Expert Consensus for Treating Cancer Patients During the Pandemic of SARS-CoV-2

Shuang Dong1,2,3, Chenggang Luo2,3,4,5, Xuebo Hu6

  • 1Department of Medical Oncology, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Frontiers in Oncology
|October 5, 2020
PubMed

Insights

Cancer patients face increased risks from COVID-19 due to compromised immunity. This guideline offers expert consensus on managing SARS-CoV-2 in cancer care, balancing treatment risks and patient needs.

Area of Science:

  • Oncology
  • Infectious Diseases
  • Public Health

Background:

  • The COVID-19 pandemic presents a significant global health threat, particularly impacting immunocompromised individuals.
  • Cancer patients possess compromised immune systems, increasing their vulnerability to SARS-CoV-2 infection and severe outcomes.
  • Limited clinical data exists regarding the prevalence and management of COVID-19 in cancer patient populations.

Purpose of the Study:

  • To develop a clinical guideline and expert consensus for managing COVID-19 in cancer patients.
  • To address the unique challenges faced by cancer patients during the SARS-CoV-2 pandemic.
  • To provide evidence-based recommendations integrating clinical experience and existing guidelines.

Main Methods:

  • Compilation of medical references and guidelines from leading health organizations (CDC, NCI, ASCO, ESMO, NCCN, AACR, NHC China).
  • Formulation of a guideline based on clinical experience from a specialized cancer hospital in Wuhan.
  • Development of an expert consensus through multidisciplinary discussion and analysis of available COVID-19 information.

Main Results:

  • A proposed expert consensus emphasizing a multidisciplinary team diagnostic model.
  • Recommendations for assessing the risk-benefit balance before initiating cancer treatment.
  • Focus on individualizing patient care to meet medical needs while considering ethical and socio-economic factors.

Conclusions:

  • The consensus provides a framework for optimizing COVID-19 management in cancer patients.
  • A balanced, individualized, and ethically considerate approach is crucial for cancer care during the pandemic.
  • This guideline aims to support clinicians in navigating the complexities of treating cancer patients with SARS-CoV-2.

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