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2020 ; 12
(5
): e8190
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Disease Site-Specific Guidelines for Curative Radiation Treatment During Limited
Surgery and Hospital Avoidance : A Radiation Oncology Perspective From the
Epicenter of COVID-19 Pandemic
#MMPMID32440386
Parashar B
; Chen WC
; Herman JM
; Potters L
Cureus
2020[May]; 12
(5
): e8190
PMID32440386
show ga
The COVID-19 pandemic has resulted in an unprecedented situation where the
standard of care (SOC) management for cancers has been altered significantly.
Patients with potentially curable cancers are at risk of not receiving timely SOC
multidisciplinary treatments, such as surgery, chemotherapy, radiation therapy,
or combination treatments. Hospital resources are in such high demand for
COVID-19 patients that procedures, such as surgery, dentistry, interventional
radiology, and other ancillary services, are not available for cancer patients.
Our tertiary care center is considered the center of the epicenter in the USA. As
a result, all non-emergent surgeries have been suspended in order to provide
hospital beds and other resources for COVID-19 patients. Additionally, ambulatory
efforts to avoid treatment-related morbidity are critical for keeping patients
out of emergency departments and hospitals. In this review article, we discuss
evidence-based radiation therapy approaches for curable cancer patients during
the COVID-19 pandemic. We focus on three scenarios of cancer care: 1) radiation
therapy as an alternative to surgery when immediate surgery is not possible, 2)
radiation therapy as a 'bridge' to surgery, and 3) radiation options definitively
or postoperatively, given the risk of hospitalization with high-dose
chemotherapy.