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Recommendations for prioritization, treatment, and triage of breast cancer patients during the COVID-19 pandemic. the COVID-19 pandemic breast cancer consortium.
Dietz, Jill R; Moran, Meena S; Isakoff, Steven J; Kurtzman, Scott H; Willey, Shawna C; Burstein, Harold J; Bleicher, Richard J; Lyons, Janice A; Sarantou, Terry; Baron, Paul L; Stevens, Randy E; Boolbol, Susan K; Anderson, Benjamin O; Shulman, Lawrence N; Gradishar, William J; Monticciolo, Debra L; Plecha, Donna M; Nelson, Heidi; Yao, Katharine A.
  • Dietz JR; National Accreditation Program for Breast Centers, Chicago, IL, USA. Jill.Dietz@UHhospitals.org.
  • Moran MS; American Society of Breast Surgeons, Columbia, MD, USA. Jill.Dietz@UHhospitals.org.
  • Isakoff SJ; University Hospital Cleveland Medical Center, Cleveland, OH, USA. Jill.Dietz@UHhospitals.org.
  • Kurtzman SH; National Accreditation Program for Breast Centers, Chicago, IL, USA.
  • Willey SC; National Comprehensive Cancer Network, Plymouth Meeting, PA, USA.
  • Burstein HJ; Yale Medicine, New Haven, CT, USA.
  • Bleicher RJ; National Comprehensive Cancer Network, Plymouth Meeting, PA, USA.
  • Lyons JA; Massachusetts General Hospital Cancer Center, Boston, MA, USA.
  • Sarantou T; National Accreditation Program for Breast Centers, Chicago, IL, USA.
  • Baron PL; Waterbury Hospital, Waterbury, CT, USA.
  • Stevens RE; American Society of Breast Surgeons, Columbia, MD, USA.
  • Boolbol SK; Inova Schar Cancer Institute, Fairfax, VA, USA.
  • Anderson BO; National Comprehensive Cancer Network, Plymouth Meeting, PA, USA.
  • Shulman LN; Dana Farber Cancer Institute, Boston, MA, USA.
  • Gradishar WJ; National Accreditation Program for Breast Centers, Chicago, IL, USA.
  • Monticciolo DL; Fox Chase Cancer Center, Philadelphia, PA, USA.
  • Plecha DM; National Comprehensive Cancer Network, Plymouth Meeting, PA, USA.
  • Nelson H; University Hospital Cleveland Medical Center, Cleveland, OH, USA.
  • Yao KA; National Accreditation Program for Breast Centers, Chicago, IL, USA.
Breast Cancer Res Treat ; 181(3): 487-497, 2020 Jun.
Article in English | MEDLINE | ID: covidwho-116756
Semantic information from SemMedBD (by NLM)
1. Malignant neoplasm of breast PROCESS_OF Patients
Subject
Malignant neoplasm of breast
Predicate
PROCESS_OF
Object
Patients
2. Malignant neoplasm of breast PROCESS_OF Patients
Subject
Malignant neoplasm of breast
Predicate
PROCESS_OF
Object
Patients
ABSTRACT
The COVID-19 pandemic presents clinicians a unique set of challenges in managing breast cancer (BC) patients. As hospital resources and staff become more limited during the COVID-19 pandemic, it becomes critically important to define which BC patients require more urgent care and which patients can wait for treatment until the pandemic is over. In this Special Communication, we use expert opinion of representatives from multiple cancer care organizations to categorize BC patients into priority levels (A, B, C) for urgency of care across all specialties. Additionally, we provide treatment recommendations for each of these patient scenarios. Priority A patients have conditions that are immediately life threatening or symptomatic requiring urgent treatment. Priority B patients have conditions that do not require immediate treatment but should start treatment before the pandemic is over. Priority C patients have conditions that can be safely deferred until the pandemic is over. The implementation of these recommendations for patient triage, which are based on the highest level available evidence, must be adapted to current availability of hospital resources and severity of the COVID-19 pandemic in each region of the country. Additionally, the risk of disease progression and worse outcomes for patients need to be weighed against the risk of patient and staff exposure to SARS CoV-2 (virus associated with the COVID-19 pandemic). Physicians should use these recommendations to prioritize care for their BC patients and adapt treatment recommendations to the local context at their hospital.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Pneumonia, Viral / Breast Neoplasms / Coronavirus Infections Subject: Pneumonia, Viral / Breast Neoplasms / Coronavirus Infections Type of study: Broad_synthesis / Diagnostic study / Clinical Practice Guide Language: English Journal: Breast Cancer Res Treat Clinical aspect: Etiology Year: 2020

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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Main subject: Pneumonia, Viral / Breast Neoplasms / Coronavirus Infections Subject: Pneumonia, Viral / Breast Neoplasms / Coronavirus Infections Type of study: Broad_synthesis / Diagnostic study / Clinical Practice Guide Language: English Journal: Breast Cancer Res Treat Clinical aspect: Etiology Year: 2020
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