Providing an acute oncology service during the COVID-19 pandemic

被引：4

作者：

Crusz, Shanthini M. ^{[1
]}

Hall, Peter E. ^{[1
]}

Earwicker, Kate ^{[1
]}

Dexter, Sue ^{[1
]}

Patel-Walker, Gemma ^{[1
]}

Powles, Thomas ^{[1
]}

Diamantis, Nikolaos ^{[1
]}

机构：

[1] Barts Hlth NHS Trust, London, England

来源：

CLINICAL MEDICINE | 2021年 / 21卷 / 05期

关键词：

cancer services; coronavirus; pandemic; SARS-CoV-2; systemic anti-cancer therapy; EMERGENCY PRESENTATION; CANCER;

D O I：

10.7861/clinmed.2020-0693

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The COVID-19 pandemic has led to adaptations being made to all aspects of the NHS, including general practice, acute medical specialties and oncology. This has presented unique challenges to acute oncology services (AOSs) in how to provide continuity of care while maintaining the safety of patients and staff. We describe the experience of the AOS team at Barts Health NHS Trust, working across three acute hospitals in east London. Changes to the service due to COVID-19 included increased remote reviews and referrals to the specialist oncology cancer acute assessment unit. The patient population reviewed in April 2020 (at the initial peak of the pandemic in the UK) was markedly different to one reviewed in April 2019, with 55% more patients presenting with a new diagnosis of cancer via an emergency route. Finally, we suggest changes to AOSs for future waves of the pandemic.

引用

页码：E548 / E551

页数：4

共 11 条

[1] Cancer-specific variation in emergency presentation by sex, age and deprivation across 27 common and rarer cancers [J].

Abel, G. A. ;

Shelton, J. ;

Johnson, S. ;

Elliss-Brookes, L. ;

Lyratzopoulos, G. .

BRITISH JOURNAL OF CANCER, 2015, 112 :S129-S136

[2]

[Anonymous], 2008, NAT CONF ENQ PAT OUT

[3]

[Anonymous], 2009, Chemotherapy services in England: ensuring quality and safety a report from the national chemotherapy advisory group

[4]

Cancer Research UK, 2020, 2000000 PEOPL WAIT C

[5]

Cazier JB, 2020, LANCET, V395, P1919, DOI DOI 10.1016/S0140-6736(20)31173-9

[6]

Johnson B., 2020, Prime Minister's Statement on Coronavirus (COVID-19)

[7] Clinical impact of COVID-19 on patients with cancer (CCC19): a cohort study [J].

Kuderer, Nicole M. ;

Choueiri, Toni K. ;

Shah, Dimpy P. ;

Shyr, Yu ;

Rubinstein, Samuel M. ;

Rivera, Donna R. ;

Shete, Sanjay ;

Hsu, Chih-Yuan ;

Desai, Aakash ;

Lopes, Gilberto de Lima, Jr. ;

Grivas, Petros ;

Painter, Corrie A. ;

Peters, Solange ;

Thompson, Michael A. ;

Bakouny, Ziad ;

Batist, Gerald ;

Bekaii-Saab, Tanios ;

Bilen, Mehmet A. ;

Bouganim, Nathaniel ;

Larroya, Mateo Bover ;

Castellano, Daniel ;

Del Prete, Salvatore A. ;

Doroshow, Deborah B. ;

Egan, Pamela C. ;

Elkrief, Arielle ;

Farmakiotis, Dimitrios ;

Flora, Daniel ;

Galsky, Matthew D. ;

Glover, Michael J. ;

Griffiths, Elizabeth A. ;

Gulati, Anthony P. ;

Gupta, Shilpa ;

Hafez, Navid ;

Halfdanarson, Thorvardur R. ;

Hawley, Jessica E. ;

Hsu, Emily ;

Kasi, Anup ;

Khaki, Ali R. ;

Lemmon, Christopher A. ;

Lewis, Colleen ;

Logan, Barbara ;

Masters, Tyler ;

McKay, Rana R. ;

Mesa, Ruben A. ;

Morgans, Alicia K. ;

Mulcahy, Mary F. ;

Panagiotou, Orestis A. ;

Peddi, Prakash ;

Pennell, Nathan A. ;

Reynolds, Kerry .

LANCET, 2020, 395 (10241) :1907-1918

[8] Emergency presentation of cancer and short-term mortality [J].

McPhail, S. ;

Elliss-Brookes, L. ;

Shelton, J. ;

Ives, A. ;

Greenslade, M. ;

Vernon, S. ;

Morris, E. J. A. ;

Richards, M. .

BRITISH JOURNAL OF CANCER, 2013, 109 (08) :2027-2034

[9] Clinical Portrait of the SARS-CoV-2 Epidemic in European Patients with Cancer [J].

Pinato, David J. ;

Zambelli, Alberto ;

Aguilar-Company, Juan ;

Bower, Mark ;

Sng, Christopher C. T. ;

Salazar, Ramon ;

Bertuzzi, Alexia ;

Brunet, Joan ;

Mesia, Ricard ;

Segui, Elia ;

Biello, Federica ;

Generali, Daniele ;

Grisanti, Salvatore ;

Rizzo, Gianpiero ;

Libertini, Michela ;

Maconi, Antonio ;

Harbeck, Nadia ;

Vincenzi, Bruno ;

Bertulli, Rossella ;

Ottaviani, Diego ;

Carbo, Anna ;

Bruna, Riccardo ;

Benafif, Sarah ;

Marrari, Andrea ;

Wuerstlein, Rachel ;

Carmona-Garcia, M. Carmen ;

Chopra, Neha ;

Tondini, Carlo ;

Mirallas, Oriol ;

Tovazzi, Valeria ;

Betti, Marta ;

Provenzano, Salvatore ;

Fotia, Vittoria ;

Cruz, Claudia Andrea ;

Dalla Pria, Alessia ;

D'Avanzo, Francesca ;

Evans, Joanne S. ;

Saoudi-Gonzalez, Nadia ;

Felip, Eudald ;

Galazi, Myria ;

Garcia-Fructuoso, Isabel ;

Lee, Alvin J. X. ;

Newsom-Davis, Thomas ;

Patriarca, Andrea ;

Garcia-Illescas, David ;

Reyes, Roxana ;

Dileo, Palma ;

Sharkey, Rachel ;

Wong, Yien Ning Sophia ;

Ferrante, Daniela .

CANCER DISCOVERY, 2020, 10 (10) :1465-1474

[10]

Royal College of Physicians, 2015, AC CAR TOOLK 7 AC ON

← 1 2 →