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Deprecated: Implicit conversion from float 265.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+BUON 2020 ; 25 (3): 1277-1280 Nephropedia Template TP
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Behind the numbers and the panic of a viral pandemic: fixed restrictive oncology guidance may jeopardize patients survival #MMPMID32862566
Mauri D; Tzachanis D; Valachis A; Kamposioras K; Tolia M; Dambrosio M; Zarkavelis G; Gkoura S; Gazouli I; De Lorenzo F; Apostolidis K
J BUON 2020[May]; 25 (3): 1277-1280 PMID32862566show ga
To protect cancer patients from COVID-19 exposure, prioritization strategies are being implemented at global level. Measures include use of tele-health services, deferring elective surgeries, delaying non life-saving therapies, interrupting maintenance and supportive care regimens and suspending screening and regular follow-up visits. Nonetheless, the risk of infection may not always outweigh oncology treatment benefit. Lives of most oncology patients depend on their ability to receive medical, surgical and radiotherapy care. Postponing screening, follow-up and radical surgeries increase patients' risk of developing metastatic disease. A viral pandemic lasts long time and exhibits seasonal and geographical variations. Though vaccines will be available only in the 2021, a global, aggressive, all-embracing and protracted slowdown of oncologic activities will severely jeopardize patients' outcomes. A present international oncologists' panel, ECPC and FAVO, strongly suggest that Hospital measures in a specific geographical area/Nation should be in line with the local epidemic, and restrictions adopted should be adapted and stratified over time.