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Recommendations for the Management of Patients With Systemic Rheumatic Diseases During the Coronavirus Disease Pandemic

Journal of Rheumatic Diseases 2020년 27권 4호 p.218 ~ 232
서미령, 김지원, 박은정, 정승민, 성윤경, 김형진, 김건우, 김현숙, 이명수, 이지수, 허지안, 진범식, 엄중식, 백한주,
소속 상세정보
서미령 ( Seo Mi-Ryoung ) - Gachon University College of Medicine Gil Medical Center Department of Internal Medicine
김지원 ( Kim Ji-Won ) - Catholic University of Daegu School of Medicine Department of Internal Medicine
박은정 ( Park Eun-Jung ) - National Medical Center Department of Internal Medicine
정승민 ( Jung Seung-Min ) - Catholic University College of Medicine Department of Internal Medicine
성윤경 ( Sung Yoon-Kyoung ) - Hanyang University Hospital for Rheumatic Diseases Department of Rheumatology
김형진 ( Kim Hyung-Jin ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Medical Humanities
김건우 ( Kim Gun-Woo ) - Daegu Fatima Hospital Department of Internal Medicine
김현숙 ( Kim Hyun-Sook ) - Soonchunhyang University Seoul Hospital Department of Internal Medicine
이명수 ( Lee Myeung-Su ) - Wonkwang University Hospital Department of Internal Medicine Division of Rheumatology
이지수 ( Lee Ji-Soo ) - Ewha Womans University School of Medicine Department of Internal Medicine
허지안 ( Hur Ji-An ) - Yeungnam University Medical Center Department of Internal Medicine
진범식 ( Chin Bum-Sik ) - National Medical Center Department of Internal Medicine
엄중식 ( Eom Joong-Sik ) - Gachon University College of Medicine Gil Medical Center Department of Internal Medicine
백한주 ( Baek Han-Joo ) - Gachon University College of Medicine Gil Medical Center Department of Internal Medicine

Abstract


Patients with systemic rheumatic diseases (SRD) are vulnerable for coronavirus disease (COVID-19). The Korean College of Rheumatology recognized the urgent need to develop recommendations for rheumatologists and other physicians to manage patients with SRD during the COVID-19 pandemic. The working group was organized and was responsible for selecting key health questions, searching and reviewing the available literature, and formulating statements. The appropriateness of the statements was evaluated by voting panels using the modified Delphi method. Four general principles and thirteen individual recommendations were finalized through expert consensus based on the available evidence. The recommendations included preventive measures against COVID-19, medicinal treatment for stable or active SRD patients without COVID-19, medicinal treatment for SRD patients with COVID-19, and patient evaluation and monitoring. Medicinal treatments were categorized according to the status with respect to both COVID-19 and SRD. These recommendations should serve as a reference for individualized treatment for patients with SRD. As new evidence is emerging, an immediate update will be required.

키워드

Coronavirus; SARS-CoV-2; Rheumatic diseases; Recommendations; Treatment

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