Cancer in corona times

Area of Science:

• Oncology
• Infectious Diseases
• Public Health

Background:

• The COVID-19 pandemic presents unique challenges for cancer patients, who are immunocompromised and at higher risk.
• Cancer itself may be a greater risk factor for severe COVID-19 than advanced age.
• India, particularly Delhi, is experiencing a significant rise in COVID-19 cases, impacting healthcare systems.

Purpose of the Study:

• To discuss the implications of the COVID-19 pandemic and lockdown on cancer patients and their caregivers.
• To advocate for the continuation of cancer therapy amidst the pandemic.
• To provide insights from a major tertiary care oncology center in Northern India.

Main Methods:

• A comprehensive literature review was conducted using databases such as Medline, Google Scholar, Embase, Cochrane, and Scopus.
• Analysis of immediate, short-term, and long-term implications was performed.
• Experience from a large tertiary care oncology setup informed the discussion.

Main Results:

• Cancer patients are more susceptible to COVID-19 and may experience more severe disease.
• Untreated cancer poses a greater mortality risk than COVID-19 for cancer patients.
• Maintaining cancer treatment is essential, requiring protective measures in hospitals.

Conclusions:

• Cancer care must continue during the COVID-19 pandemic, with hospitals acting as protected environments.
• Proactive strategies are needed to mitigate the impact of the pandemic on cancer patients and their caregivers.
• Balancing cancer treatment with infection control is paramount for patient survival and well-being.