Safeguarding cancer care in a post-COVID-19 world

Oncology, The Lancet

doi:10.1016/s1470-2045(20)30243-6

Cited by 45 publications

(34 citation statements)

References 0 publications

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“…5,9,10 in pediatric cancer patients warrants that we reconsider our approach to the design of pediatric cancer services in the event of a second peak of Covid19 and future such pandemics. 12…”

Section: Impact Of Covid19 On a Tertiary Care Pediatric Oncology And mentioning

confidence: 99%

Impact of Covid19 on a tertiary care pediatric oncology and stem cell transplant unit in Riyadh, Saudi Arabia

Ahmad

Essa

Sudairy

2020

Pediatric Blood & Cancer

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Section: Impact Of Covid19 On a Tertiary Care Pediatric Oncology And mentioning

confidence: 99%

Impact of Covid19 on a tertiary care pediatric oncology and stem cell transplant unit in Riyadh, Saudi Arabia

Ahmad

Essa

Sudairy

2020

Pediatric Blood & Cancer

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“…This is expected to result in a greater volume of new cases in advanced stages, mainly because head and neck cancer is a clinically time-sensitive disease (35). It is estimated that the accumulation of cancer patients with delayed treatment or no treatment will lead to a 5% to 10% increase in mortality (68).…”

Section: Effects Of the Pandemic On Carementioning

confidence: 99%

Recommendations for head and neck surgical procedures during the COVID-19 pandemic

Kulcsar

Montenegro

Santos

et al. 2020

Clinics

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The coronavirus disease (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has spread exponentially worldwide. In Brazil, the number of infected people diagnosed has been increasing and, as in other countries, it has been associated with a high risk of contamination in healthcare teams. For healthcare professionals, the full use of personal protective equipment (PPE) is mandatory, such as wearing surgical or filtering facepiece class 2 (FFP2) masks, waterproof aprons, gloves, and goggles, in addition to training in care processes. A reduction in the number of face-to-face visits and non-essential elective procedures is also recommended. However, surgery should not be postponed in the case of the most essential elective indications (mostly associated with head and neck cancers). As malignant tumors of the head and neck are clinically time sensitive, neither consultations for these tumors nor their treatment should be postponed. Postponing surgical treatment can result in a change in the disease stage and alter an individual's chance of survival. In this situation, planning of all treatments must begin with the request for, in addition to routine examinations, a nasal swab polymerase chain reaction for SARS-CoV-2 and chest computed tomography. Only if the results of these tests are positive or if fever or other symptoms suggestive of COVID-19 are present should the surgical procedure be postponed until the patient completely recovers. This is mandatory not only because of the risk of contamination of the surgical team but also because of the increased risk of postoperative complications and high risk of death. During this pandemic, the most effective safety measures are social distancing for the general public and the adequate availability and use of PPE in the healthcare field. The treatment of other chronic diseases, such as cancer, should be continued, as the damming of cases of these diseases will have a deleterious effect on the public healthcare system.

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“…Our case also highlights a concern regarding the deprioritisation of certain healthcare services during the COVID-19 pandemic. 4 Delayed cancer diagnoses may result in increased cancer-related mortality and increased demand on an already stretched healthcare service.…”

Section: Images In…mentioning

confidence: 99%