Real-World Impact Of The First Wave Of The COVID-19 Pandemic On The Cystic Fibrosis Community Throughout Europe

BackgroundDuring the outbreak of the COVID-19 pandemic in the Spring of 2020, lockdowns were imposed in an attempt to stop its spreading. This situation was particularly concerning for people living with a chronic condition, such as people with cystic fibrosis (PWCF), who are vulnerable to respiratory infection and need regular clinical follow-ups. MethodsIn April 2020, a Europe-wide survey investigated the impact of the pandemic-related restrictions on the day-to-day life, care and wellbeing of people living with a rare disease. Responses of the CF community are presented with a focus on the differential impact between Eastern European countries (EEC) and Western European countries (WEC). ResultsAccess to hospitals and professional care was greatly reduced, and more than 60% of respondents felt isolated, depressed or helpless. This fed the perception that this crisis was detrimental to health and 92% of respondents to consider COVID-19 as high threat to PWCF. Although mortality rate was limited in EEC during this first wave, shortages and cancellations were reported twice as often compared to WEC, and EEC respondents were more fearful to visit the hospital. Incidentally, the survey revealed a large employment gap between EEC and WEC, generating financial insecurity in EEC and higher apprehension. ConclusionsThis peril had a major impact on psychosocial wellbeing and highlighted the fact that PWCF relied on the community support. On the other hand, it triggered the integration of telemedicine into routine CF care. European umbrella organisations must aim to coordinate efforts and harmonise access to care, treatments and support throughout Europe. Declarations of interestnone