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Activities related to inflammatory bowel disease management during and after the coronavirus disease 2019 lockdown in Italy: How to maintain standards of care.
Saibeni, Simone; Scucchi, Ludovica; Dragoni, Gabriele; Bezzio, Cristina; Miranda, Agnese; Ribaldone, Davide Giuseppe; Bertani, Angela; Bossa, Fabrizio; Allocca, Mariangela; Buda, Andrea; Mocci, Gianmarco; Soriano, Alessandra; Mazzuoli, Silvia; Bertani, Lorenzo; Baccini, Flavia; Loddo, Erika; Privitera, Antonino Carlo; Sartini, Alessandro; Viscido, Angelo; Grossi, Laurino; Casini, Valentina; Gerardi, Viviana; Ascolani, Marta; Ruscio, Mirko Di; Casella, Giovanni; Savarino, Edoardo; Stradella, Davide; Pumpo, Rossella; Cortelezzi, Claudio Camillo; Daperno, Marco; Ciardo, Valeria; Nardone, Olga Maria; Caprioli, Flavio; Vitale, Giovanna; Cappello, Maria; Comberlato, Michele; Alvisi, Patrizia; Festa, Stefano; Campigotto, Michele; Bodini, Giorgia; Balestrieri, Paola; Viola, Anna; Pugliese, Daniela; Armuzzi, Alessandro; Fantini, Massimo C; Fiorino, Gionata.
  • Saibeni S; Gastroenterology Unit, Rho Hospital, ASST Rhodense, Milan, Italy.
  • Scucchi L; Department of Systems Medicine, GI Unit, Policlinico Tor Vergata, University of Tor Vergata, Rome, Italy.
  • Dragoni G; Gastroenterology Unit, Careggi University Hospital Florence, Italy.
  • Bezzio C; Gastroenterology Unit, Rho Hospital, ASST Rhodense, Milan, Italy.
  • Miranda A; Gastroenterology and Endoscopy Unit, University of Campania 'L. Vanvitelli', Naples, Italy.
  • Ribaldone DG; Department of Medical Sciences, University of Turin, Turin, Italy.
  • Bertani A; Department of Gastroenterology, IBD Unit, Policlinico Hospital, Modena, Italy.
  • Bossa F; Division of Gastroenterology, IRCCS "Casa Sollievo della Sofferenza" Foundation, San Giovanni Rotondo, Italy.
  • Allocca M; IBD Centre, Gastroenterology, Humanitas Clinical and Research Centre - IRCCS, Milan, Italy.
  • Buda A; Department of Biomedical Sciences, Humanitas University, Milan, Italy.
  • Mocci G; Department of Gastrointestinal Oncological Surgery, Gastroenterology and Endoscopy Unit, S. Maria del Prato Hospital, Feltre, Italy.
  • Soriano A; Gastroenterology Unit, Brotzu Hospital, Cagliari, Italy.
  • Mazzuoli S; Gastroenterology Division, Azienda USL Arcispedale S. Maria Nuova - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Bertani L; Gastroenterology and Artificial Nutrition Unit, Monsignor R. Dimiccoli Hospital, ASL BT, Barletta, Italy.
  • Baccini F; Gastroenterology and Digestive Endoscopy Department of Medical Specialties Apuane Hospital - Tuscany North-West ASL, Massa, Italy.
  • Loddo E; Digestive Disease Unit, Sant'Andrea University Hospital, Rome, Italy.
  • Privitera AC; Gastroenterology Unit, University Hospital, AOU Cagliari, Cagliari, Italy.
  • Sartini A; Department of Medical Science and Public Health, University of Cagliari, Cagliari, Italy.
  • Viscido A; IBD Unit, 'Cannizzaro' Hospital, Catania, Italy.
  • Grossi L; Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena, AUSL della Romagna, Rimini, Italy.
  • Casini V; Gastroenterology Unit, Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.
  • Gerardi V; G. D'Annunzio University - Digestive Physiopathology, Ospedale Spirito Santo, Pescara, Italy.
  • Ascolani M; A.S.S.T. Bergamo EST, Gastroenterology Unit, Seriate Hospital, Bergamo, Italy.
  • Ruscio MD; Department of Medicine, Gastroenterology and Endoscopy, Poliambulanza foundation, Brescia, Italy.
  • Casella G; Gastroenterology Unit, Santa Maria di Ca Foncello Hospital, Treviso, Italy.
  • Savarino E; IBD Unit, IRCCS Sacro Cuore Don Calabria, Negrar, Italy.
  • Stradella D; ATS Brianza, Limbiate, Monza Brianza, Italy.
  • Pumpo R; Gastroenterology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy.
  • Cortelezzi CC; Gastroenterology Unit, A.O.U. Maggiore della Caritá, Novara, Italy.
  • Daperno M; Endoscopy Unit P.O. S.G. Bosco, ASLNA1, Naples, Italy.
  • Ciardo V; Gastroenterology and Endoscopy Unit, A.S.S.T. Sette Laghi, Varese, Italy.
  • Nardone OM; Gastroenterology Unit, Mauriziano Hospital, Turin, Italy.
  • Caprioli F; Gastroenterology Unit, S. Antonio Hospital, San Daniele del Friuli, Italy.
  • Vitale G; Gastroenterology, Department of Clinical Medicine and Surgery, Federico II University, Naples, Italy.
  • Cappello M; Gastroenterology and Endoscopy Unit, IRCCS Ca' Granda Ospedale Maggiore di Milano Policlinico Foundation, Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
  • Comberlato M; Gastroenterology and Endoscopy Unit, 'San Carlo' Hospital, Potenza, Italy.
  • Alvisi P; IBD Clinic, Gastroenterology Section, Promise, University of Palermo, Palermo, Italy.
  • Festa S; IBD Unit, Department of Gastroenterology, Bolzano, Italy.
  • Campigotto M; Paediatric Gastroenterology Unit, Maggiore Hospital, Bologna, Italy.
  • Bodini G; IBD Unit, S. Filippo Neri Hospital, Rome, Italy.
  • Balestrieri P; Academic Surgical and Health Sciences Department, Trieste University, Trieste, Italy.
  • Viola A; Gastroenterology chair, Internal Medicine Department, Genoa University, Italy.
  • Pugliese D; Unit of Digestive Disease of Campus Bio Medico, University of Rome, Rome, Italy.
  • Armuzzi A; IBD Unit, Department Clinical and experimental Medicine, Policlinico Messina, Messina, Italy.
  • Fantini MC; CEMAD - IBD Unit, Internal and Gastroenterology Unit, Academic Policlinic Foundation 'A. Gemelli' IRCCS, Rome, Italy.
  • Fiorino G; CEMAD - IBD Unit, Internal and Gastroenterology Unit, Academic Policlinic Foundation 'A. Gemelli' IRCCS, Rome, Italy.
United European Gastroenterol J ; 8(10): 1228-1235, 2020 12.
Article in English | MEDLINE | ID: covidwho-873885
ABSTRACT
BACKGROUND AND

AIMS:

Restructuring activities have been necessary during the lockdown phase of the coronavirus disease 2019 (COVID-19) pandemic. Few data are available on the post-lockdown phase in terms of health-care procedures in inflammatory bowel disease (IBD) care, and no data are available specifically from IBD units. We aimed to investigate how IBD management was restructured during the lockdown phase, the impact of the restructuring on standards of care and how Italian IBD units have managed post-lockdown activities.

METHODS:

A web-based online survey was conducted in two phases (April and June 2020) among the Italian Group for IBD affiliated units within the entire country. We investigated preventive measures, the possibility of continuing scheduled visits/procedures/therapies because of COVID-19 and how units resumed activities in the post-lockdown phase.

RESULTS:

Forty-two referral centres participated from all over Italy. During the COVID-19 lockdown, 36% of first visits and 7% of follow-up visits were regularly done, while >70% of follow-up scheduled visits and 5% of first visits were done virtually. About 25% of scheduled endoscopies and bowel ultrasound scans were done. More than 80% of biological therapies were done as scheduled. Compared to the pre-lockdown situation, 95% of centres modified management of outpatient activity, 93% of endoscopies, 59% of gastrointestinal ultrasounds and 33% of biological therapies. Resumption of activities after the lockdown phase may take three to six months to normalize. Virtual clinics, implementation of IBD pathways and facilities seem to be the main factors to improve care in the future.

CONCLUSION:

Italian IBD unit restructuring allowed quality standards of care during the COVID-19 pandemic to be maintained. A return to normal appears to be feasible and achievable relatively quickly. Some approaches, such as virtual clinics and identified IBD pathways, represent a valid starting point to improve IBD care in the post-COVID-19 era.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Inflammatory Bowel Diseases / Standard of Care / COVID-19 Type of study: Cohort study / Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Humans Country/Region as subject: Europa Language: English Journal: United European Gastroenterol J Year: 2020 Document Type: Article Affiliation country: 2050640620964132

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Inflammatory Bowel Diseases / Standard of Care / COVID-19 Type of study: Cohort study / Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Humans Country/Region as subject: Europa Language: English Journal: United European Gastroenterol J Year: 2020 Document Type: Article Affiliation country: 2050640620964132