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头颈部肿瘤患者在 SARS-CoV-2 大流行时期的生存管理。

Head and neck survivorship care in the times of the SARS-CoV-2 pandemic.

机构信息

College of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.

Department of Health and Human Performance, The Citadel, Charleston, South Carolina, USA.

出版信息

Head Neck. 2020 Jul;42(7):1664-1667. doi: 10.1002/hed.26235. Epub 2020 May 2.

DOI:10.1002/hed.26235
PMID:32358880
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7267631/
Abstract

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.

摘要

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。

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本文引用的文献

1
Mental Health and the Covid-19 Pandemic.心理健康与新冠疫情
N Engl J Med. 2020 Aug 6;383(6):510-512. doi: 10.1056/NEJMp2008017. Epub 2020 Apr 13.
2
Safety Recommendations for Evaluation and Surgery of the Head and Neck During the COVID-19 Pandemic.COVID-19 大流行期间头颈部评估和手术的安全建议。
JAMA Otolaryngol Head Neck Surg. 2020 Jun 1;146(6):579-584. doi: 10.1001/jamaoto.2020.0780.
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Clinical characteristics of COVID-19-infected cancer patients: a retrospective case study in three hospitals within Wuhan, China.COVID-19 感染癌症患者的临床特征:中国武汉三家医院的回顾性病例研究。
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Managing Cancer Care During the COVID-19 Pandemic: Agility and Collaboration Toward a Common Goal.在2019冠状病毒病大流行期间管理癌症护理:为实现共同目标而灵活应变与协作。
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Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention.中国2019年冠状病毒病(COVID-19)疫情的特征及重要经验教训:来自中国疾病预防控制中心72314例病例报告的总结
JAMA. 2020 Apr 7;323(13):1239-1242. doi: 10.1001/jama.2020.2648.
8
Online mental health services in China during the COVID-19 outbreak.新冠疫情期间中国的在线心理健康服务。
Lancet Psychiatry. 2020 Apr;7(4):e17-e18. doi: 10.1016/S2215-0366(20)30077-8. Epub 2020 Feb 19.
9
Cancer patients in SARS-CoV-2 infection: a nationwide analysis in China.新型冠状病毒肺炎(SARS-CoV-2)感染的癌症患者:一项中国全国性分析。
Lancet Oncol. 2020 Mar;21(3):335-337. doi: 10.1016/S1470-2045(20)30096-6. Epub 2020 Feb 14.
10
Advancing interdisciplinary research in head and neck cancer through a multicenter longitudinal prospective cohort study: the NETherlands QUality of life and BIomedical Cohort (NET-QUBIC) data warehouse and biobank.通过一项多中心纵向前瞻性队列研究推进头颈部癌症的跨学科研究:荷兰生活质量和生物医学队列(NET-QUBIC)数据仓库和生物库。
BMC Cancer. 2019 Aug 5;19(1):765. doi: 10.1186/s12885-019-5866-z.