ESMO Management and treatment adapted recommendations in the COVID-19 era : Lung cancer
Passaro, Antonio (IRCCS European Institute of Oncology (Milà, Itàlia))
Addeo, Alfredo (Geneva University Hospitals (Suïssa))
Von Garnier, Christophe (Centre Hospitalier Universitaire Vaudois)
Blackhall, Fiona (University of Manchester)
Planchard, David (Gustave Roussy)
Felip, Enriqueta (Vall d'Hebron Institut d'Oncologia)
Dziadziuszko, Rafal (Gdanski Uniwersytet Medyczny)
De Marinis, Filippo (IRCCS European Institute of Oncology (Milà, Itàlia))
Reck, Martin (LungenClinic)
Bouchaab, Hasna (Centre Hospitalier Universitaire Vaudois)
Peters, Solange (Centre Hospitalier Universitaire Vaudois)
Universitat Autònoma de Barcelona

Data:	2020
Resum:	The COVID-19 pandemic, characterised by a fast and global spread during the first months of 2020, has prompted the development of a structured set of recommendations for cancer care management, to maintain the highest possible standards. Within this framework, it is crucial to ensure no disruption to essential oncological services and guarantee the optimal care. This is a structured proposal for the management of lung cancer, comprising three levels of priorities, namely: tier 1 (high priority), tier 2 (medium priority) and tier 3 (low priority)-defined according to the criteria of the Cancer Care Ontario, Huntsman Cancer Institute and Magnitude of Clinical Benefit Scale. The manuscript emphasises the impact of the COVID-19 pandemic on lung cancer care and reconsiders all steps from diagnosis, staging and treatment. These recommendations should, therefore, serve as guidance for prioritising the different aspects of cancer care to mitigate the possible negative impact of the COVID-19 pandemic on the management of our patients. As the situation is rapidly evolving, practical actions are required to guarantee the best patients' treatment while protecting and respecting their rights, safety and well-being. In this environment, cancer practitioners have great responsibilities: provide timely, appropriate, compassionate and justified cancer care, while protecting themselves and their patients from being infected with COVID-19. In case of shortages, resources must be distributed fairly. Consequently, the following recommendations can be applied with significant nuances, depending on the time and location for their use, considering variable constraints imposed to the health systems. An exceptional flexibility is required from cancer caregivers.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	COVID-19 ; SARS-CoV-2
Publicat a:	ESMO open, Vol. 5 (january 2020) , ISSN 2059-7029

DOI: 10.1136/esmoopen-2020-000820
PMID: 32581069

10 p, 367.0 KB

El registre apareix a les col·leccions:
Articles > Articles de recerca
Articles > Articles publicats