Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy.
Anesthesia, Intensive Care and Pain Unit, Policlinico Hospital, 70124 Bari, Italy.
Best Pract Res Clin Anaesthesiol. 2020 Sep;34(3):529-537. doi: 10.1016/j.bpa.2020.07.001. Epub 2020 Jul 17.
Although pain treatment has been described as a fundamental human right, the Coronavirus disease 2019 (COVID-19) pandemic forced healthcare systems worldwide to redistribute healthcare resources toward intensive care units and other COVID-19 dedicated sites. As most chronic pain services were subsequently deemed non-urgent, all outpatient and elective interventional procedures have been reduced or interrupted during the COVID-19 pandemic in order to reduce the risk of viral spread. The shutdown of pain services jointly to the home lockdown imposed by governments has affected chronic pain management worldwide with additional impact on patients' psychological health. Therefore, the aim of this review is to analyze the impact of COVID-19 pandemic on chronic pain treatment and to address what types of strategies can be implemented or supported in order to overcome imposed limitations in delivery of chronic pain patient care.
尽管疼痛治疗已被描述为一项基本人权,但 2019 年冠状病毒病(COVID-19)大流行迫使全球医疗保健系统将医疗资源重新分配到重症监护病房和其他专门用于 COVID-19 的场所。由于大多数慢性疼痛服务随后被认为是非紧急的,因此在 COVID-19 大流行期间,所有门诊和选择性介入程序都已减少或中断,以降低病毒传播的风险。政府实施的居家封锁导致疼痛服务的关闭,这对全球慢性疼痛管理产生了影响,对患者的心理健康也产生了额外的影响。因此,本综述的目的是分析 COVID-19 大流行对慢性疼痛治疗的影响,并探讨可以实施或支持哪些类型的策略,以克服在提供慢性疼痛患者护理方面所施加的限制。