College of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Department of Health and Human Performance, The Citadel, Charleston, South Carolina, USA.
Head Neck. 2020 Jul;42(7):1664-1667. doi: 10.1002/hed.26235. Epub 2020 May 2.
With the arrival of the coronavirus disease (SARS-CoV-2) in the United States, care practice paradigms have drastically changed. Data from China suggest that the new virus poses additional risks as case fatality of patients with cancer was higher at 5.6% compared to 2.3% of the general population. There are three proposed major strategies to address care for patients with cancer in this SARS-CoV-2 pandemic with postponing treatment for those with stable cancer, increasing personal protection provisions for patients with cancer, and increasing monitoring if a patient becomes infected with SARS-CoV-2. In this present commentary, we discuss the unique mental health challenges and burdens of patients with head and neck cancer in the times of the SARS-CoV-2 pandemic and approaches to mitigate these stressors through telemedicine to reduce future burdens to the patient and the health care system.
随着冠状病毒病(SARS-CoV-2)在美国的出现,护理实践模式发生了巨大变化。来自中国的数据表明,这种新病毒带来了额外的风险,因为癌症患者的病死率为 5.6%,而普通人群为 2.3%。针对 SARS-CoV-2 大流行期间的癌症患者护理,有三种主要策略,包括对稳定期癌症患者推迟治疗、增加癌症患者的个人防护规定,以及在患者感染 SARS-CoV-2 时增加监测。在本评论中,我们讨论了 SARS-CoV-2 大流行时期头颈部癌症患者的独特心理健康挑战和负担,以及通过远程医疗减轻这些压力源的方法,以减少患者和医疗体系的未来负担。