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COVID-19 quarantine measures are associated with negative social impacts and compromised follow-up care in patients with inflammatory bowel disease in Brazil

BACKGROUND: COVID-19 has affected the entire world. We aimed to determine the impact of COVID-19 containment measures on the daily life and follow up of patients with inflammatory bowel disease (IBD). METHODS: During May 2020, we evaluated 179 (79.6%) patients with Crohn’s disease (CD) and 46 (20.4%...

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Autores principales: Feitosa, Marley Ribeiro, Parra, Rogério Serafim, de Camargo, Hugo Parra, Ferreira, Sandro da Costa, Troncon, Luiz Ernesto de Almeida, da Rocha, José Joaquim Ribeiro, Féres, Omar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hellenic Society of Gastroenterology 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7774653/
https://www.ncbi.nlm.nih.gov/pubmed/33414620
http://dx.doi.org/10.20524/aog.2020.0558
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author Feitosa, Marley Ribeiro
Parra, Rogério Serafim
de Camargo, Hugo Parra
Ferreira, Sandro da Costa
Troncon, Luiz Ernesto de Almeida
da Rocha, José Joaquim Ribeiro
Féres, Omar
author_facet Feitosa, Marley Ribeiro
Parra, Rogério Serafim
de Camargo, Hugo Parra
Ferreira, Sandro da Costa
Troncon, Luiz Ernesto de Almeida
da Rocha, José Joaquim Ribeiro
Féres, Omar
author_sort Feitosa, Marley Ribeiro
collection PubMed
description BACKGROUND: COVID-19 has affected the entire world. We aimed to determine the impact of COVID-19 containment measures on the daily life and follow up of patients with inflammatory bowel disease (IBD). METHODS: During May 2020, we evaluated 179 (79.6%) patients with Crohn’s disease (CD) and 46 (20.4%) with ulcerative colitis (UC) by telephone, using a structured questionnaire to gather information on social impact and IBD follow up. RESULTS: Some kind of social distancing measure was reported by 95.6% of our patients, self-quarantine (64.9%) being the most frequent. Depressive mood was the most prevalent social impact (80.2%), followed by anxiety/fear of death (58.2%), insomnia (51.4%), daily activity impairment (48%), sexual dysfunction (46.2%), and productivity impairment (44%). The results were similar when we compared patients with active disease to those in remission and patients with UC to those with CD. Analysis of IBD follow up showed that 83.1% of all patients missed an IBD medical appointment, 45.5% of the patients missed laboratory tests, 41.3% missed the national flu vaccination program, 31.3% missed any radiologic exam, 17.3% missed colonoscopy, and 16.9% failed to obtain biologic therapy prescriptions. Biologics were discontinued by 28.4% of the patients. UC patients had higher rates of missed vaccination than CD patients (56.5% vs. 37.4%, P=0.02) and more failures to obtain a biologic prescription (28.3% vs. 14.0%, P=0.02). CONCLUSIONS: Our study reveals alarming social impacts and declining follow-up care for IBD patients during the COVID-19 outbreak. These findings may have implications for disease control in the near future.
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spelling pubmed-77746532021-01-06 COVID-19 quarantine measures are associated with negative social impacts and compromised follow-up care in patients with inflammatory bowel disease in Brazil Feitosa, Marley Ribeiro Parra, Rogério Serafim de Camargo, Hugo Parra Ferreira, Sandro da Costa Troncon, Luiz Ernesto de Almeida da Rocha, José Joaquim Ribeiro Féres, Omar Ann Gastroenterol Original Article BACKGROUND: COVID-19 has affected the entire world. We aimed to determine the impact of COVID-19 containment measures on the daily life and follow up of patients with inflammatory bowel disease (IBD). METHODS: During May 2020, we evaluated 179 (79.6%) patients with Crohn’s disease (CD) and 46 (20.4%) with ulcerative colitis (UC) by telephone, using a structured questionnaire to gather information on social impact and IBD follow up. RESULTS: Some kind of social distancing measure was reported by 95.6% of our patients, self-quarantine (64.9%) being the most frequent. Depressive mood was the most prevalent social impact (80.2%), followed by anxiety/fear of death (58.2%), insomnia (51.4%), daily activity impairment (48%), sexual dysfunction (46.2%), and productivity impairment (44%). The results were similar when we compared patients with active disease to those in remission and patients with UC to those with CD. Analysis of IBD follow up showed that 83.1% of all patients missed an IBD medical appointment, 45.5% of the patients missed laboratory tests, 41.3% missed the national flu vaccination program, 31.3% missed any radiologic exam, 17.3% missed colonoscopy, and 16.9% failed to obtain biologic therapy prescriptions. Biologics were discontinued by 28.4% of the patients. UC patients had higher rates of missed vaccination than CD patients (56.5% vs. 37.4%, P=0.02) and more failures to obtain a biologic prescription (28.3% vs. 14.0%, P=0.02). CONCLUSIONS: Our study reveals alarming social impacts and declining follow-up care for IBD patients during the COVID-19 outbreak. These findings may have implications for disease control in the near future. Hellenic Society of Gastroenterology 2021 2020-11-26 /pmc/articles/PMC7774653/ /pubmed/33414620 http://dx.doi.org/10.20524/aog.2020.0558 Text en Copyright: © 2021 Hellenic Society of Gastroenterology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Feitosa, Marley Ribeiro
Parra, Rogério Serafim
de Camargo, Hugo Parra
Ferreira, Sandro da Costa
Troncon, Luiz Ernesto de Almeida
da Rocha, José Joaquim Ribeiro
Féres, Omar
COVID-19 quarantine measures are associated with negative social impacts and compromised follow-up care in patients with inflammatory bowel disease in Brazil
title COVID-19 quarantine measures are associated with negative social impacts and compromised follow-up care in patients with inflammatory bowel disease in Brazil
title_full COVID-19 quarantine measures are associated with negative social impacts and compromised follow-up care in patients with inflammatory bowel disease in Brazil
title_fullStr COVID-19 quarantine measures are associated with negative social impacts and compromised follow-up care in patients with inflammatory bowel disease in Brazil
title_full_unstemmed COVID-19 quarantine measures are associated with negative social impacts and compromised follow-up care in patients with inflammatory bowel disease in Brazil
title_short COVID-19 quarantine measures are associated with negative social impacts and compromised follow-up care in patients with inflammatory bowel disease in Brazil
title_sort covid-19 quarantine measures are associated with negative social impacts and compromised follow-up care in patients with inflammatory bowel disease in brazil
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7774653/
https://www.ncbi.nlm.nih.gov/pubmed/33414620
http://dx.doi.org/10.20524/aog.2020.0558
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