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COVID-19 对头颈部癌症护理的伦理框架产生影响。

Ethical framework for head and neck cancer care impacted by COVID-19.

机构信息

Center for Bioethics and Social Sciences in Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA.

Department of Otolaryngology-Head & Neck Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.

出版信息

Head Neck. 2020 Jun;42(6):1214-1217. doi: 10.1002/hed.26193. Epub 2020 Apr 28.

Abstract

The COVID-19 pandemic has upended head and neck cancer care delivery in ways unforeseen and unprecedented. The impact of these changes parallels other fields in oncology, but is disproportionate due to protective measures and limitations on potentially aerosolizing procedures and related interventions specific to the upper aerodigestive tract. The moral and professional dimensions of providing ethically appropriate and consistent care for our patients in the COVID-19 crisis are considered herein for head and neck oncology providers.

摘要

COVID-19 大流行以意想不到和前所未有的方式颠覆了头颈部癌症的治疗方式。这些变化的影响与肿瘤学的其他领域相似,但由于保护措施以及对上呼吸道进行潜在气溶胶化处理和相关干预的限制,这种影响在头颈部肿瘤学领域更为突出。本文考虑了在 COVID-19 危机期间为头颈部肿瘤患者提供合乎道德且一致的护理的道德和专业层面问题。

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本文引用的文献

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Impact of the COVID-19 Pandemic on the Management of Head and Neck Malignancies.COVID-19 大流行对头颈部恶性肿瘤治疗的影响。
Otolaryngol Head Neck Surg. 2020 Jun;162(6):816-817. doi: 10.1177/0194599820921413. Epub 2020 Apr 21.
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Navigating the Ethics of COVID-19 in Otolaryngology.耳鼻喉科 COVID-19 伦理问题探讨。
Otolaryngol Head Neck Surg. 2020 Jun;162(6):811-812. doi: 10.1177/0194599820920850. Epub 2020 Apr 14.
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Cancer Research Ethics and COVID-19.癌症研究伦理与新冠疫情
Oncologist. 2020 Jun;25(6):458-459. doi: 10.1634/theoncologist.2020-0221. Epub 2020 Mar 30.
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Fair Allocation of Scarce Medical Resources in the Time of Covid-19.新冠疫情期间稀缺医疗资源的公平分配
N Engl J Med. 2020 May 21;382(21):2049-2055. doi: 10.1056/NEJMsb2005114. Epub 2020 Mar 23.
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From Containment to Mitigation of COVID-19 in the US.从美国对新冠疫情的遏制到缓解
JAMA. 2020 Apr 21;323(15):1441-1442. doi: 10.1001/jama.2020.3882.

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