Management of Parathyroid Disease during the COVID-19 Pandemic
| Autor: | Nivaran Aojula, Neil Gittoes, Zaki Hassan-Smith, Andrew R. Ready |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Parathyroidectomy
medicine.medical_specialty Cinacalcet endocrine system diseases medicine.medical_treatment coronavirus lcsh:Medicine 030209 endocrinology & metabolism Disease Review hyperparathyroidism 03 medical and health sciences 0302 clinical medicine medicine Vitamin D and neurology parathyroid 030212 general & internal medicine Parathyroid disease Intensive care medicine Hyperparathyroidism business.industry lcsh:R COVID-19 hypoparathyroidism General Medicine medicine.disease Hypoparathyroidism business Primary hyperparathyroidism medicine.drug |
| Zdroj: | Journal of Clinical Medicine Journal of Clinical Medicine, Vol 10, Iss 920, p 920 (2021) |
| ISSN: | 2077-0383 |
| Popis: | The coronavirus disease, COVID-19, has caused widespread and sustained disruption to healthcare, not only in the delivery of emergency care, but knock-on consequences have resulted in major delays to the delivery of elective care, including surgery. COVID-19 has accelerated novel pathways for delivering clinical services, many of which have an increased reliance on technology. COVID-19 has impacted care for patients with both hypoparathyroidism and hyperparathyroidism. The role of vitamin D in the prevention of severe COVID-19 infection has also been widely debated. Severe hypocalcemia can be precipitated by infection in patients with hypoparathyroidism. With this in mind, compliance with medical management, including calcium and vitamin D supplementation, is crucial. Technology in the form of text message reminders and smartphone apps may have a key role in ensuring this. Furthermore, clinicians should ensure that patients are educated on the symptoms of hypocalcemia and the steps needing to be taken should these symptoms be experienced. Patients with primary hyperparathyroidism (PHPT) should be educated on the symptoms of hypercalcemia, as well as the importance of remaining adequately hydrated. In addition, patients should be reassured that the postponement of parathyroidectomy is likely to have negligible impact on their condition; for those with symptomatic hypercalcemia, cinacalcet can be considered as an interim measure. |
| Databáze: | OpenAIRE |
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