The care of patients with Duchenne, Becker, and other muscular dystrophies in the COVID-19 pandemic.


Journal

Muscle & nerve
ISSN: 1097-4598
Titre abrégé: Muscle Nerve
Pays: United States
ID NLM: 7803146

Informations de publication

Date de publication:
07 2020
Historique:
received: 16 04 2020
revised: 21 04 2020
accepted: 22 04 2020
pubmed: 25 4 2020
medline: 1 7 2020
entrez: 25 4 2020
Statut: ppublish

Résumé

The coronavirus disease 2019 (COVID-19) pandemic has resulted in the reorganization of health-care settings affecting clinical care delivery to patients with Duchenne and Becker muscular dystrophy (DBMD) as well as other inherited muscular dystrophies. The magnitude of the impact of this public health emergency on the care of patients with DBMD is unclear as they are suspected of having an increased risk for severe manifestations of COVID-19. In this article, the authors discuss their consensus recommendations pertaining to care of these patients during the pandemic. We address issues surrounding corticosteroid and exon-skipping treatments, cardiac medications, hydroxychloroquine use, emergency/respiratory care, rehabilitation management, and the conduct of clinical trials. We highlight the importance of collaborative treatment decisions between the patient, family, and health-care provider, considering any geographic or institution-specific policies and precautions for COVID-19. We advocate for continuing multidisciplinary care for these patients using telehealth.

Identifiants

pubmed: 32329920
doi: 10.1002/mus.26902
pmc: PMC7264600
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

41-45

Informations de copyright

© 2020 Wiley Periodicals, Inc.

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Auteurs

Aravindhan Veerapandiyan (A)

Division of Neurology, Department of Pediatrics, University of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, Arkansas.

Kathryn R Wagner (KR)

Center for Genetic Muscle Disorders, Kennedy Krieger Institute and Departments of Neurology and Neuroscience, Johns Hopkins School of Medicine, Baltimore, Maryland.

Susan Apkon (S)

Department of Physical Medicine and Rehabilitation, University of Colorado School of Medicine, Aurora, Colorado.

Craig M McDonald (CM)

Department of Physical Medicine and Rehabilitation and Department of Pediatrics, University of California Davis Health System, Sacramento, California.

Katherine D Mathews (KD)

Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa.

Julie A Parsons (JA)

Department of Neurology and Pediatrics, University of Colorado School of Medicine, Aurora, Colorado.

Brenda L Wong (BL)

Department of Pediatrics and Neurology, University of Massachusetts Medical School, Worcester, Massachusetts.

Katy Eichinger (K)

Department of Neurology, University of Rochester Medical Center, Rochester, New York.

Perry B Shieh (PB)

Department of Neurology, University of California Los Angeles, Los Angeles, California.

Russell J Butterfield (RJ)

Department of Pediatrics and Neurology, University of Utah School of Medicine, Salt Lake City, Utah.

Vamshi K Rao (VK)

Division of Neurology, Department of Pediatrics, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Edward C Smith (EC)

Division of Neurology, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina.

Crystal M Proud (CM)

Division of Neurology, Department of Pediatrics, Children's Hospital of The King's Daughters, Norfolk, Virginia.

Anne M Connolly (AM)

Division of Neurology, Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, Ohio.

Emma Ciafaloni (E)

Department of Neurology, University of Rochester Medical Center, Rochester, New York.

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Classifications MeSH