miles Murphy [États-Unis] ; Gabriela E. Halder [États-Unis] ; Peter C. Jeppson [États-Unis] ; Emily E. Weber Lebrun [États-Unis] ; Sonali Raman [États-Unis] ; Shunaha Kim-Fine ; Cheryl Iglesia [États-Unis] ; Alexis A. Dieter [États-Unis] ; Ladin Yurteri-Kaplan [États-Unis] ; Gaelen Adam [États-Unis] ; Kate V. Meriwether [États-Unis]Source :
- International Urogynecology Journal [ 0937-3462 ] ; 2020.
Abstract
The COVID-19 pandemic and the desire to “flatten the curve” of transmission have significantly affected the way providers care for patients. Female Pelvic Medicine and Reconstructive Surgeons (FPMRS) must provide high quality of care through remote access such as telemedicine. No clear guidelines exist on the use of telemedicine in FPMRS. Using expedited literature review methodology, we provide guidance regarding management of common outpatient urogynecology scenarios during the pandemic.
We grouped FPMRS conditions into those in which virtual management differs from direct in-person visits and conditions in which treatment would emphasize behavioral and conservative counseling but not deviate from current management paradigms. We conducted expedited literature review on four topics (telemedicine in FPMRS, pessary management, urinary tract infections, urinary retention) and addressed four other topics (urinary incontinence, prolapse, fecal incontinence, defecatory dysfunction) based on existing systematic reviews and guidelines. We further compiled expert consensus regarding management of FPMRS patients in the virtual setting, scenarios when in-person visits are necessary, symptoms that should alert providers, and specific considerations for FPMRS patients with suspected or confirmed COVID-19.
Behavioral, medical, and conservative management will be valuable as first-line virtual treatments. Certain situations will require different treatments in the virtual setting while others will require an in-person visit despite the risks of COVID-19 transmission.
We have presented guidance for treating FPMRS conditions via telemedicine based on rapid literature review and expert consensus and presented it in a format that can be actively referenced.
Url:
DOI: 10.1007/s00192-020-04314-4
PubMed: 32342112
PubMed Central: 7185267
Affiliations:
- États-Unis
- Caroline du Nord, District de Columbia, Floride, Kentucky, Nouveau-Mexique, Ohio, Pennsylvanie, Rhode Island, Texas, État de New York
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Le document en format XML
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</author>
<author><name sortKey="Iglesia, Cheryl" sort="Iglesia, Cheryl" uniqKey="Iglesia C" first="Cheryl" last="Iglesia">Cheryl Iglesia</name>
<affiliation wicri:level="2"><nlm:aff id="Aff11"><institution-wrap><institution-id institution-id-type="GRID">grid.213910.8</institution-id>
<institution-id institution-id-type="ISNI">0000 0001 1955 1644</institution-id>
<institution>Department of Obstetrics and Gynecology,</institution>
<institution>Georgetown University School of Medicine,</institution>
</institution-wrap>
Washington, DC USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">District de Columbia</region>
</placeName>
<wicri:cityArea>Washington</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Dieter, Alexis A" sort="Dieter, Alexis A" uniqKey="Dieter A" first="Alexis A." last="Dieter">Alexis A. Dieter</name>
<affiliation wicri:level="2"><nlm:aff id="Aff12"><institution-wrap><institution-id institution-id-type="GRID">grid.10698.36</institution-id>
<institution-id institution-id-type="ISNI">0000000122483208</institution-id>
<institution>Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology,</institution>
<institution>University of North Carolina at Chapel Hill,</institution>
</institution-wrap>
Chapel Hill, NC USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">Caroline du Nord</region>
</placeName>
<wicri:cityArea>Chapel Hill</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Yurteri Kaplan, Ladin" sort="Yurteri Kaplan, Ladin" uniqKey="Yurteri Kaplan L" first="Ladin" last="Yurteri-Kaplan">Ladin Yurteri-Kaplan</name>
<affiliation wicri:level="2"><nlm:aff id="Aff13"><institution-wrap><institution-id institution-id-type="GRID">grid.21729.3f</institution-id>
<institution-id institution-id-type="ISNI">0000000419368729</institution-id>
<institution>Department of Obstetrics and Gynecology,</institution>
<institution>Columbia University Irving Medical Center,</institution>
</institution-wrap>
New York, NY USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Adam, Gaelen" sort="Adam, Gaelen" uniqKey="Adam G" first="Gaelen" last="Adam">Gaelen Adam</name>
<affiliation wicri:level="2"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.40263.33</institution-id>
<institution-id institution-id-type="ISNI">0000 0004 1936 9094</institution-id>
<institution>Center for Evidence Synthesis in Health, Brown School of Public Health,</institution>
<institution>Brown University,</institution>
</institution-wrap>
Providence, RI USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">Rhode Island</region>
</placeName>
<wicri:cityArea>Providence</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Meriwether, Kate V" sort="Meriwether, Kate V" uniqKey="Meriwether K" first="Kate V." last="Meriwether">Kate V. Meriwether</name>
<affiliation wicri:level="2"><nlm:aff id="Aff7"><institution-wrap><institution-id institution-id-type="GRID">grid.266832.b</institution-id>
<institution-id institution-id-type="ISNI">0000 0001 2188 8502</institution-id>
<institution>Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology,</institution>
<institution>University of New Mexico,</institution>
</institution-wrap>
Albuquerque, NM USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">Nouveau-Mexique</region>
</placeName>
<wicri:cityArea>Albuquerque</wicri:cityArea>
</affiliation>
</author>
</analytic>
<series><title level="j">International Urogynecology Journal</title>
<idno type="ISSN">0937-3462</idno>
<idno type="eISSN">1433-3023</idno>
<imprint><date when="2020">2020</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Introduction and hypothesis</title>
<p id="Par1">The COVID-19 pandemic and the desire to “flatten the curve” of transmission have significantly affected the way providers care for patients. Female Pelvic Medicine and Reconstructive Surgeons (FPMRS) must provide high quality of care through remote access such as telemedicine. No clear guidelines exist on the use of telemedicine in FPMRS. Using expedited literature review methodology, we provide guidance regarding management of common outpatient urogynecology scenarios during the pandemic.</p>
</sec>
<sec><title>Methods</title>
<p id="Par2">We grouped FPMRS conditions into those in which virtual management differs from direct in-person visits and conditions in which treatment would emphasize behavioral and conservative counseling but not deviate from current management paradigms. We conducted expedited literature review on four topics (telemedicine in FPMRS, pessary management, urinary tract infections, urinary retention) and addressed four other topics (urinary incontinence, prolapse, fecal incontinence, defecatory dysfunction) based on existing systematic reviews and guidelines. We further compiled expert consensus regarding management of FPMRS patients in the virtual setting, scenarios when in-person visits are necessary, symptoms that should alert providers, and specific considerations for FPMRS patients with suspected or confirmed COVID-19.</p>
</sec>
<sec><title>Results</title>
<p id="Par3">Behavioral, medical, and conservative management will be valuable as first-line virtual treatments. Certain situations will require different treatments in the virtual setting while others will require an in-person visit despite the risks of COVID-19 transmission.</p>
</sec>
<sec><title>Conclusions</title>
<p id="Par4">We have presented guidance for treating FPMRS conditions via telemedicine based on rapid literature review and expert consensus and presented it in a format that can be actively referenced.</p>
</sec>
</div>
</front>
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<author><name sortKey="Han, Y" uniqKey="Han Y">Y Han</name>
</author>
<author><name sortKey="Qiu, Y" uniqKey="Qiu Y">Y Qiu</name>
</author>
<author><name sortKey="Wang, J" uniqKey="Wang J">J Wang</name>
</author>
<author><name sortKey="Liu, Y" uniqKey="Liu Y">Y Liu</name>
</author>
<author><name sortKey="Wei, Y" uniqKey="Wei Y">Y Wei</name>
</author>
<author><name sortKey="Xia, J" uniqKey="Xia J">J Xia</name>
</author>
<author><name sortKey="Yu, T" uniqKey="Yu T">T Yu</name>
</author>
<author><name sortKey="Zhang, X" uniqKey="Zhang X">X Zhang</name>
</author>
<author><name sortKey="Zhang, L" uniqKey="Zhang L">L Zhang</name>
</author>
</analytic>
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<biblStruct><analytic><author><name sortKey="Bacheller, Cd" uniqKey="Bacheller C">CD Bacheller</name>
</author>
<author><name sortKey="Bernstein, Jm" uniqKey="Bernstein J">JM Bernstein</name>
</author>
</analytic>
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</TEI>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Caroline du Nord</li>
<li>District de Columbia</li>
<li>Floride</li>
<li>Kentucky</li>
<li>Nouveau-Mexique</li>
<li>Ohio</li>
<li>Pennsylvanie</li>
<li>Rhode Island</li>
<li>Texas</li>
<li>État de New York</li>
</region>
</list>
<tree><noCountry><name sortKey="Kim Fine, Shunaha" sort="Kim Fine, Shunaha" uniqKey="Kim Fine S" first="Shunaha" last="Kim-Fine">Shunaha Kim-Fine</name>
</noCountry>
<country name="États-Unis"><region name="État de New York"><name sortKey="Grimes, Cara L" sort="Grimes, Cara L" uniqKey="Grimes C" first="Cara L." last="Grimes">Cara L. Grimes</name>
</region>
<name sortKey="Adam, Gaelen" sort="Adam, Gaelen" uniqKey="Adam G" first="Gaelen" last="Adam">Gaelen Adam</name>
<name sortKey="Antosh, Danielle D" sort="Antosh, Danielle D" uniqKey="Antosh D" first="Danielle D." last="Antosh">Danielle D. Antosh</name>
<name sortKey="Balk, Ethan M" sort="Balk, Ethan M" uniqKey="Balk E" first="Ethan M." last="Balk">Ethan M. Balk</name>
<name sortKey="Crisp, Catrina C" sort="Crisp, Catrina C" uniqKey="Crisp C" first="Catrina C." last="Crisp">Catrina C. Crisp</name>
<name sortKey="Dieter, Alexis A" sort="Dieter, Alexis A" uniqKey="Dieter A" first="Alexis A." last="Dieter">Alexis A. Dieter</name>
<name sortKey="Halder, Gabriela E" sort="Halder, Gabriela E" uniqKey="Halder G" first="Gabriela E." last="Halder">Gabriela E. Halder</name>
<name sortKey="Iglesia, Cheryl" sort="Iglesia, Cheryl" uniqKey="Iglesia C" first="Cheryl" last="Iglesia">Cheryl Iglesia</name>
<name sortKey="Jeppson, Peter C" sort="Jeppson, Peter C" uniqKey="Jeppson P" first="Peter C." last="Jeppson">Peter C. Jeppson</name>
<name sortKey="Meriwether, Kate V" sort="Meriwether, Kate V" uniqKey="Meriwether K" first="Kate V." last="Meriwether">Kate V. Meriwether</name>
<name sortKey="Murphy, Miles" sort="Murphy, Miles" uniqKey="Murphy M" first="Miles" last="Murphy">Miles Murphy</name>
<name sortKey="Raman, Sonali" sort="Raman, Sonali" uniqKey="Raman S" first="Sonali" last="Raman">Sonali Raman</name>
<name sortKey="Weber Lebrun, Emily E" sort="Weber Lebrun, Emily E" uniqKey="Weber Lebrun E" first="Emily E." last="Weber Lebrun">Emily E. Weber Lebrun</name>
<name sortKey="Yurteri Kaplan, Ladin" sort="Yurteri Kaplan, Ladin" uniqKey="Yurteri Kaplan L" first="Ladin" last="Yurteri-Kaplan">Ladin Yurteri-Kaplan</name>
</country>
</tree>
</affiliations>
</record>
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