The impact of COVID-19 on and recommendations for breast cancer care: the Singapore experience

被引:21
作者
Chan, Jack Junjie [1 ,2 ]
Sim, Yirong [2 ,3 ,4 ]
Ow, Samuel Guan Wei [5 ,6 ]
Lim, Joline Si Jing [5 ,6 ]
Kusumawidjaja, Grace [2 ,7 ]
Zhuang, Qingyuan [2 ,8 ]
Wong, Ru Xin [2 ,7 ]
Wong, Fuh Yong [2 ,7 ]
Tan, Veronique Kiak Mien [2 ,3 ,4 ]
Tan, Tira Jing Ying [1 ,2 ]
机构
[1] Natl Canc Ctr Singapore, Div Med Oncol, Singapore, Singapore
[2] Duke NUS Med Sch, Oncol Acad Clin Programme, Singapore, Singapore
[3] Natl Canc Ctr Singapore, Div Surg & Surg Oncol, Singapore, Singapore
[4] Singapore Gen Hosp, SingHlth Duke NUS Breast Ctr, Singapore, Singapore
[5] Natl Univ Canc Inst, Dept Haematol Oncol, Singapore, Singapore
[6] Natl Univ Singapore, Yong Loo Lin Sch Med, Singapore, Singapore
[7] Natl Canc Ctr Singapore, Div Radiat Oncol, Singapore, Singapore
[8] Natl Canc Ctr Singapore, Div Support & Palliat Care, Singapore, Singapore
关键词
COVID-19; breast cancer; surgery; systemic anti-cancer treatments; radiotherapy; palliative care; CARCINOMA IN-SITU; OPEN-LABEL; TRASTUZUMAB EMTANSINE; CONSERVING SURGERY; DOUBLE-BLIND; FOLLOW-UP; RADIOTHERAPY HYPOFRACTIONATION; METRONOMIC CHEMOTHERAPY; PHYSICIANS CHOICE; PLUS TRASTUZUMAB;
D O I
10.1530/ERC-20-0157
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The ensuing COVID-19 pandemic poses unprecedented and daunting challenges to the routine delivery of oncological and supportive care to patients with breast cancer. Considerations include the infective risk of patients who are inherently immunosuppressed from their malignancy and therapies, long-term oncological outcomes from the treatment decisions undertaken during this extraordinary period, and diverted healthcare resources to support a coordinated whole-of-society outbreak response. In this review, we chronicle the repercussions of the COVID-19 outbreak on breast cancer management in Singapore and describe our approach to triaging and prioritising care of breast tumours. We further propose adaptations to established clinical processes and practices across the different specialties involved in breast oncology, with references to the relevant evidence base or expert consensus guidelines. These recommendations have been developed within the unique context of Singapore's public healthcare sector. They can serve as a resource to guide breast cancer management for future contingencies in this city-state, while certain elements therein may be extrapolatable to other medical systems during this global public health emergency.
引用
收藏
页码:E307 / E327
页数:21
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