ENDOCRINOLOGY IN THE TIME OF COVID-19: Management of thyroid nodules and cancer

Vrachimis, Alexis; Iakovou, Ioannis; Giannoula, Evanthia; Giovanella, Luca

doi:10.1530/eje-20-0269

Cited by 48 publications

(77 citation statements)

References 24 publications

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“…According to clinical practice guidance proposed by Vrachimis et al [ 7 ], in order to avoid the detrimental impact of interruption or postponement of diagnostic and/or therapeutic procedures, we set up a TMS by converting all in-ward access visits scheduled within March 11, 2020, and May 31, 2020, in teleconsultation appointments. Telemedicine, defined as the provision of medical care remotely by audio-visual technology is not a novel concept [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

“…Hence, in order to maintain the medical assistance of this patient’s category, a telemedicine service (TMS) by converting scheduled office visits to teleconsultations has been set up in medical units all over the world [ 6 ]. These visits can be conducted on distance, limiting both travel and exposure and permitting uninterrupted care of patients, and were proposed for the management of thyroid cancer in nuclear medicine departments [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Management of differentiated thyroid cancer through nuclear medicine facilities during Covid-19 emergency: the telemedicine challenge

Klain

Nappi

Maurea

et al. 2020

Eur J Nucl Med Mol Imaging

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Purpose To investigate whether a telemedicine service (TMS) carried out during the Covid-19 pandemic impacted on management of patients with differentiated thyroid cancer (DTC). Methods We retrospectively reviewed the number and the findings of outpatient visits in DTC subjects referred between March 11, 2020, and May 31, 2020, during the Covid-19 pandemic at the Radiometabolic Unit of the University of Naples Federico II. Office visits scheduled in March and May 2020 were converted in teleconsultation reaching all patients planned for an in-ward access to advise them to use the TMS for all clinical necessity. The number and the findings of DTC patients evaluated by in-ward access in the corresponding period of 2019 were also assessed for direct comparison. Results The number of outpatient visits performed by TMS during the pandemic (n = 445) and by in-ward access in the corresponding period of 2019 (n = 525) was comparable with only 15% of outpatient evaluations missed. Conclusions Our findings demonstrate the utility of telemedicine tools to avoid the potential negative impact of interruption or postponement of diagnostic and/or therapeutic procedures. Therefore, investments in medical network system development, including the implementation of telehealth approaches, should be encouraged at national and international levels.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Management of differentiated thyroid cancer through nuclear medicine facilities during Covid-19 emergency: the telemedicine challenge

Klain

Nappi

Maurea

et al. 2020

Eur J Nucl Med Mol Imaging

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“…-Se recomienda posponer la biopsia de la mayoría de los nódulos tiroideos asintomáticos, con el consentimiento del paciente 28 .…”

Section: Recomendación 8 En La Realización De Biopsia Por Nódulo Tirunclassified

“…La mayoría de los carcinomas tiroideos son diferenciados (papilar y folicular), los cuales no se han asociado con mayor riesgo de desarrollar un curso de COVID-19 severo, pero debe tenerse en cuenta que los pacientes oncológicos en general sufren un riesgo 3.5 veces mayor de ventilación mecánica, de ingreso a unidades de cuidados intensivos o de muerte en comparación con los pacientes sin cáncer 28,32 .…”

Section: Cáncer Diferenciado De Tiroidesunclassified

Recomendaciones para el manejo del paciente con enfermedad tiroidea en el escenario de contingencia por COVID-19

Álvarez-Castillo¹,

Faradji-Hazán²,

García-González³

et al. 2021

RME

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“…During the pandemic, the evaluation of thyroid nodules and elective surgery or radioiodine ablation can be deferred if there are no worrisome signs (rapid increase in size, large nodule, compressive symptoms such as hoarseness of voice, difficulty in breathing or swallowing). 41 Since most thyroid cancers are well-differentiated, surgery and radioiodine ablation can be postponed in these cases while keeping a close vigil.…”

Section: Thyroid Disordersmentioning

confidence: 99%

Endocrinology and Covid-19: A Multifaceted Interaction

Priya

Grewal

Maisnam

2020

Indian Journal of Cardiovascular Disease in Women WINCARS

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Women with diabetes, obesity and other endocrine or metabolic disorders form a distinct vulnerable group, who are at increased risk during the COVID-19 pandemic, either due to increased risk of severe infection or due to challenges in healthcare delivery during the pandemic.Diabetes is a major risk factor for increased morbidity and mortality from COVID-19. Optimal cardiometabolic control and preventive measures to reduce risk of infection are needed in people afflicted with diabetes. Women with diabetes are at greater risk as they have limited access to diabetes care facilities even outside the time frame of a pandemic and this gender gap in care is likely to widen during the pandemic. Moreover, the care of pregnant women with pre-existing diabetes or gestational diabetes mellitus (GDM) also cannot be compromised. While alternate screening strategies for GDM such as the use of fasting plasma glucose and glycosylated hemoglobin are being considered, telemedicine services can offer a platform for remote monitoring and delivery of optimal diabetes care to pregnant women.Telemedicine services can also be used for delivery of long-term care for other endocrine disorders. Elective surgery or evaluation of endocrine disorders that are not immediately life-threatening can be deferred till appropriate safety precautions can be taken. At the same time, there is a need ensure that care of endocrinopathies such as diabetes, obesity, thyroid disorders and osteoporosis, all of which affect women more severely, is not compromised during the pandemic.Many endocrine organs, including pancreas, thyroid, testis, ovary, adrenals and pituitary, express the angiotensin-converting enzyme 2 (ACE2) that is the receptor for SARS-CoV-2 virus. Since ACE2 expression is different in men and women, there is a need to evaluate the impact of the virus on endocrine system and assess whether this is gender-specific.

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ENDOCRINOLOGY IN THE TIME OF COVID-19: Management of thyroid nodules and cancer

Cited by 48 publications

References 24 publications

Management of differentiated thyroid cancer through nuclear medicine facilities during Covid-19 emergency: the telemedicine challenge

Management of differentiated thyroid cancer through nuclear medicine facilities during Covid-19 emergency: the telemedicine challenge

Recomendaciones para el manejo del paciente con enfermedad tiroidea en el escenario de contingencia por COVID-19

Endocrinology and Covid-19: A Multifaceted Interaction

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