Division of Medical Oncology, Department of Medicine, University of California San Francisco, San Francisco, California.
University of California San Francisco Helen Diller Family Comprehensive Cancer Center, San Francisco, California.
CA Cancer J Clin. 2021 Jan;71(1):34-46. doi: 10.3322/caac.21644. Epub 2020 Sep 30.
The delivery of cancer care has never changed as rapidly and dramatically as we have seen with the coronavirus disease 2019 (COVID-19) pandemic. During the early phase of the pandemic, recommendations for the management of oncology patients issued by various professional societies and government agencies did not recognize the significant regional differences in the impact of the pandemic. California initially experienced lower than expected numbers of cases, and the health care system did not experience the same degree of the burden that had been the case in other parts of the country. In light of promising trends in COVID-19 infections and mortality in California, by late April 2020, discussions were initiated for a phased recovery of full-scale cancer services. However, by July 2020, a surge of cases was reported across the nation, including in California. In this review, the authors share the response and recovery planning experience of the University of California (UC) Cancer Consortium in an effort to provide guidance to oncology practices. The UC Cancer Consortium was established in 2017 to bring together 5 UC Comprehensive Cancer Centers: UC Davis Comprehensive Cancer Center, UC Los Angeles Jonsson Comprehensive Cancer Center, UC Irvine Chao Family Comprehensive Cancer Center, UC San Diego Moores Cancer Center, and the UC San Francisco Helen Diller Family Comprehensive Cancer Center. The interventions implemented in each of these cancer centers are highlighted, with a focus on opportunities for a redesign in care delivery models. The authors propose that their experiences gained during this pandemic will enhance pre-pandemic cancer care delivery.
癌症护理的提供从未像我们在 2019 年冠状病毒病（COVID-19）大流行期间那样迅速和显著地发生变化。在大流行的早期阶段，各种专业协会和政府机构发布的肿瘤患者管理建议并没有认识到大流行对癌症患者的影响在不同地区存在显著差异。加利福尼亚州最初的病例数低于预期，而且医疗保健系统没有像美国其他地区那样承受同样程度的负担。鉴于加利福尼亚州 COVID-19 感染和死亡率的良好趋势，到 2020 年 4 月下旬，开始讨论分阶段恢复全面癌症服务。然而，到 2020 年 7 月，全国报告了一波病例，包括加利福尼亚州。在这篇综述中，作者分享了加州大学癌症联合会（UC Cancer Consortium）的应对和恢复计划经验，以期为肿瘤学实践提供指导。加州大学癌症联合会成立于 2017 年，旨在汇集 5 个加州大学综合癌症中心：加州大学戴维斯综合癌症中心、加州大学洛杉矶琼森综合癌症中心、加州大学欧文 Chao 家族综合癌症中心、加州大学圣地亚哥摩尔癌症中心和加州大学旧金山海伦迪勒家庭综合癌症中心。强调了这些癌症中心实施的干预措施，并重点关注重新设计护理提供模式的机会。作者提出，他们在这次大流行期间获得的经验将增强大流行前的癌症护理提供。
