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COVID19 在血液病患者和远程医疗中的应用:欧洲和美国的经验教训。

COVID19 in hematological patients and telemedicine: lessons learned across Europe and the US.

机构信息

Clinical Hematology Department, Institut Català d'Oncologia-Hospitalet.

Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), Barcelona, Spain.

出版信息

Curr Opin Infect Dis. 2022 Aug 1;35(4):295-301. doi: 10.1097/QCO.0000000000000843. Epub 2022 Jul 5.

Abstract

PURPOSE OF REVIEW

To describe the state-of-the-art of telemedicine in hematology through the description of most relevant studies published in the pre-COVID19 and during the COVID19 era.

RECENT FINDINGS

Telemedicine has recently gained momentum in hematology due to the COVID19 pandemic. Due to a necessary improvement of domiciliary follow-up of patients during the pandemic and an increase in technologies able to offer telemedicine, the number of studies has increased in the last 2 years. Telemedicine showed the potential to improve the monitoring of both benign and malignant hematological diseases. Patients affected by thalassemias, hemophilias and/or myeloproliferative diseases were monitored successfully with telemedicine platform. For higher-risk patients such as high-dose chemotherapy or stem cell transplantation, better platforms are needed (e.g. use of wearable devices systems). Also, telemedicine showed to be useful for the follow-up of hematological patients with COVID19.

SUMMARY

Despite the clear potential advantages of telemedicine for the follow-up of hematological patients, more evidence is required before adopting this approach in larger cohorts of patients. Larger- and higher-quality studies are highly needed in this setting.

摘要

目的综述

通过描述 COVID-19 大流行之前和大流行期间发表的最相关研究,介绍血液病学领域远程医疗的最新进展。

最新发现

由于 COVID-19 大流行,远程医疗在血液病学领域最近得到了迅速发展。由于在大流行期间需要改进患者的家庭随访,以及能够提供远程医疗的技术不断增加,过去 2 年中相关研究的数量有所增加。远程医疗显示出改善良性和恶性血液病监测的潜力。患有地中海贫血、血友病和/或骨髓增生性疾病的患者可以通过远程医疗平台成功进行监测。对于高危患者,如大剂量化疗或干细胞移植,需要更好的平台(例如使用可穿戴设备系统)。此外,远程医疗在 COVID-19 血液病患者的随访中也显示出了一定的作用。

总结

尽管远程医疗在血液病患者的随访中具有明显的潜在优势,但在更大的患者队列中采用这种方法还需要更多的证据。在这种情况下,非常需要更大规模和更高质量的研究。

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