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Erschienen in: International Urogynecology Journal 6/2020

27.04.2020 | COVID-19 | Original Article Zur Zeit gratis

A guide for urogynecologic patient care utilizing telemedicine during the COVID-19 pandemic: review of existing evidence

verfasst von: Cara L. Grimes, Ethan M. Balk, Catrina C. Crisp, Danielle D. Antosh, Miles Murphy, Gabriela E. Halder, Peter C. Jeppson, Emily E. Weber LeBrun, Sonali Raman, Shunaha Kim-Fine, Cheryl Iglesia, Alexis A. Dieter, Ladin Yurteri-Kaplan, Gaelen Adam, Kate V. Meriwether

Erschienen in: International Urogynecology Journal | Ausgabe 6/2020

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Abstract

Introduction and hypothesis

The COVID-19 pandemic and the desire to “flatten the curve” of transmission have significantly affected the way providers care for patients. Female Pelvic Medicine and Reconstructive Surgeons (FPMRS) must provide high quality of care through remote access such as telemedicine. No clear guidelines exist on the use of telemedicine in FPMRS. Using expedited literature review methodology, we provide guidance regarding management of common outpatient urogynecology scenarios during the pandemic.

Methods

We grouped FPMRS conditions into those in which virtual management differs from direct in-person visits and conditions in which treatment would emphasize behavioral and conservative counseling but not deviate from current management paradigms. We conducted expedited literature review on four topics (telemedicine in FPMRS, pessary management, urinary tract infections, urinary retention) and addressed four other topics (urinary incontinence, prolapse, fecal incontinence, defecatory dysfunction) based on existing systematic reviews and guidelines. We further compiled expert consensus regarding management of FPMRS patients in the virtual setting, scenarios when in-person visits are necessary, symptoms that should alert providers, and specific considerations for FPMRS patients with suspected or confirmed COVID-19.

Results

Behavioral, medical, and conservative management will be valuable as first-line virtual treatments. Certain situations will require different treatments in the virtual setting while others will require an in-person visit despite the risks of COVID-19 transmission.

Conclusions

We have presented guidance for treating FPMRS conditions via telemedicine based on rapid literature review and expert consensus and presented it in a format that can be actively referenced.
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Metadaten
Titel
A guide for urogynecologic patient care utilizing telemedicine during the COVID-19 pandemic: review of existing evidence
verfasst von
Cara L. Grimes
Ethan M. Balk
Catrina C. Crisp
Danielle D. Antosh
Miles Murphy
Gabriela E. Halder
Peter C. Jeppson
Emily E. Weber LeBrun
Sonali Raman
Shunaha Kim-Fine
Cheryl Iglesia
Alexis A. Dieter
Ladin Yurteri-Kaplan
Gaelen Adam
Kate V. Meriwether
Publikationsdatum
27.04.2020
Verlag
Springer International Publishing
Schlagwort
COVID-19
Erschienen in
International Urogynecology Journal / Ausgabe 6/2020
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-020-04314-4

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