The Spill-Over Impact of the Novel Coronavirus-19 Pandemic on Medical Care and Disease Outcomes in Non-communicable Diseases: A Narrative Review

Public Health Reviews

Shing Fung Lee³  Ian Chi Kei Wong⁴  Ivy Lynn Mak⁵  Esther Yee Tak Yu⁵  Cindy Lo Kuen Lam⁵  Teenie Kwan Tung Wong⁵  Wendy Woo Jung Lee⁵  Mary Sau Man Ip⁸  Wallace Chak Sing Lau⁹  Eric Yuk Fai Wan^1,10  Esther Wai Yin Chan^1,10  Edmond Pui Hang Choi^1,11  Celine Sze Ling Chui^1,11  Kui Kai Lau^1,12 

[1] 0Department of Clinical Oncology, Queen Mary Hospital, Hospital Authority, Hong Kong, Hong Kong SAR, China;1Department of Clinical Oncology, Tuen Mun Hospital, Hospital Authority, Hong Kong, Hong Kong SAR, China;2Department of Radiation Oncology, National University Cancer Institute, Singapore, Singapore;3Research Department of Practice and Policy, School of Pharmacy, University College London, London, United Kingdom;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;Division of Neurology, Department of Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR, China;Division of Respiratory Medicine, Department of Medicine, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong, Hong Kong SAR, China;Division of Rheumatology and Clinical Immunology, Department of Medicine, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong, Hong Kong SAR, China;Laboratory of Data Discovery for Health Limited (D24H), Hong Kong, Hong Kong SAR, China;School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR, China;The State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong, Hong Kong SAR, China;

关键词: health services;    public health;    COVID-19;    non-communicable diseases;    chronic diseases;   

DOI  :  10.3389/phrs.2022.1604121

来源: DOAJ

【 摘 要 】

Objectives: 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.Methods: 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.Results: 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.Conclusion: 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.

【 授权许可】

Unknown