Abstract
Introduction: The COVID-19 pandemic has major impact of healthcare systems, including cancer care pathways. The aim of this work is to discuss in a multidisciplinary approach the therapeutic and/or strategies adaptations for patients treated for a digestive cancer during the European second wave of COVID-19 pandemic.
Methods: A collaborative work was performed by several French societies to answer how to preserve digestive cancer care with no loss of chance during the second wave of COVID-19. In this context, all recommendations are graded as expert’s agreement according to level evidence found in literature until October 2020 and the experience of the first wave of the COVID-19 pandemic.
Results: As far as possible, no therapeutic modification should be carried out. If necessary, therapeutic adjustments may be considered if they do not constitute a loss of chance for patients. Considering the level of evidence all therapeutic modifications need to be discussed in multidisciplinary tumor board meeting and with patient consent. By contrast to first wave cancer prevention, cancer screening, supportive care and clinical trials should be continued.
Conclusion: Recommendations proposed could limit cancer excess mortality due to the COVID-19 pandemic but should be adapted according to the situation in each hospital.
Keywords: COVID-19 infection; Chemotherapy; Digestive cancer; French Clinical Practice Guidelines; Surgery.
【저자키워드】 surgery, Chemotherapy, COVID-19 infection, Digestive cancer, French Clinical Practice Guidelines, 【초록키워드】 COVID-19, Tumor, clinical trial, Mortality, COVID-19 pandemic, hospital, Cancer, surgery, clinical trials, Chemotherapy, Cancer screening, COVID-19 infection, clinical, Practice, therapeutic, Patient, excess mortality, second wave, cancer prevention, First wave, Care, patients, Evidence, supportive care, Pathways, multidisciplinary approach, Healthcare systems, chance, situation, French, Modification, recommendation, approach, European, limit, carried, was performed, digestive, patients treated, 【제목키워드】 COVID-19, Cancer, French, digestive,