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Surgical care of thoracic malignancies during the COVID-19 pandemic in México: An expert consensus guideline from the Sociedad Mexicana de Oncología (SMeO) and the Sociedad Mexicana de Cirujanos Torácicos Generales (SMCTG).
Corona-Cruz, Jose; Alba, Enrique Guzmán-de; Iñiguez-García, Marco; López-Saucedo, Raúl; Olivares-Torres, Carlos; Rodriguez-Cid, Jeronimo; Salazar-Otaola, Gustavo; Martínez-Said, Héctor; Flores, Raja M; Arrieta, Oscar.
  • Corona-Cruz J; Thoracic Surgical Oncology, Instituto Nacional de Cancerologia, Mexico City, Mexico.
  • Alba EG; Thoracic Surgery, Centro Médico ABC, Mexico City, Mexico.
  • Iñiguez-García M; Thoracic Surgery, Instituto Nacional de Enfermedades Respiratorias, Mexico City, Mexico.
  • López-Saucedo R; Surgery Division, Centenario Hospital Miguel Hidalgo, Aguascalientes, Mexico.
  • Olivares-Torres C; Thoracic Surgery, Hospital General de Tijuana, Tijuana, Mexico.
  • Rodriguez-Cid J; Thoracic Oncology, Instituto Nacional de Enfermedades Respiratorias, Mexico City, Mexico.
  • Salazar-Otaola G; Thoracic Surgery, Hospital General de Tijuana, Tijuana, Mexico.
  • Martínez-Said H; Surgical Oncology, Instituto Nacional de Cancerologia, Mexico City, Mexico.
  • Flores RM; Division of Thoracic Surgery, Mount Sinai School of Medicine, New York, New York, USA.
  • Arrieta O; Thoracic Oncology Unit, Instituto Nacional de Cancerologia, Mexico City, Mexico.
Thorac Cancer ; 11(8): 2370-2375, 2020 08.
Article in English | MEDLINE | ID: covidwho-649797
Semantic information from SemMedBD (by NLM)
1. Malignant neoplasm of thorax COEXISTS_WITH COVID-19
Subject
Malignant neoplasm of thorax
Predicate
COEXISTS_WITH
Object
COVID-19
2. Triage METHOD_OF Operative Surgical Procedures
Subject
Triage
Predicate
METHOD_OF
Object
Operative Surgical Procedures
3. Interventional procedure PREDISPOSES COVID-19
Subject
Interventional procedure
Predicate
PREDISPOSES
Object
COVID-19
4. Decision PROCESS_OF Team
Subject
Decision
Predicate
PROCESS_OF
Object
Team
5. Malignant neoplasm of thorax PROCESS_OF Patients
Subject
Malignant neoplasm of thorax
Predicate
PROCESS_OF
Object
Patients
6. Malignant neoplasm of thorax COEXISTS_WITH COVID-19
Subject
Malignant neoplasm of thorax
Predicate
COEXISTS_WITH
Object
COVID-19
7. Triage METHOD_OF Operative Surgical Procedures
Subject
Triage
Predicate
METHOD_OF
Object
Operative Surgical Procedures
8. Interventional procedure PREDISPOSES COVID-19
Subject
Interventional procedure
Predicate
PREDISPOSES
Object
COVID-19
9. Decision PROCESS_OF Team
Subject
Decision
Predicate
PROCESS_OF
Object
Team
10. Malignant neoplasm of thorax PROCESS_OF Patients
Subject
Malignant neoplasm of thorax
Predicate
PROCESS_OF
Object
Patients
ABSTRACT
To date, the impact, timeline and duration of COVID-19 pandemic remains unknown and more than ever it is necessary to provide safe pathways for cancer patients. Multiple triage systems for nonemergent surgical procedures have been published, but potentially curative cancer procedures are essential surgery rather than elective surgery. In the present and future scenario of our country, thoracic oncology teams may have the difficult decision of weighing the utility of surgical intervention against the risk for inadvertent COVID-19 exposure for patients and medical staff. In consequence, traditional pathways of surgical care must be adjusted to reduce the risk of infection and the use of resources. It is recommended that all thoracic cancer patients should be offered treatment according to the accepted standard of care until shortage of services require a progressive reduction in surgical cases. Here, we present a consensus of recommendations discussed by a multidisciplinary panel of experts on thoracic oncology and based on the best available evidence, and hope it will provide a modifiable framework of guidance for local strategy planners in thoracic cancer care services in Mexico. KEY POINTS SIGNIFICANT FINDINGS OF THE STUDY This article provides recommendations to guarantee the continuity of surgical care for thoracic oncology cases during COVID-19 pandemic, whilst maintaining the safety of patients and medical staff. WHAT THIS STUDY ADDS This guideline is the result of an expert consensus on thoracic surgical oncology with recommendations adapted to medical, economic and social realities of Mexico.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Thoracic Neoplasms / Pandemics / COVID-19 / Lung Neoplasms Type of study: Clinical Practice Guide / Prognostic study Limits: Humans Country/Region as subject: Mexico Language: English Journal: Thorac Cancer Year: 2020 Document Type: Article Affiliation country: 1759-7714.13546

Full text: Available Collection: International databases Database: MEDLINE Main subject: Thoracic Neoplasms / Pandemics / COVID-19 / Lung Neoplasms Type of study: Clinical Practice Guide / Prognostic study Limits: Humans Country/Region as subject: Mexico Language: English Journal: Thorac Cancer Year: 2020 Document Type: Article Affiliation country: 1759-7714.13546