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Management of colorectal cancer in the era of COVID-19: Challenges and suggestions

The Coronavirus (COVID-19) pandemic had a huge impact on all sectors around the world. In particular, the healthcare system has been subject to an enormous pressure that has surpassed its ability in many instances. Additionally, the pandemic has called for a review of our daily medical practices, in...

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Autores principales: Alam, Walid, Bouferraa, Youssef, Haibe, Yolla, Mukherji, Deborah, Shamseddine, Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10358474/
https://www.ncbi.nlm.nih.gov/pubmed/33878982
http://dx.doi.org/10.1177/00368504211010626
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author Alam, Walid
Bouferraa, Youssef
Haibe, Yolla
Mukherji, Deborah
Shamseddine, Ali
author_facet Alam, Walid
Bouferraa, Youssef
Haibe, Yolla
Mukherji, Deborah
Shamseddine, Ali
author_sort Alam, Walid
collection PubMed
description The Coronavirus (COVID-19) pandemic had a huge impact on all sectors around the world. In particular, the healthcare system has been subject to an enormous pressure that has surpassed its ability in many instances. Additionally, the pandemic has called for a review of our daily medical practices, including our approach to colorectal cancer management where treatment puts patients at high risk of virus exposure. Given their higher median age, patients are at an increased risk for severe symptoms and complications in cases of infection, especially in the setting of immunosuppression. Therefore, a review of the routine colorectal cancer practices is needed to minimize risk of exposure. Oncologists should weigh risk of exposure versus the patient’s oncologic benefits when approaching management. In addition, treatment protocols should be modified to minimize hospital visits and admissions while maintaining the same treatment efficacy. In this review, we will focus on challenges that colorectal cancer patients face during the pandemic, while highlighting the priority in each case. We will also discuss the evidence for potential modifications to existing treatment plans that could reduce infectious exposure without compromising care. Finally, we will discuss the impact of the socio-economic difficulties faced by Lebanese patients due to a poor economy toppled by an unexpected pandemic.
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spelling pubmed-103584742023-08-09 Management of colorectal cancer in the era of COVID-19: Challenges and suggestions Alam, Walid Bouferraa, Youssef Haibe, Yolla Mukherji, Deborah Shamseddine, Ali Sci Prog Review The Coronavirus (COVID-19) pandemic had a huge impact on all sectors around the world. In particular, the healthcare system has been subject to an enormous pressure that has surpassed its ability in many instances. Additionally, the pandemic has called for a review of our daily medical practices, including our approach to colorectal cancer management where treatment puts patients at high risk of virus exposure. Given their higher median age, patients are at an increased risk for severe symptoms and complications in cases of infection, especially in the setting of immunosuppression. Therefore, a review of the routine colorectal cancer practices is needed to minimize risk of exposure. Oncologists should weigh risk of exposure versus the patient’s oncologic benefits when approaching management. In addition, treatment protocols should be modified to minimize hospital visits and admissions while maintaining the same treatment efficacy. In this review, we will focus on challenges that colorectal cancer patients face during the pandemic, while highlighting the priority in each case. We will also discuss the evidence for potential modifications to existing treatment plans that could reduce infectious exposure without compromising care. Finally, we will discuss the impact of the socio-economic difficulties faced by Lebanese patients due to a poor economy toppled by an unexpected pandemic. SAGE Publications 2021-04-20 /pmc/articles/PMC10358474/ /pubmed/33878982 http://dx.doi.org/10.1177/00368504211010626 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Review
Alam, Walid
Bouferraa, Youssef
Haibe, Yolla
Mukherji, Deborah
Shamseddine, Ali
Management of colorectal cancer in the era of COVID-19: Challenges and suggestions
title Management of colorectal cancer in the era of COVID-19: Challenges and suggestions
title_full Management of colorectal cancer in the era of COVID-19: Challenges and suggestions
title_fullStr Management of colorectal cancer in the era of COVID-19: Challenges and suggestions
title_full_unstemmed Management of colorectal cancer in the era of COVID-19: Challenges and suggestions
title_short Management of colorectal cancer in the era of COVID-19: Challenges and suggestions
title_sort management of colorectal cancer in the era of covid-19: challenges and suggestions
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10358474/
https://www.ncbi.nlm.nih.gov/pubmed/33878982
http://dx.doi.org/10.1177/00368504211010626
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