Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK; Fundación Santa Fe de Bogotá, Bogotá, Colombia; School of Medicine, Universidad de los Andes, Bogotá, Colombia.
The Westmead Institute, University of Sydney, Sydney, Australia.
J Neuroimmunol. 2021 Aug 15;357:577627. doi: 10.1016/j.jneuroim.2021.577627. Epub 2021 Jun 7.
In this consensus statement, we provide updated recommendations on multiple sclerosis (MS) management during the COVID-19 crisis and the post-pandemic period applicable to neurology services around the world. Statements/recommendations were generated based on available literature and the experience of 13 MS expert panelists using a modified Delphi approach online. The statements/recommendations give advice regarding implementation of telemedicine; use of disease-modifying therapies and management of MS relapses; management of people with MS at highest risk from COVID-19; management of radiological monitoring; use of remote pharmacovigilance; impact on MS research; implications for lowest income settings, and other key issues.
在这份共识声明中,我们提供了在 COVID-19 危机期间和疫情后全球神经科服务中更新的多发性硬化症 (MS) 管理建议。这些声明/建议是基于现有文献和 13 名 MS 专家小组的经验,使用在线改良 Delphi 方法生成的。这些声明/建议提供了有关以下方面的建议:远程医疗的实施;疾病修正治疗的使用和 MS 复发的管理;感染 COVID-19 风险最高的 MS 患者的管理;影像学监测的管理;远程药物警戒的使用;对 MS 研究的影响;对低收入环境的影响,以及其他关键问题。