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Lung cancer and the COVID-19 pandemic: recommendations from the brazilian thoracic oncology group
Baldotto, Clarissa; Gelatti, Ana; Accioly, Arthur; Mathias, Clarissa; Mascarenhas, Eldsamira; Carvalho, Heloisa; Faroni, Lilian; Araújo, Luiz Henrique; Zukin, Mauro; Gadia, Rafael; Terra, Ricardo Mingarini; Haddad, Rui; Lima, Vladmir Cordeiro de; Castro-Júnior, Gilberto de.
Affiliation
  • Baldotto, Clarissa; Instituto DOr de Pesquisa e Ensino. Oncologia. Rio de Janeiro. BR
  • Gelatti, Ana; Grupo Brasileiro de Oncologia Toracica. Porto Alegre. BR
  • Accioly, Arthur; Sociedade Brasileira de Radioterapia. Sao Paulo. BR
  • Mathias, Clarissa; Grupo Oncoclinicas. Sao Paulo. BR
  • Mascarenhas, Eldsamira; Grupo Brasileiro de Oncologia Toracica. Porto Alegre. BR
  • Carvalho, Heloisa; Hospital das Clinicas HCFMUSP, Faculdade de Medicina. Instituto de Radiologia (INRAD). Radioterapia. Sao Paulo. BR
  • Faroni, Lilian; Instituto DOr de Pesquisa e Ensino. Oncologia. Rio de Janeiro. BR
  • Araújo, Luiz Henrique; Instituto Nacional do Cancer. Rio de Janeiro. BR
  • Zukin, Mauro; Grupo Brasileiro de Oncologia Toracica. Porto Alegre. BR
  • Gadia, Rafael; Sociedade Brasileira de Radioterapia. Sao Paulo. BR
  • Terra, Ricardo Mingarini; Sociedade Brasileira de Cirurgia Toracica. Sao Paulo. BR
  • Haddad, Rui; Grupo Brasileiro de Oncologia Toracica. Porto Alegre. BR
  • Lima, Vladmir Cordeiro de; Grupo Brasileiro de Oncologia Toracica. Porto Alegre. BR
  • Castro-Júnior, Gilberto de; Grupo Brasileiro de Oncologia Toracica. Porto Alegre. BR
Clinics ; 75: e2060, 2020. tab
Article in English | LILACS | ID: biblio-1133346
Responsible library: BR1.1
ABSTRACT
New cases of the novel coronavirus disease 2019 (COVID-19), also known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), continue to rise worldwide following the declaration of a pandemic by the World Health Organization (WHO). The current pandemic has completely altered the workflow of health services worldwide. However, even during this critical period, patients with other diseases, like cancer, need to be properly treated. A few reports have shown that mortality due to SARS-CoV-2 is higher in elderly patients and those with other active comorbidities, including cancer. Patients with lung cancer are at risk of pulmonary complications from COVID-19, and as such, the risk/benefit ratio of local and systemic anticancer treatment has to be considered. For each patient, several factors, including age, comorbidities, and immunosuppression, as well as the number of hospital visits for treatment, can influence this risk. The number of cases is rising exponentially in Brazil, and it is important to consider the local characteristics when approaching the pandemic. In this regard, the Brazilian Thoracic Oncology Group has developed recommendations to guide decisions in lung cancer treatment during the SARS-CoV-2 pandemic. Due to the scarcity of relevant data, discussions based on disease stage, evaluation of surgical treatment, radiotherapy techniques, systemic therapy, follow-up, and supportive care were carried out, and specific suggestions issued. All recommendations seek to reduce contagion risk by decreasing the number of medical visits and hospitalization, and in the case of immunosuppression, by adapting treatment schemes when possible. This statement should be adjusted according to the reality of each service, and can be revised as new data become available.
Subject(s)


Full text: Available Collection: International databases Health context: SDG3 - Target 3.8 Achieve universal access to health / Sustainable Health Agenda for the Americas / SDG3 - Health and Well-Being / SDG3 - Target 3.3 End transmission of communicable diseases / SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases Health problem: Delivery Arrangements / Financial Arrangements / Goal 4: Health financing / Target 3.8 Achieve universal access to health / COVID-19 / Pneumonia / Other Respiratory Diseases / Trachea, Bronchus, Lung Cancers Database: LILACS Main subject: Pneumonia, Viral / Coronavirus Infections / Coronavirus / Pandemics / Patient Care / Lung Neoplasms Type of study: Practice guideline / Prognostic study / Qualitative research Limits: Aged / Humans Country/Region as subject: South America / Brazil Language: English Journal: Clinics Journal subject: Medicine Year: 2020 Document type: Article Affiliation country: Brazil Institution/Affiliation country: Grupo Brasileiro de Oncologia Toracica/BR / Grupo Oncoclinicas/BR / Hospital das Clinicas HCFMUSP, Faculdade de Medicina/BR / Instituto DOr de Pesquisa e Ensino/BR / Instituto Nacional do Cancer/BR / Sociedade Brasileira de Cirurgia Toracica/BR / Sociedade Brasileira de Radioterapia/BR

Full text: Available Collection: International databases Health context: SDG3 - Target 3.8 Achieve universal access to health / Sustainable Health Agenda for the Americas / SDG3 - Health and Well-Being / SDG3 - Target 3.3 End transmission of communicable diseases / SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases Health problem: Delivery Arrangements / Financial Arrangements / Goal 4: Health financing / Target 3.8 Achieve universal access to health / COVID-19 / Pneumonia / Other Respiratory Diseases / Trachea, Bronchus, Lung Cancers Database: LILACS Main subject: Pneumonia, Viral / Coronavirus Infections / Coronavirus / Pandemics / Patient Care / Lung Neoplasms Type of study: Practice guideline / Prognostic study / Qualitative research Limits: Aged / Humans Country/Region as subject: South America / Brazil Language: English Journal: Clinics Journal subject: Medicine Year: 2020 Document type: Article Affiliation country: Brazil Institution/Affiliation country: Grupo Brasileiro de Oncologia Toracica/BR / Grupo Oncoclinicas/BR / Hospital das Clinicas HCFMUSP, Faculdade de Medicina/BR / Instituto DOr de Pesquisa e Ensino/BR / Instituto Nacional do Cancer/BR / Sociedade Brasileira de Cirurgia Toracica/BR / Sociedade Brasileira de Radioterapia/BR
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