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外科肿瘤学家与 COVID-19 大流行:在动荡和变革中有效地为癌症患者提供指导。

Surgical Oncologists and the COVID-19 Pandemic: Guiding Cancer Patients Effectively through Turbulence and Change.

机构信息

Department of Surgery, Duke University and Duke Cancer Institute, Durham, NC, USA.

Division of Surgical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, USA.

出版信息

Ann Surg Oncol. 2020 Aug;27(8):2600-2613. doi: 10.1245/s10434-020-08673-6. Epub 2020 Jun 14.


DOI:10.1245/s10434-020-08673-6
PMID:32535870
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7293588/
Abstract

BACKGROUND: The COVID-19 pandemic has posed extraordinary demands from patients, providers, and health care systems. Despite this, surgical oncologists must maintain focus on providing high-quality, empathetic care for the almost 2 million patients nationally who will be diagnosed with operable cancer this year. The focus of hospitals is transitioning from initial COVID-19 preparedness activities to a more sustained approach to cancer care. METHODS: Editorial Board members provided observations of the implications of the pandemic on providing care to surgical oncology patients. RESULTS: Strategies are presented that have allowed institutions to successfully prepare for cancer care during COVID-19, as well as other strategies that will help hospitals and surgical oncologists manage anticipated challenges in the near term. Perspectives are provided on: (1) maintaining a safe environment for surgical oncology care; (2) redirecting the multidisciplinary model to guide surgical decisions; (3) harnessing telemedicine to accommodate requisite physical distancing; (4) understanding interactions between SARS CoV-2 and cancer therapy; (5) considering the ethical impact of professional guidelines for surgery prioritization; and (6) advocating for our patients who require oncologic surgery in the midst of the COVID-19 pandemic. CONCLUSIONS: Until an effective vaccine becomes available for widespread use, it is imperative that surgical oncologists remain focused on providing optimal care for our cancer patients while managing the demands that the COVID-19 pandemic will continue to impose on all of us.

摘要

背景:COVID-19 大流行给患者、医疗服务提供者和医疗保健系统带来了巨大的挑战。尽管如此,外科肿瘤学家仍必须专注于为全国近 200 万名今年将被诊断为可手术癌症的患者提供高质量、富有同理心的护理。医院的重点正从最初的 COVID-19 准备活动向更持续的癌症护理方法转变。

方法:编委会成员就大流行对为外科肿瘤患者提供护理的影响提出了意见。

结果:提出了一些策略,使各机构能够成功地为 COVID-19 期间的癌症护理做好准备,还提出了其他一些策略,以帮助医院和外科肿瘤学家应对近期的预期挑战。本文从以下几个方面提供了观点:(1)为外科肿瘤护理保持安全的环境;(2)重新引导多学科模式以指导外科决策;(3)利用远程医疗适应必要的物理距离;(4)了解 SARS CoV-2 与癌症治疗之间的相互作用;(5)考虑手术优先级专业指南的伦理影响;(6)倡导我们的患者,他们需要在 COVID-19 大流行期间接受肿瘤手术。

结论:在广泛使用有效的疫苗之前,外科肿瘤学家必须专注于为我们的癌症患者提供最佳护理,同时应对 COVID-19 大流行继续给我们所有人带来的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d83d/7293588/563f046405a6/10434_2020_8673_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d83d/7293588/59ae8dfcb402/10434_2020_8673_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d83d/7293588/563f046405a6/10434_2020_8673_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d83d/7293588/59ae8dfcb402/10434_2020_8673_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d83d/7293588/563f046405a6/10434_2020_8673_Fig2_HTML.jpg

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Ethical Considerations and Equipoise in Cancer Surgery.

Indian J Surg Oncol. 2024-9

[2]
Impact of the Covid-19 pandemic on the management of gynecologic cancer: a Spanish survey. Observational, multicenter study.

BMC Womens Health. 2023-9-14

[3]
A Hybrid Algorithm of ML and XAI to Prevent Breast Cancer: A Strategy to Support Decision Making.

Cancers (Basel). 2023-4-25

[4]
Elective surgeries during and after the COVID-19 pandemic: Case burden and physician shortage concerns.

Ann Med Surg (Lond). 2022-9

[5]
Impact of COVID-19 Disease in Early Breast Cancer Management: A Summary of the Current Evidence.

JCO Glob Oncol. 2022-5

[6]
Organisation of cancer care in troubling times: A scoping review of expert guidelines and their implementation during the COVID-19 pandemic.

Crit Rev Oncol Hematol. 2022-5

[7]
Quantitative assessment of the impact of COVID-19 pandemic on pancreatic surgery: an Italian multicenter analysis of 1423 cases from 10 tertiary referral centers.

Updates Surg. 2022-2

[8]
The Role of Telemedicine in Surgical Specialties During the COVID-19 Pandemic: A Scoping Review.

World J Surg. 2022-1

[9]
The Impact of COVID-19 on Breast Surgery Fellowships.

Curr Breast Cancer Rep. 2021

[10]
Impact of preoperative COVID infection on the outcomes of planned curative-intent cancer surgeries in the second wave of the pandemic from a tertiary care center in India.

J Surg Oncol. 2022-2

本文引用的文献

[1]
Onco-gynecologic surgery in the COVID-19 era: Risks and precautions-A position paper from FRANCOGYN, SCGP, SFCO, and SFOG.

J Gynecol Obstet Hum Reprod. 2020-9

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Enrichment of kinase fusions in ESR1 wild-type, metastatic breast cancer revealed by a systematic analysis of 4854 patients.

Ann Oncol. 2020-8

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Head and neck cancer care in the COVID-19 pandemic: A brief update.

Oral Oncol. 2020-6

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J Clin Oncol. 2020-7-1

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Ann Surg Oncol. 2020-6

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Nat Rev Clin Oncol. 2020-6

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Controversies about COVID-19 and anticancer treatment with immune checkpoint inhibitors.

Immunotherapy. 2020-4

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Asian Pac J Cancer Prev. 2020-3-1

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JAMA Netw Open. 2020-3-2

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