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Published on: February 6, 2019
Managing children with brain tumors during the COVID-19 era: Don't stop the care!
Michele Antonio Capozza1, Silvia Triarico1, Giorgio Attinà1
1Pediatric Oncology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica Sacro Cuore, Rome, Italy.
Insights
The COVID-19 pandemic disrupted pediatric cancer care, necessitating prompt diagnosis and treatment. Multidisciplinary tumor boards are crucial for managing pediatric cancer patients during the pandemic, ensuring continued care and minimizing stress.
Area of Science:
- Pediatric Oncology
- Infectious Diseases
- Public Health
Background:
- The COVID-19 pandemic has significantly impacted global healthcare systems, leading to disruptions in cancer care services and treatment delays.
- Pediatric populations exhibit milder COVID-19 symptoms compared to adults, potentially due to lower susceptibility.
- Guidelines from scientific societies and governments emphasize continuing cancer treatment while warning against SARS-CoV-2 (the virus causing COVID-19) exposure.
Purpose of the Study:
- To outline optimal diagnostic and therapeutic strategies for pediatric cancer patients during the COVID-19 pandemic.
- To highlight the importance of multidisciplinary tumor boards in cancer care management.
- To underscore the need for prompt diagnosis and family support to reduce patient suffering and maintain healthcare system trust.
Main Methods:
- Regular convening of multidisciplinary tumor boards, utilizing teleconferencing and telematics platforms.
- Emphasis on prompt diagnostic workup for pediatric cancer patients.
- Provision of adequate information and support to patients and families regarding infection prevention and symptom reporting.
Main Results:
- Multidisciplinary tumor boards facilitate informed decision-making for pediatric cancer management during the pandemic.
- Timely diagnosis and treatment adjustment are critical for improving outcomes and patient confidence.
- Effective communication and support systems help mitigate parental anxiety and stress.
Conclusions:
- Continued cancer treatment and regular multidisciplinary team consultations are vital for pediatric patients during the COVID-19 pandemic.
- Prompt diagnosis and supportive care are essential for minimizing suffering and maintaining trust in the healthcare system.
- Proactive measures to prevent SARS-CoV-2 infection in pediatric cancer patients and their families are crucial for facilitating early diagnosis and treatment.
Abstract:
The COVID-19 pandemic has substantially stressed health care systems globally, subsequently reducing cancer care services and delaying treatments. Pediatric populations infected by COVID-19 have shown mild clinical symptoms compared to adults, perhaps due to decreased susceptibility. Several scientific societies and governments have released information on the management of patients with cancer, wherein they warn against exposure to SARS-CoV-2 infection and suggest continuing treatment. To determine the best diagnostic and therapeutic approach, multidisciplinary tumor boards should convene regularly, including through conference calls and telematics platforms. A prompt diagnostic workup may reduce children's suffering and prevent loss of confidence in the health care system among parents. Moreover, ensuring adequate support and information regarding measures for preventing SARS-CoV-2 infection in pediatric patients and their families is essential for avoiding panic and excessive stress, allowing early reporting of any suspected symptoms of cancer and, in turn, facilitating early diagnosis and prompt modulation of treatment.
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