Rheumatology Unit, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy.
Spanish Association for Antiphospholipid Syndrome (SAF España), Elche, Spain.
Nat Rev Rheumatol. 2021 Mar;17(3):177-184. doi: 10.1038/s41584-020-00565-z. Epub 2021 Jan 6.
During the COVID-19 pandemic, the need to provide high-level care for a large number of patients with COVID-19 has affected resourcing for, and limited the routine care of, all other conditions. The impact of this health emergency is particularly relevant in the rare connective tissue diseases (rCTDs) communities, as discussed in this Perspective article by the multi-stakeholder European Reference Network on Rare and Complex Connective Tissue and Musculoskeletal Diseases (ERN ReCONNET). The clinical, organizational and health economic challenges faced by health-care providers, institutions, patients and their families during the SARS-CoV-2 outbreak have demonstrated the importance of ensuring continuity of care in the management of rCTDs, including adequate diagnostics and monitoring protocols, and highlighted the need for a structured emergency strategy. The vulnerability of patients with rCTDs needs to be taken into account when planning future health policies, in preparation for not only the post-COVID era, but also any possible new health emergencies.
在 COVID-19 大流行期间,为数以千计的 COVID-19 患者提供高水平的护理需求影响了对所有其他疾病的资源分配,并限制了对其的常规护理。这种卫生紧急情况的影响在罕见结缔组织疾病(rCTD)群体中尤为明显,本文由多利益相关方欧洲罕见和复杂结缔组织及肌肉骨骼疾病参考网络(ERN ReCONNET)撰写的观点文章对此进行了讨论。在 SARS-CoV-2 爆发期间,医疗保健提供者、医疗机构、患者及其家属在临床、组织和卫生经济方面面临的挑战表明,在 rCTD 管理中确保护理连续性的重要性,包括充足的诊断和监测方案,并强调需要制定结构化的应急策略。在规划未来卫生政策时,需要考虑到 rCTD 患者的脆弱性,不仅为后 COVID-19 时代做准备,而且为任何可能出现的新卫生紧急情况做好准备。