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2020 ; 20
(1
): 641
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Challenges for cancer patients returning home during SARS-COV-19 pandemic after
medical tourism - a consensus report by the emirates oncology task force
#MMPMID32650756
Al-Shamsi HO
; Abu-Gheida I
; Rana SK
; Nijhawan N
; Abdulsamad AS
; Alrawi S
; Abuhaleeqa M
; Almansoori TM
; Alkasab T
; Aleassa EM
; McManus MC
BMC Cancer
2020[Jul]; 20
(1
): 641
PMID32650756
show ga
BACKGROUND: The COVID-19 pandemic has caused a global health crisis. Numerous
cancer patients from non-Western countries, including the United Arab Emirates
(UAE), seek cancer care outside their home countries and many are sponsored by
their governments for treatment. Many patients interrupted their cancer treatment
abruptly and so returned to their home countries with unique challenges. In this
review we will discuss practical challenges and recommendations for all cancer
patients returning to their home countries from treatment abroad. METHOD: Experts
from medical, surgical and other cancer subspecialties in the UAE were invited to
form a taskforce to address challenges and propose recommendations for patients
returning home from abroad after medical tourism during the SARS-COV-19 Pandemic.
RESULTS: The taskforce which consisted of experts from medical oncology,
hematology, surgical oncology, radiation oncology, pathology, radiology and
palliative care summarized the current challenges and suggested a practical
approaches to address these specific challenges to improve the returning cancer
patients care. Lack of medical documentation, pathology specimens and radiology
images are one of the major limitations on the continuation of the cancer care
for returning patients. Difference in approaches and treatment recommendations
between the existing treating oncologists abroad and receiving oncologists in the
UAE regarding the optimal management which can be addressed by early and empathic
communications with patients and by engaging the previous treating oncologists in
treatment planning based on the available resources and expertise in the UAE.
Interruption of curative radiotherapy (RT) schedules which can potentially
increase risk of treatment failure has been a major challenge, RT
dose-compensation calculation should be considered in these circumstances.
CONCLUSION: The importance of a thorough clinical handover cannot be overstated
and regulatory bodies are needed to prevent what can be considered unethical
procedure towards returning cancer patients with lack of an effective handover.
Clear communication is paramount to gain the trust of returning patients and
their families. This pandemic may also serve as an opportunity to encourage
patients to receive treatment locally in their home country. Future studies will
be needed to address the steps to retain cancer patients in the UAE rather than
seeking cancer treatment abroad.
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