COVID-19 pandemic perception in adults with celiac disease: an impulse to implement the use of telemedicine

COVID-19 pandemic perception in adults with celiac disease: an impulse to implement the use of telemedicine
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DOI:
10.1016/j.dld.2020.05.014
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发表时间:
2020-10-01
影响因子:
4.5
通讯作者:
Ciacci, Carolina
Ciacci, Carolina
中科院分区:
医学2区
文献类型:
--
作者:
Siniscalchi, Monica;Zingone, Fabiana;Ciacci, Carolina

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背景:冠状病毒病2019(新冠肺炎)在全球范围内造成严重并发症和死亡。新冠肺炎也受到封锁和可能缺乏食物的间接影响。我们的目的是评估需要终身无麸质饮食作为治疗的腹部疾病患者对此的看法。方法:我们通过电子邮件邀请来自萨勒诺大学(意大利南部坎帕尼亚)和帕多瓦大学(意大利北部威尼托)的腹部疾病成年患者回答一项特别的新冠肺炎调查。结果:我们将网络调查发送到651个电子邮件地址,得到276个回答(42.4%)。CED患者并不觉得更脆弱,因为他们患有CED(根本不是56.6%),他们也不太担心疫情期间可能出现的无面筋食物短缺(根本不是48.5%)。最担心的是老年患者、其他合并症患者和女性。最后,CED患者对远程会诊感到满意,并明确要求进行远程会诊。讨论:新冠肺炎疫情影响了一部分CED患者,特别是女性、老年患者和其他并存患者。尽管从医学和心理学的角度来看,新冠肺炎是一次具有挑战性的经历,但它为CED医疗保健提供了一个大规模实践远程会诊方法的机会。(C)2020由爱思唯尔有限公司代表Editrice GasterEnterology Italiana S.r.l.出版。
Background: Coronavirus Disease 2019 (COVID-19) causes severe complications and deaths all over the world. COVID-19 also has indirect effects from the lockdown and the possible lack of food. We aimed to evaluate the perception of this in Celiac Disease (CeD) patients who require a lifelong gluten-free diet as a therapy.Methods: We invited by e-mail CeD adult patients from the University of Salerno (Campania, South Italy) and the University of Padua (Veneto, North Italy) to answer an ad hoc COVID-19 survey.Results: We sent the web survey to 651 email addresses and we received 276 answers (42,4%). CeD patients did not feel more vulnerable because they had CeD (not at all 56.6%) and they did not worry much about the possible shortness of gluten-free food during the epidemic (not at all 48.5%). The most worried were the elderly patients, patients with other comorbidities and females. Finally, CeD patients were happy with remote consultations and explicitly asked to have them.Discussion: The COVID-19 pandemic has impacted a proportion of patients with CeD; in particular, women, elderly patients, patients with other comorbidities. COVID-19, although a challenging experience from the medical and the psychological point of view, has offered an opportunity to practice, on a largescale, a remote consultation approach for CeD healthcare. (C) 2020 Published by Elsevier Ltd on behalf of Editrice Gastroenterologica Italiana S.r.l.