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Cancers (Basel). 2020 Aug 29;12(9). doi: 10.3390/cancers12092452.

A Review of Clinical Practice Guidelines and Treatment Recommendations for Cancer Care in the COVID-19 Pandemic.

Cancers

Alberto Zaniboni, Michele Ghidini, Francesco Grossi, Alice Indini, Francesca Trevisan, Alessandro Iaculli, Lorenzo Dottorini, Giovanna Moleri, Alessandro Russo, Ivano Vavassori, Alessandra Brevi, Emanuele Rausa, Luigi Boni, Daniele Dondossola, Nicola Valeri, Antonio Ghidini, Gianluca Tomasello, Fausto Petrelli

Affiliations

  1. Oncology Unit, Fondazione Poliambulanza, 25124 Brescia, Italy.
  2. Oncology Unit, Fondazione IRCCS-Ca' Granda, Ospedale Maggiore Policlinico Milan, 20122 Milan, Italy.
  3. Radiotherapy Unit, ASST Bergamo Ovest, 24047 Treviglio (BG), Italy.
  4. Oncology Unit, ASST Bergamo Est, 24068 Seriate (BG), Italy.
  5. Centro Servizi, Direzione Socio-Sanitaria, ASST Bergamo Ovest, 24047 Treviglio (BG), Italy.
  6. Surgical Oncology Unit, ASST Bergamo Ovest, 24047 Treviglio (BG), Italy.
  7. Urology Unit, ASST Bergamo Ovest, 24047 Treviglio (BG), Italy.
  8. Otorhinolaryngology-Head and Neck Surgery Unit, ASST Bergamo Ovest, 24047 Treviglio (BG), Italy.
  9. General Surgery 1 Unit, ASST Papa Giovanni XXIII, 24127 Bergamo, Italy.
  10. Department of Surgery, Fondazione IRCCS-Ca' Granda, Ospedale Maggiore Policlinico, University of Milan, 20122 Milan, Italy.
  11. General and Liver Transplant Surgery Unit, Fondazione IRCCS-Ca' Granda, Ospedale Maggiore Policlinico Milan, 20122 Milan, Italy.
  12. Department of Pathophysiology and Transplantation, Università degli Studi of Milan, 20122 Milan, Italy.
  13. Division of Molecular Pathology and Centre for Evolution and Cancer, The Institute of Cancer Research, London SW7 3RP, UK.
  14. Department of Medicine, The Royal Marsden Hospital, London SW3 6JJ, UK.
  15. Oncology Unit, Casa di cura Igea, 20129 Milan, Italy.
  16. Oncology Unit, Medical Sciences Department, ASST Bergamo Ovest, 24047 Treviglio (BG), Italy.

PMID: 32872421 PMCID: PMC7565383 DOI: 10.3390/cancers12092452

Abstract

The COVID-19 pandemic has inevitably caused those involved in cancer care to change clinical practice in order to minimize the risk of infection while maintaining cancer treatment as a priority. General advice during the pandemic suggests that most patients continue with ongoing therapies or planned surgeries, while follow-up visits may instead be delayed until the resolution of the outbreak. We conducted a literature search using PubMed to identify articles published in English language that reported on care recommendations for cancer patients during the COVID-19 pandemic from its inception up to 1st June 2020, using the terms "(cancer or tumor) AND (COVID 19)". Articles were selected for relevance and split into five categories: (1) personal recommendations of single or multiple authors, (2) recommendations of single authoritative centers, (3) recommendations of panels of experts or of multiple regional comprehensive centers, (4) recommendations of multicenter cooperative groups, (5) official guidelines or recommendations of health authorities. Of the 97 included studies, 10 were personal recommendations of single or multiple independent authors, 16 were practice recommendations of single authoritative cancer centers, 35 were recommendations provided by panel of experts or of multiple regional comprehensive centers, 19 were cooperative group position papers, and finally, 17 were official guidelines statements. The COVID-19 pandemic is a global emergency, and has rapidly modified our clinical practice. Delaying unnecessary treatment, minimizing toxicity, and identifying care priorities for surgery, radiotherapy, and systemic therapies must be viewed as basic priorities in the COVID-19 era.

Keywords: COVID-19; cancer; pandemic; patients; treatment

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