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"It ain't over … till it's over!" Risk-mitigation strategies for patients with gastrointestinal diseases in the aftermath of the COVID-19 pandemic.
Holtmann, Gerald; Quigley, Eamonn M; Shah, Ayesha; Camilleri, Michael; Tan, Victoria Py; Gwee, Kok Ann; Sugano, Kentaro; Sollano, Jose D; Fock, Kwong M; Ghoshal, Uday C; Chen, Minhu; Dignass, Axel; Cohen, Henry.
  • Holtmann G; Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.
  • Quigley EM; Lynda K and David M Underwood Center for Digestive Disorders, Houston Methodist, Weill Cornell Medical College, New York, New York, USA.
  • Shah A; Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Faculty of Medicine, University of Queensland, Brisbane, Queensland, Australia.
  • Camilleri M; Division of Gastroenterology & Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
  • Tan VP; Faculty of Medicine, University of Hongkong, Hongkong.
  • Gwee KA; Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
  • Sugano K; Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke, Japan.
  • Sollano JD; Department of Gastroenterology, University of Santo Tomas, Manila, Philippines.
  • Fock KM; Faculty of Medicine, National University of Singapore, Singapore.
  • Ghoshal UC; Department of Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
  • Chen M; Department of Gastroenterology and Hepatology, The First Affiliated Hospital Sun Yat-sen University, Guangzhou, China.
  • Dignass A; Department of Medicine, Agaplesion Markus Hospital, Frankfurt, Germany.
  • Cohen H; Clínica de Gastroenterología, Faculta de Medicina, Montevideo, Uruguay.
J Gastroenterol Hepatol ; 35(7): 1117-1123, 2020 Jul.
Article in English | MEDLINE | ID: covidwho-574632
ABSTRACT
The available COVID-19 literature has focused on specific disease manifestations, infection control, and delivery or prioritization of services for specific patient groups in the setting of the acute COVID-19 pandemic. Local health systems aim to contain the COVID-19 pandemic and hospitals and health-care providers rush to provide the capacity for a surge of COVID-19 patients. However, the short, medium-term, and long-term outcomes of patients with gastrointestinal (GI) diseases without COVID-19 will be affected by the ability to develop locally adapted strategies to meet their service needs in the COVID-19 setting. To mitigate risks for patients with GI diseases, it is useful to differentiate three phases (i) the acute phase, (ii) the adaptation phase, and (iii) the consolidation phase. During the acute phase, service delivery for patients with GI disease will be curtailed to meet competing health-care needs of COVID-19 patients. During the adaptation phase, GI services are calibrated towards a "new normal," and the consolidation phase is characterized by rapid introduction and ongoing refinement of services. Proactive planning with engagement of relevant stakeholders including consumer representatives is required to be prepared for a variety of scenarios that are dictated by thus far undefined long-term economic and societal impacts of the pandemic. Because substantial changes to the delivery of services are likely to occur, it is important that these changes are embedded into quality and research frameworks to ensure that data are generated that support evidence-based decision-making during the adaptation and consolidation phases.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Coronavirus Infections / Pandemics / Betacoronavirus / Gastroenterology / Gastrointestinal Diseases / Health Services Accessibility Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: J Gastroenterol Hepatol Journal subject: Gastroenterology Year: 2020 Document Type: Article Affiliation country: Jgh.15133

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Coronavirus Infections / Pandemics / Betacoronavirus / Gastroenterology / Gastrointestinal Diseases / Health Services Accessibility Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Language: English Journal: J Gastroenterol Hepatol Journal subject: Gastroenterology Year: 2020 Document Type: Article Affiliation country: Jgh.15133