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.
Ann Surg Oncol. 2020 Aug;27(8):2600-2613. doi: 10.1245/s10434-020-08673-6. Epub 2020 Jun 14.
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.
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。
Ann Surg Oncol. 2020-5-29
Nat Rev Clin Oncol. 2020-7
Cancer Rep (Hoboken). 2020-10
Br J Cancer. 2020-5-14
Br J Cancer. 2020-4-17
Indian J Surg Oncol. 2024-9
Cancers (Basel). 2023-4-25
Ann Med Surg (Lond). 2022-9
Curr Breast Cancer Rep. 2021
J Gynecol Obstet Hum Reprod. 2020-9
Oral Oncol. 2020-6
Ann Surg Oncol. 2020-6
Nat Rev Clin Oncol. 2020-6