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在2019冠状病毒病大流行期间提供癌症护理:美国临床肿瘤学会全球网络研讨会的建议及经验教训

Delivering Cancer Care During the COVID-19 Pandemic: Recommendations and Lessons Learned From ASCO Global Webinars.

作者信息

Jazieh Abdul Rahman, Chan Stephen L, Curigliano Giuseppe, Dickson Natalie, Eaton Vanessa, Garcia-Foncillas Jesus, Gilmore Terry, Horn Leora, Kerr David J, Lee Jeeyun, Mathias Clarissa, Nogueira-Rodrigues Angélica, Pierce Lori, Rogado Alvaro, Schilsky Richard L, Soria Jean-Charles, Warner Jeremy L, Yoshida Kazuhiro

机构信息

King Saud bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.

State Key Laboratory of Translational Oncology, Department of Clinical Oncology, The Chinese University of Hong Kong, Hong Kong.

出版信息

JCO Glob Oncol. 2020 Sep;6:1461-1471. doi: 10.1200/GO.20.00423.

Abstract

PURPOSE

In response to the COVID-19 pandemic, the ASCO launched a Global Webinar Series to address various aspects of cancer care during the pandemic. Here we present the lessons learned and recommendations that have emerged from these webinars.

METHODS

Fifteen international health care experts from different global regions and oncology disciplines participated in one of the six 1-hour webinars to discuss the latest data, share their experiences, and provide recommendations to manage cancer care during the COVID-19 pandemic. These sessions include didactic presentations followed by a moderated discussion and questions from the audience. All recommendations have been transcribed, categorized, and reviewed by the experts, who have also approved the consensus recommendations.

RESULTS

The summary recommendations are divided into different categories, including risk minimization; care prioritization of patients; health care team management; virtual care; management of patients with cancer undergoing surgical, radiation, and systemic therapy; clinical research; and recovery plans. The recommendations emphasize the protection of patients and health care teams from infections, delivery of timely and appropriate care, reduction of harm from the interruption of care, and preparation to handle a surge of new COVID-19 cases, complications, or comorbidities thereof.

CONCLUSION

The recommendations from the ASCO Global Webinar Series may guide practicing oncologists to manage their patients during the ongoing pandemic and help organizations recover from the crisis. Implementation of these recommendations may improve understanding of how COVID-19 has affected cancer care and increase readiness to manage the current and any future outbreaks effectively.

摘要

目的

为应对新冠疫情,美国临床肿瘤学会(ASCO)推出了全球网络研讨会系列,以探讨疫情期间癌症护理的各个方面。在此,我们介绍从这些网络研讨会中汲取的经验教训和提出的建议。

方法

来自全球不同地区和肿瘤学科的15名国际医疗保健专家参加了六场1小时网络研讨会中的一场,讨论最新数据、分享经验,并就新冠疫情期间管理癌症护理提供建议。这些环节包括授课式演讲,随后是有主持人的讨论和观众提问。所有建议均已转录、分类并经专家审核,专家们也批准了共识性建议。

结果

总结建议分为不同类别,包括风险最小化;患者护理优先级;医疗团队管理;虚拟护理;接受手术、放疗和全身治疗的癌症患者管理;临床研究;以及恢复计划。这些建议强调保护患者和医疗团队免受感染、提供及时适当的护理、减少护理中断造成的伤害,以及做好应对新冠新病例、并发症或合并症激增的准备。

结论

ASCO全球网络研讨会系列提出的建议可能会指导执业肿瘤学家在当前疫情期间管理患者,并帮助各机构从危机中恢复。实施这些建议可能会增进对新冠疫情如何影响癌症护理的理解,并提高有效应对当前及未来任何疫情爆发的准备程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8964/7529523/c815313fc042/GO.20.00423f1.jpg

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