Children's Cancer Centre, Royal Children's Hospital and Department of Paediatrics, Faculty of Medicine Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia.
Division of Haematology/Oncology, Hospital for Sick Children, Toronto, Ontario, Canada.
Pediatr Blood Cancer. 2020 Jul;67(7):e28409. doi: 10.1002/pbc.28409. Epub 2020 May 13.
The COVID-19 pandemic is one of the most serious global challenges to delivering affordable and equitable treatment to children with cancer we have witnessed in the last few decades. This Special Report aims to summarize general principles for continuing multidisciplinary care during the SARS-CoV-2 (COVID-19) pandemic. With contributions from the leadership of the International Society for Pediatric Oncology (SIOP), Children's Oncology Group (COG), St Jude Global program, and Childhood Cancer International, we have sought to provide a framework for healthcare teams caring for children with cancer during the pandemic. We anticipate the burden will fall particularly heavily on children, their families, and cancer services in low- and middle-income countries. Therefore, we have brought together the relevant clinical leads from SIOP Europe, COG, and SIOP-PODC (Pediatric Oncology in Developing Countries) to focus on the six most curable cancers that are part of the WHO Global Initiative in Childhood Cancer. We provide some practical advice for adapting diagnostic and treatment protocols for children with cancer during the pandemic, the measures taken to contain it (e.g., extreme social distancing), and how to prepare for the anticipated recovery period.
COVID-19 大流行是过去几十年中我们所见证的向儿童癌症患者提供负担得起且公平的治疗的最严重的全球性挑战之一。本特别报告旨在总结在 SARS-CoV-2（COVID-19）大流行期间继续进行多学科治疗的一般原则。本报告由国际儿童肿瘤学会（SIOP）、儿童肿瘤协作组（COG）、圣裘德全球项目和国际儿童癌症协会的领导层提供意见，旨在为大流行期间照顾癌症儿童的医疗保健团队提供一个框架。我们预计，负担将特别沉重地落在儿童、他们的家庭以及中低收入国家的癌症服务上。因此，我们召集了 SIOP 欧洲、COG 和 SIOP-PODC（发展中国家儿科肿瘤学）的相关临床负责人，重点关注世卫组织儿童癌症全球倡议中包含的六种最可治愈的癌症。我们为在大流行期间为癌症儿童调整诊断和治疗方案、为遏制大流行而采取的措施（例如，极端社会隔离）以及如何为预期的恢复期做准备提供了一些实用建议。
