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Management of Advanced Therapies in Parkinson's Disease Patients in Times of Humanitarian Crisis: The COVID-19 Experience.
Fasano, Alfonso; Antonini, Angelo; Katzenschlager, Regina; Krack, Paul; Odin, Per; Evans, Andrew H; Foltynie, Thomas; Volkmann, Jens; Merello, Marcelo.
  • Fasano A; Edmond J. Safra Program in Parkinson's Disease and the Morton and Gloria Shulman Movement Disorders Centre, Toronto Western Hospital, University Health Network, Division of Neurology University of Toronto Toronto Ontario Canada.
  • Antonini A; Krembil Brain Institute Toronto Ontario Canada.
  • Katzenschlager R; The Center for Advancing Neurotechnological Innovation to Application Toronto Ontario Canada.
  • Krack P; Department of Neuroscience University of Padua Padua Italy.
  • Odin P; Department of Neurology and Karl Landsteiner Institute for Neuroimmunological and Neurodegenerative Disorders Donauspital Vienna Austria.
  • Evans AH; Department of Neurology, Center for Parkinson's Disease and Movement Disorders Inselspital, Bern University Hospital, University of Bern Bern Switzerland.
  • Foltynie T; Division of Neurology, Department of Clinical Sciences Lund Lund University Lund Sweden.
  • Volkmann J; Department of Neurology the Royal Melbourne Hospital Victoria Australia.
  • Merello M; Department of Clinical & Movement Neurosciences University College London Institute of Neurology, Queen Square London United Kingdom.
Mov Disord Clin Pract ; 7(4): 361-372, 2020 May.
Article in English | MEDLINE | ID: covidwho-259913
Semantic information from SemMedBD (by NLM)
1. Parkinson Disease PROCESS_OF Patients
Subject
Parkinson Disease
Predicate
PROCESS_OF
Object
Patients
2. Therapeutic procedure TREATS Parkinson Disease
Subject
Therapeutic procedure
Predicate
TREATS
Object
Parkinson Disease
3. Therapeutic procedure TREATS Patients
Subject
Therapeutic procedure
Predicate
TREATS
Object
Patients
4. Chronically Ill PROCESS_OF Patients
Subject
Chronically Ill
Predicate
PROCESS_OF
Object
Patients
5. Fragility PROCESS_OF Patients
Subject
Fragility
Predicate
PROCESS_OF
Object
Patients
6. Movement Disorders PROCESS_OF Neurologists
Subject
Movement Disorders
Predicate
PROCESS_OF
Object
Neurologists
7. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
8. Parkinson Disease PROCESS_OF Patients
Subject
Parkinson Disease
Predicate
PROCESS_OF
Object
Patients
9. Therapeutic procedure TREATS Parkinson Disease
Subject
Therapeutic procedure
Predicate
TREATS
Object
Parkinson Disease
10. Therapeutic procedure TREATS Patients
Subject
Therapeutic procedure
Predicate
TREATS
Object
Patients
11. Chronically Ill PROCESS_OF Patients
Subject
Chronically Ill
Predicate
PROCESS_OF
Object
Patients
12. Fragility PROCESS_OF Patients
Subject
Fragility
Predicate
PROCESS_OF
Object
Patients
13. Movement Disorders PROCESS_OF Neurologists
Subject
Movement Disorders
Predicate
PROCESS_OF
Object
Neurologists
14. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
ABSTRACT

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.
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Full text: Available Collection: International databases Database: MEDLINE Language: English Journal: Mov Disord Clin Pract Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Language: English Journal: Mov Disord Clin Pract Year: 2020 Document Type: Article