Cargando…

Multiple Sclerosis Patient Management During the COVID-19 Pandemic: Practical Recommendations From the Portuguese Multiple Sclerosis Study Group (GEEM)

The spread of the COVID-19 pandemic has imposed significant challenges on healthcare provision, requiring changes in the conventional patient management, particularly in chronic diseases like multiple sclerosis (MS). To increase patient safety and reduce the risk of infection, while ensuring an appr...

Descripción completa

Detalles Bibliográficos
Autores principales: Cerqueira, João J., Ladeira, Ana F., Silva, Ana M., Timóteo, Ângela, Vale, José, Sousa, Lívia, Arenga, Marta, Abreu, Pedro, Guerreiro, Rui, de Sá, João
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8006454/
https://www.ncbi.nlm.nih.gov/pubmed/33790847
http://dx.doi.org/10.3389/fneur.2021.613769
_version_ 1783672317807689728
author Cerqueira, João J.
Ladeira, Ana F.
Silva, Ana M.
Timóteo, Ângela
Vale, José
Sousa, Lívia
Arenga, Marta
Abreu, Pedro
Guerreiro, Rui
de Sá, João
author_facet Cerqueira, João J.
Ladeira, Ana F.
Silva, Ana M.
Timóteo, Ângela
Vale, José
Sousa, Lívia
Arenga, Marta
Abreu, Pedro
Guerreiro, Rui
de Sá, João
author_sort Cerqueira, João J.
collection PubMed
description The spread of the COVID-19 pandemic has imposed significant challenges on healthcare provision, requiring changes in the conventional patient management, particularly in chronic diseases like multiple sclerosis (MS). To increase patient safety and reduce the risk of infection, while ensuring an appropriate and regular follow-up, tele-medicine gained prominence as a valid alternative to face-to-face appointments. However, the urgency of the implementation and the lack of experience in most MS centers led to “ad hoc” and extremely diverse approaches, which now merit to be standardized and refined. Indeed, while tele-consultation cannot fully replace face-to-face visits, it certainly can, and will, be incorporated as part of the routine care of MS patients in the near future. Bearing this in mind, the Portuguese Multiple Sclerosis Study Group (GEEM) has developed a set of recommendations for the usage of tele-medicine in the management of MS patients, both during the pandemic and in the future. The consensus was obtained through a two-step modified Delphi methodology, resulting in 15 recommendations, which are detailed in the manuscript.
format Online
Article
Text
id pubmed-8006454
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-80064542021-03-30 Multiple Sclerosis Patient Management During the COVID-19 Pandemic: Practical Recommendations From the Portuguese Multiple Sclerosis Study Group (GEEM) Cerqueira, João J. Ladeira, Ana F. Silva, Ana M. Timóteo, Ângela Vale, José Sousa, Lívia Arenga, Marta Abreu, Pedro Guerreiro, Rui de Sá, João Front Neurol Neurology The spread of the COVID-19 pandemic has imposed significant challenges on healthcare provision, requiring changes in the conventional patient management, particularly in chronic diseases like multiple sclerosis (MS). To increase patient safety and reduce the risk of infection, while ensuring an appropriate and regular follow-up, tele-medicine gained prominence as a valid alternative to face-to-face appointments. However, the urgency of the implementation and the lack of experience in most MS centers led to “ad hoc” and extremely diverse approaches, which now merit to be standardized and refined. Indeed, while tele-consultation cannot fully replace face-to-face visits, it certainly can, and will, be incorporated as part of the routine care of MS patients in the near future. Bearing this in mind, the Portuguese Multiple Sclerosis Study Group (GEEM) has developed a set of recommendations for the usage of tele-medicine in the management of MS patients, both during the pandemic and in the future. The consensus was obtained through a two-step modified Delphi methodology, resulting in 15 recommendations, which are detailed in the manuscript. Frontiers Media S.A. 2021-03-08 /pmc/articles/PMC8006454/ /pubmed/33790847 http://dx.doi.org/10.3389/fneur.2021.613769 Text en Copyright © 2021 Cerqueira, Ladeira, Silva, Timóteo, Vale, Sousa, Arenga, Abreu, Guerreiro and de Sá. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Cerqueira, João J.
Ladeira, Ana F.
Silva, Ana M.
Timóteo, Ângela
Vale, José
Sousa, Lívia
Arenga, Marta
Abreu, Pedro
Guerreiro, Rui
de Sá, João
Multiple Sclerosis Patient Management During the COVID-19 Pandemic: Practical Recommendations From the Portuguese Multiple Sclerosis Study Group (GEEM)
title Multiple Sclerosis Patient Management During the COVID-19 Pandemic: Practical Recommendations From the Portuguese Multiple Sclerosis Study Group (GEEM)
title_full Multiple Sclerosis Patient Management During the COVID-19 Pandemic: Practical Recommendations From the Portuguese Multiple Sclerosis Study Group (GEEM)
title_fullStr Multiple Sclerosis Patient Management During the COVID-19 Pandemic: Practical Recommendations From the Portuguese Multiple Sclerosis Study Group (GEEM)
title_full_unstemmed Multiple Sclerosis Patient Management During the COVID-19 Pandemic: Practical Recommendations From the Portuguese Multiple Sclerosis Study Group (GEEM)
title_short Multiple Sclerosis Patient Management During the COVID-19 Pandemic: Practical Recommendations From the Portuguese Multiple Sclerosis Study Group (GEEM)
title_sort multiple sclerosis patient management during the covid-19 pandemic: practical recommendations from the portuguese multiple sclerosis study group (geem)
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8006454/
https://www.ncbi.nlm.nih.gov/pubmed/33790847
http://dx.doi.org/10.3389/fneur.2021.613769
work_keys_str_mv AT cerqueirajoaoj multiplesclerosispatientmanagementduringthecovid19pandemicpracticalrecommendationsfromtheportuguesemultiplesclerosisstudygroupgeem
AT ladeiraanaf multiplesclerosispatientmanagementduringthecovid19pandemicpracticalrecommendationsfromtheportuguesemultiplesclerosisstudygroupgeem
AT silvaanam multiplesclerosispatientmanagementduringthecovid19pandemicpracticalrecommendationsfromtheportuguesemultiplesclerosisstudygroupgeem
AT timoteoangela multiplesclerosispatientmanagementduringthecovid19pandemicpracticalrecommendationsfromtheportuguesemultiplesclerosisstudygroupgeem
AT valejose multiplesclerosispatientmanagementduringthecovid19pandemicpracticalrecommendationsfromtheportuguesemultiplesclerosisstudygroupgeem
AT sousalivia multiplesclerosispatientmanagementduringthecovid19pandemicpracticalrecommendationsfromtheportuguesemultiplesclerosisstudygroupgeem
AT arengamarta multiplesclerosispatientmanagementduringthecovid19pandemicpracticalrecommendationsfromtheportuguesemultiplesclerosisstudygroupgeem
AT abreupedro multiplesclerosispatientmanagementduringthecovid19pandemicpracticalrecommendationsfromtheportuguesemultiplesclerosisstudygroupgeem
AT guerreirorui multiplesclerosispatientmanagementduringthecovid19pandemicpracticalrecommendationsfromtheportuguesemultiplesclerosisstudygroupgeem
AT desajoao multiplesclerosispatientmanagementduringthecovid19pandemicpracticalrecommendationsfromtheportuguesemultiplesclerosisstudygroupgeem