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10.1111/eci.13315

http://scihub22266oqcxt.onion/10.1111/eci.13315
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32535890!7323025!32535890
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suck abstract from ncbi


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pmid32535890      Eur+J+Clin+Invest 2020 ; 50 (9): e13315
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  • Italian survey on managing immune checkpoint inhibitors in oncology during COVID-19 outbreak #MMPMID32535890
  • Tagliamento M; Spagnolo F; Poggio F; Soldato D; Conte B; Ruelle T; Barisione E; De Maria A; Del Mastro L; Di Maio M; Lambertini M
  • Eur J Clin Invest 2020[Sep]; 50 (9): e13315 PMID32535890show ga
  • BACKGROUND: During COVID-19 outbreak, oncological care has been reorganized. Patients with cancer have been reported to experience a more severe COVID-19 syndrome; moreover, there are concerns of a potential interference between immune checkpoint inhibitors (ICIs) and SARS-CoV-2 pathogenesis. MATERIALS AND METHODS: Between 6 and 16 May 2020, a 22-item survey was sent to Italian physicians involved in administering ICIs. It aimed at exploring the perception about SARS-CoV-2-related risks in cancer patients receiving ICIs, and the attitudes towards their management. RESULTS: The 104 respondents had a median age of 35.5 years, 58.7% were females and 71.2% worked in Northern Italy. 47.1% of respondents argued a synergism between ICIs and SARS-CoV-2 pathogenesis leading to worse outcomes, but 97.1% would not deny an ICI only for the risk of infection. During COVID-19 outbreak, to reduce hospital visits, 55.8% and 30.8% opted for the highest labelled dose of each ICI and/or, among different ICIs for the same indication, for the one with the longer interval between cycles, respectively. 53.8% of respondents suggested testing for SARS-CoV-2 every cancer patient candidate to ICIs. 71.2% declared to manage patients with onset of dyspnoea and cough as infected by SARS-CoV-2 until otherwise proven; however, 96.2% did not reduce the use of steroids to manage immune-related toxicities. The administration of ICIs in specific situations for different cancer types has not been drastically conditioned. CONCLUSIONS: These results highlight the uncertainties around the perception of a potential interference between ICIs and COVID-19, supporting the need of focused studies on this topic.
  • |Adult[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |Clinical Laboratory Techniques/statistics & numerical data[MESH]
  • |Coronavirus Infections/diagnosis/*epidemiology[MESH]
  • |Disease Outbreaks/*statistics & numerical data[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Immunocompromised Host[MESH]
  • |Immunologic Factors/*administration & dosage[MESH]
  • |Italy[MESH]
  • |Male[MESH]
  • |Medical Oncology/methods[MESH]
  • |Middle Aged[MESH]
  • |Neoplasms/*drug therapy/epidemiology/immunology[MESH]
  • |Outcome Assessment, Health Care[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/diagnosis/*epidemiology[MESH]
  • |Risk Assessment[MESH]


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