Management of Lung Cancer During the COVID-19 Pandemic

Singh, Aditi; Berman, Abigail T.; Marmarelis, Melina E.; Haas, Andrew R.; Feigenberg, Steven J.; Braun, Johanna; Ciunci, Christine; Bauml, Joshua; Cohen, Roger B.; Kucharczuk, John C.; Shulman, Lawrence N.; Langer, Corey J.; Aggarwal, Charu

doi:10.1200/op.20.00286

Cited by 61 publications

(58 citation statements)

References 48 publications

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“…In response to this situation with different etiological models, it is possible to improve the proposed guidelines for managing chronic diseases when they co-occur with COVID-19. For instance, guidelines for COVID-19 individuals with high blood pressure, 17 diabetes, 18 , 19 cardiovascular disease, 20 kidney disease, 21 metabolic and bariatric surgery, 22 endocrine surgery, 23 lung cancer, 24 stroke, 25 and systemic sclerosis. 26 There are also recommendations for older adults with multimorbidity and polypharmacy.…”

Section: Discussionmentioning

confidence: 99%

Multimorbidity patterns among COVID-19 deaths: proposal for the construction of etiological models

Fernández-Niño

Guerra-Gómez

Idrovo

2020

Revista Panamericana De Salud Pública

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Objectives. To describe patterns of multimorbidity among fatal cases of COVID-19, and to propose a classification of patients based on age and multimorbidity patterns to begin the construction of etiological models. Methods. Data of Colombian confirmed deaths of COVID-19 until June 11, 2020, were included in this analysis (n=1488 deaths). Relationships between COVID-19, combinations of health conditions and age were explored using locally weighted polynomial regressions. Results. The most frequent health conditions were high blood pressure, respiratory disease, diabetes, cardiovascular disease, and kidney disease. Dyads more frequents were high blood pressure with diabetes, cardiovascular disease or respiratory disease. Some multimorbidity patterns increase probability of death among older individuals, whereas other patterns are not age-related, or decrease the probability of death among older people. Not all multimorbidity increases with age, as is commonly thought. Obesity, alone or with other diseases, was associated with a higher risk of severity among young people, while the risk of the high blood pressure/diabetes dyad tends to have an inverted U distribution in relation with age. Conclusions. Classification of individuals according to multimorbidity in the medical management of COVID-19 patients is important to determine the possible etiological models and to define patient triage for hospitalization. Moreover, identification of non-infected individuals with high-risk ages and multimorbidity patterns serves to define possible interventions of selective confinement or special management.

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Section: Discussionmentioning

confidence: 99%

Multimorbidity patterns among COVID-19 deaths: proposal for the construction of etiological models

Fernández-Niño

Guerra-Gómez

Idrovo

2020

Revista Panamericana De Salud Pública

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“…2 With a high transmission rates but no curative therapies or vaccine available, the current management focuses on prevention by social distancing. 3 During the COVID-19 pandemic, health care systems have begun crisis to maintain effective patient care while preventing virus exposure. 4,5 In this regard, telemedicine takes advantages of continuing to care for patients while isolating high-risk patients to avert further contact.…”

Section: Introductionmentioning

confidence: 99%

Satisfaction Survey of Patients and Medical Staff for Telephone-Based Telemedicine During Hospital Closing Due to COVID-19 Transmission

Park

Kwon

Jun

et al. 2021

Telemedicine and e-Health

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Introduction: Telephone-based telemedicine was temporarily permitted in Korea during the COVID-19 pandemic. The purpose of this study was to assess satisfaction with the telemedicine done during temporary hospital closing when in-person visits were not allowed due to in-hospital COVID-19 transmission. Methods: Survey questionnaires partially taken from a telehealth usability questionnaire (TUQ) were sent to 6,840 patients who used telephone-based telemedicine from February 24 to March 7, 2020. Questionnaires sent to patients and additionally created questionnaires to evaluate telemedicine were sent to medical staff (182 doctors and 138 nurses). Results: Response rates of patients and medical staff were 13.2% and 17.2%, respectively. Patients' satisfaction with telemedicine was significantly greater than medical staff's satisfaction for all five components taken from TUQ (all p = 0.000). In addition, created questionnaires showed good reliability, obtaining similar results between doctors and nurses (all p > 0.05). More than 85% of medical staff replied that telemedicine was needed in COVID-19, whereas more than 80% of them worried about incomplete assessment and communication of medical condition. Overall satisfaction with telemedicine by medical staff was 49.7%. The strength of telephone-based telemedicine was patients' convenience (53.4%). However, incomplete assessment of patients' condition (55.0%) was its weakness. Conclusion: Satisfaction with telephone-based telemedicine by patients was significantly greater than that by medical staff (doctors and nurses). Negative views for safety and inconvenience resulted in a greater proportion of dissatisfaction among medical staff. For safe application of telemedicine, medical staff insisted that developing a platform and creating guidelines should be needed.

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“…Regarding lung cancer diagnosis, the ASCO [56] recommends strategies such as prioritizing transthoracic biopsies over transbronchial techniques in order to minimize aerosol generating procedures, and avoiding invasive approaches such as endobronchial ultrasound for staging, when possible.…”

Section: Access To Health Care For Patients With Lung Cancer During Tmentioning

confidence: 99%

Management of lung cancer in the COVID-19 pandemic: a review

Piñeiro¹,

López²,

Aguado³

2021

JCMT

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Since its inception, the COVID-19 pandemic has affected health care as a whole. Cancer patients in general and those suffering from lung cancer in particular are a vulnerable group because of their many intrinsic characteristics and care needs. How SARS-CoV-2 (COVID-19) infection affects these patients regarding their risk of infection and outcome in this patient cohort is still to be determined. In this review, we tried to summarize our main concerns regarding COVID-19 in the context of cancer patients from a clinical and multidisciplinary approach. Different types of lung cancer treatments (chemotherapy, radiation therapy and immunotherapy) may also influence the risk of infection and condition the patient´s risk of having a worse outcome. Lung cancer patients require frequent radiologic study follow-ups, which may be affected by COVID-19 pandemic. COVID-19 related incidental radiologic findings can appear in routinely scheduled radiology tests, which may be difficult to interpret. Also cancer treatment induced pneumonitis may have similar radiologic features similar to those in acute SARS-CoV-2 pneumonia and lead to a wrong diagnosis. The different health care needs, the requirement for continuous health care access and follow-ups, and the clinical traials in which this patient population might be enrrolled are all being affected by the current COVID-19 health crisis. The COVID-19 pandemic has put health care providers and institutions in difficult situations and obliged them to face challenging ethical scenarios. These issues, in turn, have also affected the psychological well-being of health care workers.

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Management of Lung Cancer During the COVID-19 Pandemic

Cited by 61 publications

References 48 publications

Multimorbidity patterns among COVID-19 deaths: proposal for the construction of etiological models

Multimorbidity patterns among COVID-19 deaths: proposal for the construction of etiological models

Satisfaction Survey of Patients and Medical Staff for Telephone-Based Telemedicine During Hospital Closing Due to COVID-19 Transmission

Management of lung cancer in the COVID-19 pandemic: a review

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