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COVID-19 时代的癌症患者:临床试验问题。

Patients with cancer in the COVID-19 era: the clinical trial issue.

作者信息

Scarcia Marcello, Ludovico Giuseppe Mario, Fortunato Angela, Fiorentino Alba

机构信息

Urology Department, General Regional Hospital F. Miulli, Acquaviva delle fonti (BA), Italy.

Radiation Oncology Department, General Regional Hospital F. Miulli, Acquaviva delle fonti (BA), Italy.

出版信息

Tumori. 2020 Aug;106(4):271-272. doi: 10.1177/0300891620933672. Epub 2020 Jun 8.

Abstract

Coronavirus disease 2019 (COVID-19) hospital reorganization may result in reduced ability for the hospital to fully use its armamentarium for battling cancer. Thus different therapeutic modalities have been recommended. During the pandemic, despite regulatory agencies' recommendations, several considerations and doubts remain for oncologic clinical trials. Considering patients who had been enrolled before the pandemic, and who plan to take the study medication, the situation becomes complicated. These patients should undergo monitoring visits, blood sampling, questionnaire, physical examination, and drug and radiation administration. To avoid deviations from the protocol and trial discontinuation, follow-up should be performed regularly, in concordance with safety guidelines. Here we report several considerations.

摘要

2019年冠状病毒病(COVID-19)导致医院结构调整,可能会降低医院充分利用其抗癌资源的能力。因此,人们推荐了不同的治疗方式。在疫情期间,尽管有监管机构的建议,但肿瘤学临床试验仍存在一些需要考虑及存疑之处。对于在疫情之前已入组且计划服用研究药物的患者,情况变得复杂起来。这些患者需要接受监测访视、血液采样、问卷调查、体格检查以及药物和放疗。为避免偏离方案及试验中断,应按照安全指南定期进行随访。在此,我们报告几点需要考虑的事项。

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