id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-281175-og3myz22	Tapper, Elliot B.	The COVID-19 pandemic will have a long-lasting impact on the quality of cirrhosis care	2020-04-13		.txt	text/plain	2675	156	43	The coronavirus disease 2019 (COVID-19) pandemic has shattered the meticulously developed processes by which we delivered quality care for patients with cirrhosis. We describe how this impact unfolds over 3 waves; i) an intense period with prioritized high-acuity care with delayed elective procedures and routine care during physical distancing, ii) a challenging 'return to normal' following the end of physical distancing, with increased emergent decompensations, morbidity, and systems of care overwhelmed by the backlog of deferred care, and iii) a protracted period of suboptimal outcomes characterized by missed diagnoses, progressive disease and loss to follow-up. This includes an intensification of the preventative care provided to patients with compensated cirrhosis, proactive chronic disease management, robust telehealth programs, and a reorganization of care delivery to provide a full service of care with flexible clinical staffing. Coordination of care associated with survival and healthcare utilization in a population-based study of patients with cirrhosis	./cache/cord-281175-og3myz22.txt	./txt/cord-281175-og3myz22.txt