TY - JOUR
T1 - ESMO Management and treatment adapted recommendations in the COVID-19 era
T2 - Lung cancer
AU - Passaro, Antonio
AU - Addeo, Alfredo
AU - Von Garnier, Christophe
AU - Blackhall, Fiona
AU - Planchard, David
AU - Felip, Enriqueta
AU - Dziadziuszko, Rafal
AU - de Marinis, Filippo
AU - Reck, Martin
AU - Bouchaab, Hasna
AU - Peters, Solange
N1 - Publisher Copyright:
© 2020 © 2020 THE AUTHORS. Published by Elsevier Limited on behalf of European Society for Medical Oncology.
PY - 2020/1/1
Y1 - 2020/1/1
N2 - 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.
AB - 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.
KW - COVID19
KW - SARS-CoV-2
KW - lung cancer
UR - http://www.scopus.com/inward/record.url?scp=85087098104&partnerID=8YFLogxK
U2 - 10.1136/esmoopen-2020-000820
DO - 10.1136/esmoopen-2020-000820
M3 - Article
C2 - 32581069
AN - SCOPUS:85087098104
SN - 2059-7029
VL - 5
SP - 1
EP - 10
JO - ESMO Open
JF - ESMO Open
ER -