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Published on: November 7, 2020
Oncological care organisation during COVID-19 outbreak
Concetta Elisa Onesti1,2, Hope S Rugo3, Daniele Generali4,5
1Department of Medical Oncology, CHU de Liège, Liege, Belgium elisaonesti@gmail.com.
Oncology care rapidly adapted during the COVID-19 pandemic by implementing triage, telemedicine, and separate patient pathways. Further studies are needed to confirm the effectiveness of these cancer care adaptations.
Area of Science:
- Oncology
- Infectious Diseases
- Healthcare Management
Background:
- The COVID-19 pandemic necessitated significant changes in oncology care delivery.
- Reorganization aimed to minimize infection transmission between cancer patients and healthcare professionals.
Purpose of the Study:
- To analyze the preventive measures adopted by major European and USA oncological units during the COVID-19 pandemic.
- To understand the adaptations in patient management and risk reduction strategies.
Main Methods:
- A 46-item survey was distributed to 30 oncological centers across 12 highly affected countries.
- Data collection focused on preventive measures, patient education, and risk reduction processes implemented in cancer care units.
Main Results:
- 21 centers from 10 countries responded, detailing implemented strategies.
- Widespread adoption of patient triage (90.5% for consultations, 100% for hospitalizations) via phone, online platforms, or testing.
- Mandatory personal protective equipment, limited caregiver access, and segregated patient pathways were common.
- Telemedicine was utilized in 76.2% of centers, and staff returning to work required negative COVID-19 tests.
Conclusions:
- Numerous pragmatic measures were rapidly deployed to address the COVID-19 health emergency in oncology.
- The relative efficacy of these interventions requires further investigation through large-scale observational studies.
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