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新型冠状病毒肺炎:对肿瘤护理的影响

COVID-19: The Impact in Oncology Care.

作者信息

Ray Upasana, Aziz Faisal, Shankar Abhishek, Biswas Aalekhya Sharma, Chakraborty Abhijit

机构信息

Mayo Clinic, Rochester, MN USA.

The Hormel Institute, University of Minnesota, Austin, MN USA.

出版信息

SN Compr Clin Med. 2020;2(12):2621-2630. doi: 10.1007/s42399-020-00592-7. Epub 2020 Oct 23.

Abstract

The COVID-19 pandemic has imposed a critical challenge to the current oncology care and practices including late diagnoses, delayed anti-cancer treatment, and static clinical trials. With the increasing risk of cancer patients acquiring infection during receiving the essential care, the debate ensues on how to balance the risk factors and benefits out of the oncologic emergencies in cancer patients. In this review article, we have focused on the current global re-organization of the integrity and effectiveness of the treatment modalities depending on the patient and cancer-specific urgencies while minimizing exposure to the infection. In this review, we addressed how the worldwide oncology community is united to share therapy schemes and the best possible guidelines to help cancer patients, and to strategize and execute therapy/trial protocols. This review provides collective knowledge on the current re-structuring of the general framework that prioritizes cancer care with the available exploitation of the reduced resources and most importantly the unparalleled levels of companionship as a large health care community towards the need to offer the best possible care to the patients.

摘要

新冠疫情给当前肿瘤护理及实践带来了严峻挑战,包括诊断延迟、抗癌治疗延误以及临床试验停滞。鉴于癌症患者在接受必要护理期间感染风险不断增加,关于如何平衡癌症患者肿瘤急症中的风险因素与益处的争论随之而来。在这篇综述文章中,我们聚焦于当前全球范围内根据患者及癌症特异性紧急情况对治疗模式的完整性和有效性进行的重新组织,同时尽量减少感染暴露。在本综述中,我们探讨了全球肿瘤学界如何联合起来共享治疗方案及最佳可行指南,以帮助癌症患者,并制定和执行治疗/试验方案。本综述提供了关于当前总体框架重组的综合知识,该框架利用有限资源优先开展癌症护理,最重要的是,作为一个庞大的医疗保健群体,以无与伦比的陪伴水平满足为患者提供最佳护理的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26df/7584308/32c22d41e55d/42399_2020_592_Fig1_HTML.jpg

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