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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.
Abstract:
The sudden pandemic of SARS-Cov-2 (also known as novel coronavirus disease 2019, COVID-19) poses a severe threat to hundreds of millions of lives in the world. The complete cure of the virus largely relies on the immune system, which becomes particularly a challenge for the cancer subjects, whose immunity is generally compromised. However, in a constant evolving situation, the clinical data on the prevalence of SARS-Cov-2 for cancer patients is still limited. On top of a wide range of medical references and interim guidelines including CDC, NCI, ASCO, ESMO, NCCN, AACR, ESMO, and the National Health Commission of China, etc., we formed into a guideline based on our experience in our specialized cancer hospital in Wuhan, the originally endemic center of the virus. Furthermore, we formulated an expert consensus which was developed by all contributors from different disciplines after fully discussion based on our understanding and analysis of limited information of COVID-19. The consensus highlighted a multidisciplinary team diagnostic model with assessment of the balance between risks and benefits prior to treatment, individualizing satisfaction of patients' medical needs, and acceptability in ethics and patients' socio-economic conditions.
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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