Sabetkish Nastaran, Rahmani Alireza
Pediatric Urology and Regenerative Medicine Research Center, Section of Tissue Engineering and Stem Cells Therapy, Children's Hospital Medical Center Tehran University of Medical Sciences Tehran Iran.
Immunology Asthma and Allergy Research Institute, Tehran University of Medical Sciences Tehran Iran.
Health Sci Rep. 2021 Oct 1;4(4):e386. doi: 10.1002/hsr2.386. eCollection 2021 Dec.
The Coronavirus disease 2019 (COVID-19) pandemic globally changed the priorities of medical and surgical procedures. It has caused many healthcare systems to stop performing their routine screenings. Altering medical clinics to COVID-19 referral centers, lockdowns, and the public fear to refer to medical centers caused a significant reduction in the referral rate; especially in the elderly. This short review article highlights the transform in clinical practice during the post-COVID era and the need for future medical revolutions.
A comprehensive literature search was separately performed by both authors. The articles published between 2019 and August 2021 were included in this study and selected according to a quality appraisal method.
We have summarized the possible corresponding changes in the diagnosis and treatment of all fields of medical care including internal medicine, surgical, and minor subcategories after the COVID-19 pandemic. We have also discussed the potential impacts of the pandemic on all these different categories and subcategories of medicine, including the outpatient setting and clinical work. We do believe that the lack of routine check-ups has led to an increase in the stage of disease in patients with a previously diagnosed problem. On the other hand, the dramatic change in the lifestyle of the population including restricted mobility and increased consumption of unhealthy food has caused metabolic syndrome and other new diseases that have not been diagnosed and properly managed.
Our findings revealed the urgent need for public health awareness. It indicated the need to carry out both psychological and screening approaches in the post-COVID era to not miss patients with a chronic disease and new cases who were undiagnosed during the COVID pandemic.
2019年冠状病毒病（COVID-19）大流行在全球范围内改变了医疗和外科手术的优先事项。它导致许多医疗系统停止进行常规筛查。将医疗诊所转变为COVID-19转诊中心、封锁措施以及公众对前往医疗中心的恐惧导致转诊率大幅下降；尤其是在老年人中。这篇简短的综述文章强调了COVID后时代临床实践的转变以及未来医学革命的必要性。
两位作者分别进行了全面的文献检索。本研究纳入了2019年至2021年8月发表的文章，并根据质量评估方法进行筛选。
我们总结了COVID-19大流行后医疗各领域（包括内科、外科及细分领域）诊断和治疗可能出现的相应变化。我们还讨论了大流行对医学所有这些不同类别和细分领域的潜在影响，包括门诊环境和临床工作。我们确实认为，缺乏常规检查导致先前已确诊问题的患者疾病阶段有所进展。另一方面，人群生活方式的巨大变化，包括行动受限和不健康食品消费增加，引发了代谢综合征和其他未被诊断及妥善管理的新疾病。
我们的研究结果揭示了对公众健康意识的迫切需求。这表明在COVID后时代需要同时开展心理和筛查方法，以免漏诊COVID大流行期间未被诊断的慢性病患者和新病例。
