Mak Ivy Lynn, Wan Eric Yuk Fai, Wong Teenie Kwan Tung, Lee Wendy Woo Jung, Chan Esther Wai Yin, Choi Edmond Pui Hang, Chui Celine Sze Ling, Ip Mary Sau Man, Lau Wallace Chak Sing, Lau Kui Kai, Lee Shing Fung, Wong Ian Chi Kei, Yu Esther Yee Tak, Lam Cindy Lo Kuen
Department of Family Medicine and Primary Care, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR, China.
Department of Pharmacology and Pharmacy, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR, China.
Public Health Rev. 2022 Apr 27;43:1604121. doi: 10.3389/phrs.2022.1604121. eCollection 2022.
The coronavirus-19 (COVID-19) pandemic has claimed more than 5 million lives worldwide by November 2021. Implementation of lockdown measures, reallocation of medical resources, compounded by the reluctance to seek help, makes it exceptionally challenging for people with non-communicable diseases (NCD) to manage their diseases. This review evaluates the spill-over impact of the COVID-19 pandemic on people with NCDs including cardiovascular diseases, cancer, diabetes mellitus, chronic respiratory disease, chronic kidney disease, dementia, mental health disorders, and musculoskeletal disorders. Literature published in English was identified from PubMed and medRxiv from January 1, 2019 to November 30, 2020. A total of 119 articles were selected from 6,546 publications found. The reduction of in-person care, screening procedures, delays in diagnosis, treatment, and social distancing policies have unanimously led to undesirable impacts on both physical and psychological health of NCD patients. This is projected to contribute to more excess deaths in the future. The spill-over impact of COVID-19 on patients with NCD is just beginning to unravel, extra efforts must be taken for planning the resumption of NCD healthcare services post-pandemic.
截至2021年11月，新型冠状病毒肺炎（COVID-19）大流行已在全球夺走了500多万人的生命。封锁措施的实施、医疗资源的重新分配，再加上人们不愿寻求帮助，使得非传染性疾病（NCD）患者管理自身疾病面临极大挑战。本综述评估了COVID-19大流行对患有心血管疾病、癌症、糖尿病、慢性呼吸道疾病、慢性肾病、痴呆症、精神健康障碍和肌肉骨骼疾病等非传染性疾病患者的溢出影响。从2019年1月1日至2020年11月30日在PubMed和medRxiv上检索到以英文发表的文献。从找到的6546篇出版物中总共筛选出119篇文章。面对面护理的减少、筛查程序、诊断延迟、治疗以及社交距离政策一致地对非传染性疾病患者的身心健康产生了不良影响。预计这将在未来导致更多的额外死亡。COVID-19对非传染性疾病患者的溢出影响才刚刚开始显现，必须做出额外努力来规划大流行后非传染性疾病医疗服务的恢复。
