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Multiple Sclerosis Management During the COVID-19 Pandemic

PURPOSE OF REVIEW: COVID-19 has posed a continuously evolving challenge for providers caring for patients with multiple sclerosis (MS). While guidelines from national and international organizations came quickly, these have required constant reassessment and modification as the pandemic has progress...

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Autores principales: Hollen, Chris, Bernard, Jacqueline
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9185132/
https://www.ncbi.nlm.nih.gov/pubmed/35687314
http://dx.doi.org/10.1007/s11910-022-01211-9
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author Hollen, Chris
Bernard, Jacqueline
author_facet Hollen, Chris
Bernard, Jacqueline
author_sort Hollen, Chris
collection PubMed
description PURPOSE OF REVIEW: COVID-19 has posed a continuously evolving challenge for providers caring for patients with multiple sclerosis (MS). While guidelines from national and international organizations came quickly, these have required constant reassessment and modification as the pandemic has progressed. This review aims to assess the first 2 years of literature on COVID-19 relevant to the clinical management of patients with MS. In particular, we will review how MS impacts the risk of COVID-19 infection, how disease-modifying therapies may alter this risk, and explore considerations regarding disease-modifying therapy (DMT) and vaccination for COVID-19. We will also explore potential ways in which a COVID-19 infection may impact multiple sclerosis. Our goal is to provide an overarching review of the major findings at this stage of the pandemic relevant to those that care for patients with MS. RECENT FINDINGS: Over the course of the COVID-19 pandemic, providers have had to re-evaluate the priorities in the management of MS. A growing number of studies have evaluated the relevant risk factors and considerations regarding MS and particular disease-modifying therapies. SUMMARY: The long-term impacts of the pandemic on the health of those with MS will continue to be revealed. In general, most patients with MS do not need major revisions to their treatment plan due to COVID-19 risk. However, individuals who are older, more disabled, and on more potent therapies may need to consider strategies for decreasing their overall risk. Regardless, continued improvement in our understanding of interactions between infections, disease-modifying therapy, and MS are paramount to optimizing the care of those with MS going forward.
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spelling pubmed-91851322022-06-10 Multiple Sclerosis Management During the COVID-19 Pandemic Hollen, Chris Bernard, Jacqueline Curr Neurol Neurosci Rep Demyelinating Disorders (L. Wooliscroft and D. Bourdette, Section Editors) PURPOSE OF REVIEW: COVID-19 has posed a continuously evolving challenge for providers caring for patients with multiple sclerosis (MS). While guidelines from national and international organizations came quickly, these have required constant reassessment and modification as the pandemic has progressed. This review aims to assess the first 2 years of literature on COVID-19 relevant to the clinical management of patients with MS. In particular, we will review how MS impacts the risk of COVID-19 infection, how disease-modifying therapies may alter this risk, and explore considerations regarding disease-modifying therapy (DMT) and vaccination for COVID-19. We will also explore potential ways in which a COVID-19 infection may impact multiple sclerosis. Our goal is to provide an overarching review of the major findings at this stage of the pandemic relevant to those that care for patients with MS. RECENT FINDINGS: Over the course of the COVID-19 pandemic, providers have had to re-evaluate the priorities in the management of MS. A growing number of studies have evaluated the relevant risk factors and considerations regarding MS and particular disease-modifying therapies. SUMMARY: The long-term impacts of the pandemic on the health of those with MS will continue to be revealed. In general, most patients with MS do not need major revisions to their treatment plan due to COVID-19 risk. However, individuals who are older, more disabled, and on more potent therapies may need to consider strategies for decreasing their overall risk. Regardless, continued improvement in our understanding of interactions between infections, disease-modifying therapy, and MS are paramount to optimizing the care of those with MS going forward. Springer US 2022-06-10 2022 /pmc/articles/PMC9185132/ /pubmed/35687314 http://dx.doi.org/10.1007/s11910-022-01211-9 Text en © This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Demyelinating Disorders (L. Wooliscroft and D. Bourdette, Section Editors)
Hollen, Chris
Bernard, Jacqueline
Multiple Sclerosis Management During the COVID-19 Pandemic
title Multiple Sclerosis Management During the COVID-19 Pandemic
title_full Multiple Sclerosis Management During the COVID-19 Pandemic
title_fullStr Multiple Sclerosis Management During the COVID-19 Pandemic
title_full_unstemmed Multiple Sclerosis Management During the COVID-19 Pandemic
title_short Multiple Sclerosis Management During the COVID-19 Pandemic
title_sort multiple sclerosis management during the covid-19 pandemic
topic Demyelinating Disorders (L. Wooliscroft and D. Bourdette, Section Editors)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9185132/
https://www.ncbi.nlm.nih.gov/pubmed/35687314
http://dx.doi.org/10.1007/s11910-022-01211-9
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