Recomendaciones para el diagnóstico, tratamiento y seguimiento del cáncer de mama durante la pandemia de SARS-Cov-2/COVID-19 en Colombia

Background: The COVID-19 pandemic has harmed the provision of palliative care (PC) services for women with breast cancer due to all the restrictions that came along with the virus. Objective: To map the available evidence on the situation of PC in breast cancer during the COVID-19 pandemic. Methods: A scoping review was carried out based on the methodology proposed by the Joanna Briggs Institute. The search was conducted in nine databases, one electronic repository, and one library, using controlled vocabularies. Results: Twenty-nine articles and seven documents were included. The majority (11.4% each) were published in the United Kingdom, Italy, and the United States, 38.9% addressed palliative radiotherapy (RT), and 47.2% consisted of recommendations. From the content analysis, five categories were obtained focused on the recommendations on changes in palliative treatment guidelines and the response of PC teams to the evolving crisis. Conclusions: The evidence pointed to the management of general PC, palliative RT, palliative chemotherapy, management of metastatic breast cancer, and use of technologies in palliative care. No recommendations were found to manage frequent symptoms in PC, indicating the need to develop primary studies that investigate these aspects in detail in this vulnerable group. Implications: The results contained in this document can provide professionals working in this field of care with a global view of how other teams have dealt with the pandemic, thereby identifying the best guidelines to apply in their reality, taking into account the clinical and social situation of each patient.

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Palliative Care in Breast Cancer During the COVID-19 Pandemic: A Scoping Review

Yanez

Goyanna

Fernandes

et al. 2022

Am J Hosp Palliat Care

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Situación actual de la pandemia y el paciente con cáncer

Gómez-Rincón¹

2021

Rev. colomb. cancerol.

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El 17 de noviembre de 2019 en Wuhan, ciudad capital de la provincia de Hubei, en China se presenta un hombre de 55 años con una infección respiratoria, y se convertiría en el primer paciente conocido de la enfermedad por coronavirus (covid-19) (1). Desde que China informara de este problema a la comunidad internacional el 31 de diciembre con la posterior declaración de pandemia el 11 de marzo han pasado varios meses y varios eventos relevantes, contando con el aislamiento del virus, su bautizo como Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) y la descripción de que si bien se trata de un virus de ingreso por vía respiratoria con un impacto muy importante a nivel a pulmonar, se trata del agente causal de una enfermedad sistémica (2). Previamente, habíamos presentado un recuento de los sucesos más importantes de las pandemias anteriores del siglo XXI y como afectaron en ese momento a los pacientes con cáncer (3) y se publicaron una serie de recomendaciones sobre cómo abordar la atención de esta población especial (4–7). En este breve escrito es nuestra intención esbozar la situación actual de la atención de los pacientes con cáncer, el impacto directo e indirecto que tiene la covid-19 sobre los pacientes y algunas consideraciones de acuerdo con la evolución de la pandemia.

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Recomendaciones para el diagnóstico, tratamiento y seguimiento del cáncer de mama durante la pandemia de SARS-Cov-2/COVID-19 en Colombia

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Palliative Care in Breast Cancer During the COVID-19 Pandemic: A Scoping Review

Palliative Care in Breast Cancer During the COVID-19 Pandemic: A Scoping Review

Situación actual de la pandemia y el paciente con cáncer

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