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Pituitary society guidance: pituitary disease management and patient care recommendations during the COVID-19 pandemic-an international perspective.

Accepted version
Peer-reviewed

Type

Article

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Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the viral strain that has caused the coronavirus disease 2019 (COVID-19) pandemic, has presented healthcare systems around the world with an unprecedented challenge. In locations with significant rates of viral transmission, social distancing measures and enforced 'lockdowns' are the new 'norm' as governments try to prevent healthcare services from being overwhelmed. However, with these measures have come important challenges for the delivery of existing services for other diseases and conditions. The clinical care of patients with pituitary disorders typically involves a multidisciplinary team, working in concert to deliver timely, often complex, disease investigation and management, including pituitary surgery. COVID-19 has brought about major disruption to such services, limiting access to care and opportunities for testing (both laboratory and radiological), and dramatically reducing the ability to safely undertake transsphenoidal surgery. In the absence of clinical trials to guide management of patients with pituitary disease during the COVID-19 pandemic, herein the Professional Education Committee of the Pituitary Society proposes guidance for continued safe management and care of this population.

Description

Keywords

Acromegaly, COVID-19, Cushing’s disease, Pituitary disease and surgery, Prolactinomas, SARS-CoV-2, Betacoronavirus, COVID-19, Coronavirus Infections, Delivery of Health Care, Integrated, Health Services Accessibility, Health Status, Host-Pathogen Interactions, Humans, Pandemics, Patient Care Team, Pituitary Diseases, Pneumonia, Viral, Prognosis, Risk Factors, SARS-CoV-2

Journal Title

Pituitary

Conference Name

Journal ISSN

1386-341X
1573-7403

Volume Title

23

Publisher

Springer Science and Business Media LLC

Rights

All rights reserved