Instituto Nacional de Cancerología, Mexico City, Mexico.
Thoracic Oncology Clinic, Clínica del Country, Bogotá, Colombia; Foundation for Clinical and Applied Cancer Research, Bogotá, Colombia.
Crit Rev Oncol Hematol. 2020 Sep;153:103033. doi: 10.1016/j.critrevonc.2020.103033. Epub 2020 Jun 20.
The world currently faces a pandemic due to SARS-CoV-2. Relevant information has emerged regarding the higher risk of poor outcomes in lung cancer patients. As such, lung cancer patients must be prioritized in terms of prevention, detection and treatment. On May 7th, 45 experts in thoracic cancers from 11 different countries were invited to participate. A core panel of experts regarding thoracic oncology care amidst the pandemic gathered virtually, and a total of 60 initial recommendations were drafted based on available evidence, 2 questions were deleted due to conflicting evidence. By May 16th, 44 experts had agreed to participate, and voted on each of the 58 recommendation using a Delphi panel on a live voting event. Consensus was reached regarding the recommendations (>66 % strongly agree/agree) for 56 questions. Strong consensus (>80 % strongly agree/agree) was reached for 44 questions. Patients with lung cancer represent a particularly vulnerable population during this time. Special care must be taken to maintain treatment while avoiding exposure.
目前,由于 SARS-CoV-2,世界正面临着一场大流行。有相关信息表明,肺癌患者的预后不良风险更高。因此,必须优先考虑肺癌患者的预防、检测和治疗。5 月 7 日,来自 11 个不同国家的 45 名胸部癌症专家应邀参加。一个关于大流行期间胸部肿瘤学护理的核心专家组进行了虚拟会议,并根据现有证据起草了总共 60 条初步建议,由于证据相互矛盾,删除了 2 个问题。截至 5 月 16 日,已有 44 名专家同意参与,并在现场投票活动的德尔菲小组中对 58 条建议中的每一条进行了投票。对于 56 个问题,达成了共识(>66%强烈同意/同意)。对于 44 个问题,达成了强烈共识(>80%强烈同意/同意)。在这个时候,肺癌患者是一个特别脆弱的群体。必须特别注意在避免接触的情况下维持治疗。