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Multidisciplinary approach to COVID-19 and cancer: consensus from scientific societies in Argentina

INTRODUCTION: The world is living through an outbreak of an acute respiratory syndrome caused by a new betacoronavirus known as coronavirus 2 (SARS CoV-2), which has been declared an international public health emergency by the World Health Organisation. Cancer patients are a very special population...

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Autores principales: Ismael, Julia, Losco, Federico, Quildrian, Sergio, Sanchez, Pablo, Pincemin, Isabel, Lastiri, Jose, Bella, Santiago, Chinellato, Alejandro, Dellamea, Guillermo, Ahualli, Alejandro, Rompato, Silvana, Velez, Julio, Escobar, Rafael, Zwenger, Ariel, Rosales, Cristina, Bagnes, Claudia, Puyol, Jorge, Niewiadomski, Dario, Smecuol, Edgardo, Nachman, Fabio, Gonzalez, Eduardo, Ferraris, Gustavo, Suppicich, Juan Ramos, Price, Paola, Medina, Luis, O’Connor, Juan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cancer Intelligence 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7289616/
https://www.ncbi.nlm.nih.gov/pubmed/32565897
http://dx.doi.org/10.3332/ecancer.2020.1044
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author Ismael, Julia
Losco, Federico
Quildrian, Sergio
Sanchez, Pablo
Pincemin, Isabel
Lastiri, Jose
Bella, Santiago
Chinellato, Alejandro
Dellamea, Guillermo
Ahualli, Alejandro
Rompato, Silvana
Velez, Julio
Escobar, Rafael
Zwenger, Ariel
Rosales, Cristina
Bagnes, Claudia
Puyol, Jorge
Niewiadomski, Dario
Smecuol, Edgardo
Nachman, Fabio
Gonzalez, Eduardo
Ferraris, Gustavo
Suppicich, Juan Ramos
Price, Paola
Medina, Luis
O’Connor, Juan
author_facet Ismael, Julia
Losco, Federico
Quildrian, Sergio
Sanchez, Pablo
Pincemin, Isabel
Lastiri, Jose
Bella, Santiago
Chinellato, Alejandro
Dellamea, Guillermo
Ahualli, Alejandro
Rompato, Silvana
Velez, Julio
Escobar, Rafael
Zwenger, Ariel
Rosales, Cristina
Bagnes, Claudia
Puyol, Jorge
Niewiadomski, Dario
Smecuol, Edgardo
Nachman, Fabio
Gonzalez, Eduardo
Ferraris, Gustavo
Suppicich, Juan Ramos
Price, Paola
Medina, Luis
O’Connor, Juan
author_sort Ismael, Julia
collection PubMed
description INTRODUCTION: The world is living through an outbreak of an acute respiratory syndrome caused by a new betacoronavirus known as coronavirus 2 (SARS CoV-2), which has been declared an international public health emergency by the World Health Organisation. Cancer patients are a very special population in this setting since they are more susceptible to viral infections than the general population. Several recommendations have been made on this issue, most of them based on expert opinion and institutional experience. It is essential to gather the evidence available for decision making. OBJECTIVE: To review the evidence available in order to create a multi-institutional position from the perspective of scientific societies in Argentina involved in the management of cancer patients. METHODOLOGY: The review included two phases: 1) search and systematic revision of the medical literature; 2) consensus and revision of the document drafted by national scientific societies involved in the management and care of cancer patients using the modified Delphi method. The final results were presented at a videoconference with all the participants. Also, additional comment and recommendations were discussed. The final document was revised and approved for publication by the members of the panel. RESULTS: The consensus panel included 18 representatives from scientific societies from Argentina who assessed the evidence and then made recommendations for the management of cancer patients in our country. International guidelines (CDC; ASCO, NCCN and ESMO) were considered as a background for analysis, as well as institutional guidelines and an open ad hoc survey administered to 114 healthcare professionals from the scientific societies involved in this study. The recommendations are grouped as follows: 1) general care interventions—training of the personnel, cleaning and disinfection of the hospital premises and patient scheduling; 2) treatment decisions—patient care, surgeries, immunosuppressive therapy, radiotherapy and screening; 3) ethical considerations—optimisation of resources, end-of-life care for critically-ill patients; 4) management of hospitalised patients; and 5) wellbeing of the healthcare team. The general recommendation arising from the study is that the management of cancer patients must adapt to the exceptional pandemic status quo without disregarding treatment or cure options. Moreover, healthcare professional accompaniment of all patients should not be neglected. All healthcare professionals must make a significant joint effort to create multidisciplinary teams to discuss the most appropriate measures for each particular situation. CONCLUSIONS: The scientific evidence available on this topic worldwide is in progress. This together with the epidemiologically shifting scenario poses unprecedented challenges in the management of cancer amidst this global pandemic. Furthermore, the key role of the healthcare structural organisation appears evident, such as the drafting of clear guidelines for all the stakeholders, adaptability to constant change and an interdisciplinary shared vision through consensus to provide adequate care to our cancer patients in the light of uncertainty and fast-paced change.
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spelling pubmed-72896162020-06-19 Multidisciplinary approach to COVID-19 and cancer: consensus from scientific societies in Argentina Ismael, Julia Losco, Federico Quildrian, Sergio Sanchez, Pablo Pincemin, Isabel Lastiri, Jose Bella, Santiago Chinellato, Alejandro Dellamea, Guillermo Ahualli, Alejandro Rompato, Silvana Velez, Julio Escobar, Rafael Zwenger, Ariel Rosales, Cristina Bagnes, Claudia Puyol, Jorge Niewiadomski, Dario Smecuol, Edgardo Nachman, Fabio Gonzalez, Eduardo Ferraris, Gustavo Suppicich, Juan Ramos Price, Paola Medina, Luis O’Connor, Juan Ecancermedicalscience Policy INTRODUCTION: The world is living through an outbreak of an acute respiratory syndrome caused by a new betacoronavirus known as coronavirus 2 (SARS CoV-2), which has been declared an international public health emergency by the World Health Organisation. Cancer patients are a very special population in this setting since they are more susceptible to viral infections than the general population. Several recommendations have been made on this issue, most of them based on expert opinion and institutional experience. It is essential to gather the evidence available for decision making. OBJECTIVE: To review the evidence available in order to create a multi-institutional position from the perspective of scientific societies in Argentina involved in the management of cancer patients. METHODOLOGY: The review included two phases: 1) search and systematic revision of the medical literature; 2) consensus and revision of the document drafted by national scientific societies involved in the management and care of cancer patients using the modified Delphi method. The final results were presented at a videoconference with all the participants. Also, additional comment and recommendations were discussed. The final document was revised and approved for publication by the members of the panel. RESULTS: The consensus panel included 18 representatives from scientific societies from Argentina who assessed the evidence and then made recommendations for the management of cancer patients in our country. International guidelines (CDC; ASCO, NCCN and ESMO) were considered as a background for analysis, as well as institutional guidelines and an open ad hoc survey administered to 114 healthcare professionals from the scientific societies involved in this study. The recommendations are grouped as follows: 1) general care interventions—training of the personnel, cleaning and disinfection of the hospital premises and patient scheduling; 2) treatment decisions—patient care, surgeries, immunosuppressive therapy, radiotherapy and screening; 3) ethical considerations—optimisation of resources, end-of-life care for critically-ill patients; 4) management of hospitalised patients; and 5) wellbeing of the healthcare team. The general recommendation arising from the study is that the management of cancer patients must adapt to the exceptional pandemic status quo without disregarding treatment or cure options. Moreover, healthcare professional accompaniment of all patients should not be neglected. All healthcare professionals must make a significant joint effort to create multidisciplinary teams to discuss the most appropriate measures for each particular situation. CONCLUSIONS: The scientific evidence available on this topic worldwide is in progress. This together with the epidemiologically shifting scenario poses unprecedented challenges in the management of cancer amidst this global pandemic. Furthermore, the key role of the healthcare structural organisation appears evident, such as the drafting of clear guidelines for all the stakeholders, adaptability to constant change and an interdisciplinary shared vision through consensus to provide adequate care to our cancer patients in the light of uncertainty and fast-paced change. Cancer Intelligence 2020-05-13 /pmc/articles/PMC7289616/ /pubmed/32565897 http://dx.doi.org/10.3332/ecancer.2020.1044 Text en © the authors; licensee ecancermedicalscience. http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Policy
Ismael, Julia
Losco, Federico
Quildrian, Sergio
Sanchez, Pablo
Pincemin, Isabel
Lastiri, Jose
Bella, Santiago
Chinellato, Alejandro
Dellamea, Guillermo
Ahualli, Alejandro
Rompato, Silvana
Velez, Julio
Escobar, Rafael
Zwenger, Ariel
Rosales, Cristina
Bagnes, Claudia
Puyol, Jorge
Niewiadomski, Dario
Smecuol, Edgardo
Nachman, Fabio
Gonzalez, Eduardo
Ferraris, Gustavo
Suppicich, Juan Ramos
Price, Paola
Medina, Luis
O’Connor, Juan
Multidisciplinary approach to COVID-19 and cancer: consensus from scientific societies in Argentina
title Multidisciplinary approach to COVID-19 and cancer: consensus from scientific societies in Argentina
title_full Multidisciplinary approach to COVID-19 and cancer: consensus from scientific societies in Argentina
title_fullStr Multidisciplinary approach to COVID-19 and cancer: consensus from scientific societies in Argentina
title_full_unstemmed Multidisciplinary approach to COVID-19 and cancer: consensus from scientific societies in Argentina
title_short Multidisciplinary approach to COVID-19 and cancer: consensus from scientific societies in Argentina
title_sort multidisciplinary approach to covid-19 and cancer: consensus from scientific societies in argentina
topic Policy
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7289616/
https://www.ncbi.nlm.nih.gov/pubmed/32565897
http://dx.doi.org/10.3332/ecancer.2020.1044
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