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Recommendations for prioritization, treatment, and triage of breast cancer patients during the COVID-19 pandemic. the COVID-19 pandemic breast cancer consortium

The COVID-19 pandemic presents clinicians a unique set of challenges in managing breast cancer (BC) patients. As hospital resources and staff become more limited during the COVID-19 pandemic, it becomes critically important to define which BC patients require more urgent care and which patients can...

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Autores principales: Dietz, Jill R., Moran, Meena S., Isakoff, Steven J., Kurtzman, Scott H., Willey, Shawna C., Burstein, Harold J., Bleicher, Richard J., Lyons, Janice A., Sarantou, Terry, Baron, Paul L., Stevens, Randy E., Boolbol, Susan K., Anderson, Benjamin O., Shulman, Lawrence N., Gradishar, William J., Monticciolo, Debra L., Plecha, Donna M., Nelson, Heidi, Yao, Katharine A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7181102/
https://www.ncbi.nlm.nih.gov/pubmed/32333293
http://dx.doi.org/10.1007/s10549-020-05644-z
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author Dietz, Jill R.
Moran, Meena S.
Isakoff, Steven J.
Kurtzman, Scott H.
Willey, Shawna C.
Burstein, Harold J.
Bleicher, Richard J.
Lyons, Janice A.
Sarantou, Terry
Baron, Paul L.
Stevens, Randy E.
Boolbol, Susan K.
Anderson, Benjamin O.
Shulman, Lawrence N.
Gradishar, William J.
Monticciolo, Debra L.
Plecha, Donna M.
Nelson, Heidi
Yao, Katharine A.
author_facet Dietz, Jill R.
Moran, Meena S.
Isakoff, Steven J.
Kurtzman, Scott H.
Willey, Shawna C.
Burstein, Harold J.
Bleicher, Richard J.
Lyons, Janice A.
Sarantou, Terry
Baron, Paul L.
Stevens, Randy E.
Boolbol, Susan K.
Anderson, Benjamin O.
Shulman, Lawrence N.
Gradishar, William J.
Monticciolo, Debra L.
Plecha, Donna M.
Nelson, Heidi
Yao, Katharine A.
author_sort Dietz, Jill R.
collection PubMed
description The COVID-19 pandemic presents clinicians a unique set of challenges in managing breast cancer (BC) patients. As hospital resources and staff become more limited during the COVID-19 pandemic, it becomes critically important to define which BC patients require more urgent care and which patients can wait for treatment until the pandemic is over. In this Special Communication, we use expert opinion of representatives from multiple cancer care organizations to categorize BC patients into priority levels (A, B, C) for urgency of care across all specialties. Additionally, we provide treatment recommendations for each of these patient scenarios. Priority A patients have conditions that are immediately life threatening or symptomatic requiring urgent treatment. Priority B patients have conditions that do not require immediate treatment but should start treatment before the pandemic is over. Priority C patients have conditions that can be safely deferred until the pandemic is over. The implementation of these recommendations for patient triage, which are based on the highest level available evidence, must be adapted to current availability of hospital resources and severity of the COVID-19 pandemic in each region of the country. Additionally, the risk of disease progression and worse outcomes for patients need to be weighed against the risk of patient and staff exposure to SARS CoV-2 (virus associated with the COVID-19 pandemic). Physicians should use these recommendations to prioritize care for their BC patients and adapt treatment recommendations to the local context at their hospital.
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spelling pubmed-71811022020-04-24 Recommendations for prioritization, treatment, and triage of breast cancer patients during the COVID-19 pandemic. the COVID-19 pandemic breast cancer consortium Dietz, Jill R. Moran, Meena S. Isakoff, Steven J. Kurtzman, Scott H. Willey, Shawna C. Burstein, Harold J. Bleicher, Richard J. Lyons, Janice A. Sarantou, Terry Baron, Paul L. Stevens, Randy E. Boolbol, Susan K. Anderson, Benjamin O. Shulman, Lawrence N. Gradishar, William J. Monticciolo, Debra L. Plecha, Donna M. Nelson, Heidi Yao, Katharine A. Breast Cancer Res Treat Editorial The COVID-19 pandemic presents clinicians a unique set of challenges in managing breast cancer (BC) patients. As hospital resources and staff become more limited during the COVID-19 pandemic, it becomes critically important to define which BC patients require more urgent care and which patients can wait for treatment until the pandemic is over. In this Special Communication, we use expert opinion of representatives from multiple cancer care organizations to categorize BC patients into priority levels (A, B, C) for urgency of care across all specialties. Additionally, we provide treatment recommendations for each of these patient scenarios. Priority A patients have conditions that are immediately life threatening or symptomatic requiring urgent treatment. Priority B patients have conditions that do not require immediate treatment but should start treatment before the pandemic is over. Priority C patients have conditions that can be safely deferred until the pandemic is over. The implementation of these recommendations for patient triage, which are based on the highest level available evidence, must be adapted to current availability of hospital resources and severity of the COVID-19 pandemic in each region of the country. Additionally, the risk of disease progression and worse outcomes for patients need to be weighed against the risk of patient and staff exposure to SARS CoV-2 (virus associated with the COVID-19 pandemic). Physicians should use these recommendations to prioritize care for their BC patients and adapt treatment recommendations to the local context at their hospital. Springer US 2020-04-24 2020 /pmc/articles/PMC7181102/ /pubmed/32333293 http://dx.doi.org/10.1007/s10549-020-05644-z Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Editorial
Dietz, Jill R.
Moran, Meena S.
Isakoff, Steven J.
Kurtzman, Scott H.
Willey, Shawna C.
Burstein, Harold J.
Bleicher, Richard J.
Lyons, Janice A.
Sarantou, Terry
Baron, Paul L.
Stevens, Randy E.
Boolbol, Susan K.
Anderson, Benjamin O.
Shulman, Lawrence N.
Gradishar, William J.
Monticciolo, Debra L.
Plecha, Donna M.
Nelson, Heidi
Yao, Katharine A.
Recommendations for prioritization, treatment, and triage of breast cancer patients during the COVID-19 pandemic. the COVID-19 pandemic breast cancer consortium
title Recommendations for prioritization, treatment, and triage of breast cancer patients during the COVID-19 pandemic. the COVID-19 pandemic breast cancer consortium
title_full Recommendations for prioritization, treatment, and triage of breast cancer patients during the COVID-19 pandemic. the COVID-19 pandemic breast cancer consortium
title_fullStr Recommendations for prioritization, treatment, and triage of breast cancer patients during the COVID-19 pandemic. the COVID-19 pandemic breast cancer consortium
title_full_unstemmed Recommendations for prioritization, treatment, and triage of breast cancer patients during the COVID-19 pandemic. the COVID-19 pandemic breast cancer consortium
title_short Recommendations for prioritization, treatment, and triage of breast cancer patients during the COVID-19 pandemic. the COVID-19 pandemic breast cancer consortium
title_sort recommendations for prioritization, treatment, and triage of breast cancer patients during the covid-19 pandemic. the covid-19 pandemic breast cancer consortium
topic Editorial
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7181102/
https://www.ncbi.nlm.nih.gov/pubmed/32333293
http://dx.doi.org/10.1007/s10549-020-05644-z
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