在COVID-19大流行期间,质瘤诊断和综合管理:一种拟议的算法
Cindy Cecilia1, Djohan Ardiansyah1
1Department of Neurology, Faculty of Medicine-Universitas Airlangga / Dr. Soetomo General-Hospital, Surabaya, Indonesia.
Journal of neurosciences in rural practice
|September 11, 2023
概括
这项研究建议在COVID-19大流行期间为质瘤患者修改算法,优先考虑远程医疗和仔细选择治疗,以减少暴露风险和改善结果.
科学领域:
- 神经瘤学神经瘤学
- 传染性疾病 传染性疾病
- 医疗保健管理的管理
背景情况:
- COVID-19 流行病对医疗保健系统产生了重大影响,对质瘤等并发病患者构成风险.
- 质瘤患者,通常是老年人或接受免疫抑制疗法,患重症COVID-19的风险更高.
- 在大流行期间开发适应性策略来治疗质瘤至关重要.
研究的目的:
- 在COVID-19大流行中概述一个用于管理质瘤患者的修改算法.
- 尽量减少质瘤患者与医疗相关的暴露,同时确保及时治疗.
- 适应患者沟通,治疗选择和护理交付模式.
主要方法:
- 开发基于远程医疗的沟通策略,用于患者与医疗服务提供者的互动.
- 确定选择需要住院治疗的患者和门诊治疗的患者的标准.
- 根据个体患者的因素和疾病状况,量身定制手术,放射治疗 (RT) 和化疗方法.
主要成果:
- 在大多数患者与医生的沟通中,建议使用远程医疗,以减少暴露.
- 建议推迟治疗无症状或非进展性质瘤病例.
- 有症状,高度结质瘤患者的进展性缺陷将根据COVID-19协议接受治疗,考虑到KPS和MGMT状态等预后因素.
结论:
- 在COVID-19大流行期间,修改过的算法对于质瘤患者的管理至关重要.
- 个性化治疗计划和远程医疗整合是平衡癌症护理和感染风险的关键.
- 仔细选择患者和量身定制的治疗策略可以提高生存率和生活质量,同时最大限度地减少COVID-19的暴露.
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