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研究进展型多发性硬化症中的新冠肺炎需要全球协调、多学科和多利益相关方的方法——来自国际进展型多发性硬化症联盟的观点。

Researching COVID-19 in progressive MS requires a globally coordinated, multi-disciplinary and multi-stakeholder approach-perspectives from the International Progressive MS Alliance.

作者信息

Zaratin Paola, Banwell Brenda, Coetzee Timothy, Comi Giancarlo, Feinstein Anthony, Hyde Robert, Salvetti Marco, Smith Kathryn

机构信息

Italian Multiple Sclerosis Foundation, Genoa, Italy.

Division of Child Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

出版信息

Mult Scler J Exp Transl Clin. 2022 May 3;8(2):20552173221099181. doi: 10.1177/20552173221099181. eCollection 2022 Apr-Jun.

Abstract

BACKGROUND

The COVID-19 pandemic has reinforced the importance of research for the health of our society and highlighted the need for stakeholders of the health research and care continuum to form a collaborative and interdependent ecosystem.

OBJECTIVE

With the world still reeling from waves of the COVID-19 pandemic and adapting to the vaccine rollout at widely different rates, the International Progressive MS Alliance (hereafter Alliance) organized a meeting (April 2021) to consider how the Covid-19 pandemic impacts the health and well-being of people with progressive Multiple Sclerosis (MS).

METHODS

We invited the Alliance stakeholders and experts to present what they have learned about SARS-CoV-2 infection and progressive MS and to define future scientific priorities.

RESULTS

The meeting highlighted three priorities for additional focus: (1) the impact of Disease Modifying Therapies (DMTs) on the risk of COVID-19 and on the efficacy of COVID-19 vaccines in people with progressive MS; (2) the long-term impact of COVID-19 and COVID-19 vaccines on the biology of progressive MS; and (3) the impact on well-being of people with progressive MS.

CONCLUSION

This paper's calls to action could represent a path toward a shared research agenda. Multi-stakeholder and long-term investigations will be required to drive and evolve such an agenda.

摘要

背景

新冠疫情强化了研究对我们社会健康的重要性,并凸显了健康研究与照护连续统一体的利益相关者形成协作且相互依存的生态系统的必要性。

目的

在世界仍因新冠疫情的多轮冲击而动荡,且正以大不相同的速度适应疫苗接种之际,国际进行性多发性硬化症联盟(以下简称联盟)组织了一次会议(2021年4月),以探讨新冠疫情如何影响进行性多发性硬化症(MS)患者的健康和福祉。

方法

我们邀请联盟的利益相关者和专家介绍他们对严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染和进行性MS的了解,并确定未来的科学重点。

结果

会议强调了另外三个需要重点关注的优先事项:(1)疾病修饰疗法(DMTs)对进行性MS患者感染新冠病毒风险及新冠疫苗效力的影响;(2)新冠病毒和新冠疫苗对进行性MS生物学特性的长期影响;(3)对进行性MS患者福祉的影响。

结论

本文的行动呼吁可能代表了一条通向共同研究议程的道路。推动并发展这样一个议程将需要多利益相关者的长期调查。

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