tetano
Editor, Senior Moderator
J Intern Med
. 2020 Oct 5.
doi: 10.1111/joim.13184. Online ahead of print.
The Impact of Novel Coronavirus COVID-19 on Non-Communicable Disease Patients and Health Systems: A Review
Andrew Y Chang[SUP] 1 2 3 [/SUP], Mark R Cullen[SUP] 2 4 [/SUP], Robert A Harrington[SUP] 2 [/SUP], Michele Barry[SUP] 2 3 [/SUP]
Affiliations
Abstract
Coronavirus Disease 2019 (COVID-19) is an ongoing global pandemic affecting all levels of health systems. This includes the care of patients with noncommunicable diseases (NCDs) who bear a disproportionate burden of both COVID-19 itself and the public health measures enacted to combat it. In this review, we summarize major COVID-19 related considerations for NCD patients and their care providers, focusing on cardiovascular, pulmonary, renal, hematologic, oncologic, traumatic, obstetric/gynecologic, operative, psychiatric, rheumatologic/immunologic, neurologic, gastrointestinal, ophthalmologic, and endocrine disorders. Additionally, we offer a general framework for categorizing the pandemic's disruptions by disease-specific factors, direct health system factors, and indirect health system factors. We also provide references to major NCD medical specialty professional society statements and guidelines on COVID-19. COVID-19 and its control policies have already resulted in major disruptions to the screening, treatment, and surveillance of NCD patients. In addition, it differentially impacts those with pre-existing NCDs and may lead to de novo NCD sequelae. Likely, there will be long-term effects from this pandemic that will continue to affect practitioners and patients in this field for years to come.
Keywords: COVID-19; Chronic Diseases; Noncommunicable Diseases; Public Health.
. 2020 Oct 5.
doi: 10.1111/joim.13184. Online ahead of print.
The Impact of Novel Coronavirus COVID-19 on Non-Communicable Disease Patients and Health Systems: A Review
Andrew Y Chang[SUP] 1 2 3 [/SUP], Mark R Cullen[SUP] 2 4 [/SUP], Robert A Harrington[SUP] 2 [/SUP], Michele Barry[SUP] 2 3 [/SUP]
Affiliations
- PMID: 33020988
- DOI: 10.1111/joim.13184
Abstract
Coronavirus Disease 2019 (COVID-19) is an ongoing global pandemic affecting all levels of health systems. This includes the care of patients with noncommunicable diseases (NCDs) who bear a disproportionate burden of both COVID-19 itself and the public health measures enacted to combat it. In this review, we summarize major COVID-19 related considerations for NCD patients and their care providers, focusing on cardiovascular, pulmonary, renal, hematologic, oncologic, traumatic, obstetric/gynecologic, operative, psychiatric, rheumatologic/immunologic, neurologic, gastrointestinal, ophthalmologic, and endocrine disorders. Additionally, we offer a general framework for categorizing the pandemic's disruptions by disease-specific factors, direct health system factors, and indirect health system factors. We also provide references to major NCD medical specialty professional society statements and guidelines on COVID-19. COVID-19 and its control policies have already resulted in major disruptions to the screening, treatment, and surveillance of NCD patients. In addition, it differentially impacts those with pre-existing NCDs and may lead to de novo NCD sequelae. Likely, there will be long-term effects from this pandemic that will continue to affect practitioners and patients in this field for years to come.
Keywords: COVID-19; Chronic Diseases; Noncommunicable Diseases; Public Health.