Crohn’s and Colitis Canada’s 2021 Impact of COVID-19 and Inflammatory Bowel Disease in Canada: Executive Summary

Author:

Ellen Kuenzig M12ORCID,Windsor Joseph W3ORCID,Barrett Lisa4,Bernstein Charles N56ORCID,Bitton Alain7,Carroll Matthew W8,Chauhan Usha9ORCID,Coward Stephanie310ORCID,Fowler Sharyle11,Ghia Jean-Eric12,Geist Rose13,Gibson Deanna L14,Graff Lesley A615,Griffiths Anne M121617,Guoxian Huang James1,Jones Jennifer L4,Khanna Reena18,Lakatos Peter L719ORCID,Lee Kate20,Mack David R21,Marshall John K9,Mukhtar Mariam S22,Murthy Sanjay K23,Nguyen Geoffrey C24ORCID,Panaccione Remo25,Seow Cynthia H310ORCID,Singh Harminder56ORCID,Tandon Parul26ORCID,Targownik Laura E26,Zelinsky Sandra3,Benchimol Eric I121617ORCID,Kaplan Gilaad G310ORCID

Affiliation:

1. SickKids Inflammatory Bowel Disease Centre, Division of Gastroenterology, Hepatology and Nutrition, The Hospital for Sick Children, Toronto, Ontario, Canada

2. Child Health Evaluative Sciences, SickKids Research Institute, Toronto, Ontario, Canada

3. Department of Medicine, University of Calgary, Calgary, Alberta, Canada

4. Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada

5. Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada

6. University of Manitoba IBD Clinical and Research Centre, Winnipeg, Manitoba, Canada

7. Department of Medicine, McGill University Health Centre, McGill University, Montreal, Quebec, Canada

8. Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada

9. Hamilton Health Science, Department of Medicine and Farncombe Family Digestive Health Research Institute, McMaster University, Hamilton, Ontario, Canada

10. Departments of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada

11. Department of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada

12. Department of Immunology and Internal Medicine section of Gastroenterology, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba and University of Manitoba Inflammatory Bowel Disease Clinical and Research Centre, Winnipeg, Manitoba, Canada

13. Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada

14. Department of Biology, Faculty of Science; Department of Medicine, Faculty of Medicine, The University of British Columbia, Okanagan campus, Kelowna, British Columbia, Canada

15. Department of Clinical Health Psychology, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada

16. ICES, Toronto, Ontario, Canada

17. Department of Paediatrics and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada

18. London Health Sciences Centre-University Campus, Western University, London, Ontario, Canada

19. 1st Department of Medicine, Semmelweis University, Budapest, Hungary

20. Crohn’s and Colitis Canada, Toronto, Ontario, Canada

21. CHEO Inflammatory Bowel Disease Centre and Department of Pediatrics, University of Ottawa, Ottawa, Ontario, Canada

22. Department of Internal Medicine, King Abdulaziz University Hospital, Jeddah, Saudi Arabia

23. The Ottawa Hospital IBD Centre, Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada

24. Mount Sinai Hospital Inflammatory Bowel Disease Centre, University of Toronto, Toronto, Ontario, Canada

25. Division of Gastroenterology and Hepatology, Department of Medicine, University of Calgary, Calgary, Alberta, Canada

26. Division of Gastroenterology and Hepatology, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada

Abstract

Abstract Persons with inflammatory bowel disease (IBD) make up more than 0.75% of the Canadian population in 2021. Early in the COVID-19 pandemic, individuals with IBD, particularly those on immunosuppressive therapies, were concerned that their health status may place them at higher risk of contracting COVID-19 or experiencing more severe disease course if infected with SARS-CoV-2. In response, Crohn’s and Colitis Canada developed the COVID-19 and IBD Taskforce in March 2020 to rapidly synthesize the evolving knowledge of COVID-19 as relevant to Canadians with IBD. The Taskforce communicated expert information directly to the Canadian IBD community through online tools and a webinar series. In order to understand the full impact of COVID-19 on the IBD community, Crohn’s and Colitis Canada commissioned a policy report that was informed through a systematic literature review and synthesized across working groups along the following domains: Epidemiology, Children and Expectant Mothers with IBD, Seniors with IBD, Mental Health, Risk Factors and Medications, Vaccines, and Healthcare Delivery during the Pandemic and the Future Model of IBD Care. This report from Canadian physicians, researchers, and IBD community representatives highlights the physical, mental, and health systems impact of COVID-19 on the entire spectrum of the IBD community, including children, adolescents, adults, seniors, and pregnant people with IBD. This executive summary provides an overview of the crucial information from each of the chapters of the policy report, supplemented with additional information made available through Crohn’s and Colitis Canada’s webinar-based knowledge translation platform.

Funder

Crohn's and Colitis Canada

Canadian Institutes of Health Research

Pfizer

AbbVie Corporation

Takeda Canada Inc.

Publisher

Oxford University Press (OUP)

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