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新型冠状病毒肺炎(COVID-19)疫情期间癌症护理面临的挑战:癌症患者及癌症护理提供者预防传播的具体预防措施

Cancer Care Delivery Challenges Amidst Coronavirus Disease - 19 (COVID-19) Outbreak: Specific Precautions for Cancer Patients and Cancer Care Providers to Prevent Spread.

作者信息

Shankar Abhishek, Saini Deepak, Roy Shubham, Mosavi Jarrahi Alireza, Chakraborty Abhijit, Bharti Sachidanand Jee, Taghizadeh-Hesary Farzad

机构信息

Department of Radiation Oncology, Lady Hardinge Medical College, Director General Health Services, Ministry of Health and Family Welfare, Government of India, Delhi, India.

Indian Society of Clinical Oncology, Delhi, India.

出版信息

Asian Pac J Cancer Prev. 2020 Mar 1;21(3):569-573. doi: 10.31557/APJCP.2020.21.3.569.

Abstract

Coronavirus outbreak has affected thousands of people in at least 186 countries which has affected the cancer care delivery system apart from affecting the overall health system. Cancer patients are more susceptible to coronavirus infection than individuals without cancer as they are in an immunosuppressive state because of the malignancy and anticancer treatment. Oncologists should be more attentive to detect coronavirus infection early, as any type of advanced cancer is at much higher risk for unfavorable outcomes. Oncology communities must ensure that cancer patients should spend more time at home and less time out in the community. Oncologists and other health care professionals involved in cancer care have a critical opportunity to communicate to their patients to pass on right information regarding practice modifications in view of COVID-19 outbreaks. Countries must isolate, test, treat and trace to control the coronavirus pandemic. There is a paucity of information on novel coronavirus infection and its impact on cancer patients and cancer care providers. To date, there is no scientific guideline regarding management of cancer patients in a background of coronavirus outbreak.
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摘要

冠状病毒疫情已影响到至少186个国家的数千人,这不仅影响了整体卫生系统,还对癌症护理服务体系造成了影响。癌症患者比无癌症者更容易感染冠状病毒,因为他们由于恶性肿瘤和抗癌治疗而处于免疫抑制状态。肿瘤学家应更加留意早期发现冠状病毒感染,因为任何类型的晚期癌症出现不良后果的风险都要高得多。肿瘤学界必须确保癌症患者应更多时间待在家中,减少外出到社区的时间。参与癌症护理的肿瘤学家和其他医护人员有一个关键机会,向他们的患者传达有关鉴于COVID-19疫情而进行的诊疗调整的正确信息。各国必须进行隔离、检测、治疗和追踪,以控制冠状病毒大流行。关于新型冠状病毒感染及其对癌症患者和癌症护理提供者的影响,目前信息匮乏。迄今为止,尚无关于在冠状病毒疫情背景下管理癌症患者的科学指南。

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