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2020 ; 7
(4
): 361-372
Nephropedia Template TP
gab.com Text
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English Wikipedia
Management of Advanced Therapies in Parkinson s Disease Patients in Times of
Humanitarian Crisis: The COVID-19 Experience
#MMPMID32373652
Fasano A
; Antonini A
; Katzenschlager R
; Krack P
; Odin P
; Evans AH
; Foltynie T
; Volkmann J
; Merello M
Mov Disord Clin Pract
2020[May]; 7
(4
): 361-372
PMID32373652
show ga
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.
free
free
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