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Cancer in the Time of Coronavirus: A Call for Crisis Oncology Standards of Care

Since the Coronavirus Disease 2019 (COVID-19) was identified as a global pandemic, health systems have been severely strained, particularly affecting vulnerable populations such as patients with cancer. In response to the COVID-19 pandemic, a variety of oncology specialty societies are making recomm...

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Detalles Bibliográficos
Autores principales: Kelkar, Amar H., Cogle, Christopher R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7551989/
https://www.ncbi.nlm.nih.gov/pubmed/32708922
http://dx.doi.org/10.3390/healthcare8030214
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author Kelkar, Amar H.
Cogle, Christopher R.
author_facet Kelkar, Amar H.
Cogle, Christopher R.
author_sort Kelkar, Amar H.
collection PubMed
description Since the Coronavirus Disease 2019 (COVID-19) was identified as a global pandemic, health systems have been severely strained, particularly affecting vulnerable populations such as patients with cancer. In response to the COVID-19 pandemic, a variety of oncology specialty societies are making recommendations for standards of care. These diverse standards and gaps in standards can lead to inconsistent and heterogeneous care among governments, cancer centers, and even among oncologists within the same practice. These challenges highlight the need for a common nomenclature and crisis guidelines. For times of increased scarcity of resources, the National Academy of Medicine developed Crisis Standards of Care, defined as fairness, duty to care, duty to steward resources, transparency, consistency, proportionality, and accountability. However, we believe there is an urgent need to develop cancer-specific guidelines by convening a panel of experts from multiple specialties. These would be Crisis Oncology Standards of Care (COSCs) that are sensitive to both the individual cancer patient and to the broader health system in times of scarce resources, such as pandemic, natural disaster, or supply chain disruptions.
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spelling pubmed-75519892020-10-14 Cancer in the Time of Coronavirus: A Call for Crisis Oncology Standards of Care Kelkar, Amar H. Cogle, Christopher R. Healthcare (Basel) Perspective Since the Coronavirus Disease 2019 (COVID-19) was identified as a global pandemic, health systems have been severely strained, particularly affecting vulnerable populations such as patients with cancer. In response to the COVID-19 pandemic, a variety of oncology specialty societies are making recommendations for standards of care. These diverse standards and gaps in standards can lead to inconsistent and heterogeneous care among governments, cancer centers, and even among oncologists within the same practice. These challenges highlight the need for a common nomenclature and crisis guidelines. For times of increased scarcity of resources, the National Academy of Medicine developed Crisis Standards of Care, defined as fairness, duty to care, duty to steward resources, transparency, consistency, proportionality, and accountability. However, we believe there is an urgent need to develop cancer-specific guidelines by convening a panel of experts from multiple specialties. These would be Crisis Oncology Standards of Care (COSCs) that are sensitive to both the individual cancer patient and to the broader health system in times of scarce resources, such as pandemic, natural disaster, or supply chain disruptions. MDPI 2020-07-17 /pmc/articles/PMC7551989/ /pubmed/32708922 http://dx.doi.org/10.3390/healthcare8030214 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Perspective
Kelkar, Amar H.
Cogle, Christopher R.
Cancer in the Time of Coronavirus: A Call for Crisis Oncology Standards of Care
title Cancer in the Time of Coronavirus: A Call for Crisis Oncology Standards of Care
title_full Cancer in the Time of Coronavirus: A Call for Crisis Oncology Standards of Care
title_fullStr Cancer in the Time of Coronavirus: A Call for Crisis Oncology Standards of Care
title_full_unstemmed Cancer in the Time of Coronavirus: A Call for Crisis Oncology Standards of Care
title_short Cancer in the Time of Coronavirus: A Call for Crisis Oncology Standards of Care
title_sort cancer in the time of coronavirus: a call for crisis oncology standards of care
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7551989/
https://www.ncbi.nlm.nih.gov/pubmed/32708922
http://dx.doi.org/10.3390/healthcare8030214
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