Articles producció científica> Ciències Mèdiques Bàsiques

Older Cancer Patients during the COVID-19 Epidemic: Practice Proposal of the International Geriatric Radiotherapy Group

  • Dades identificatives

    Identificador: imarina:6488980
    Autors:
    Nguyen, Nam P.Vinh-Hung, VincentBaumert, Brigitta G.Zamagni, AliceArenas, MeritxellMotta, MicaelaCarlos Lara, PedroMyint, Arthur SunBonet, MartaPopescu, TiberiuTe VuongAppalanaido, Gokula KumarTrigo, LurdesKarlsson, UlfThariat, Juliette
    Resum:
    The coronavirus disease 19 (COVID-19) pandemic is unprecedented as it reached all countries in the world within a record short period of time. Even though COVID-19 infection may be just severe in any adults, older adults (65-year-old or older) may experience a higher mortality rate. Among those affected, cancer patients may have a worse outcome compared to the general population because of their depressed immune status. As the health resources of most countries are limited, clinicians may face painful decisions about which patients to save if they require artificial ventilation. Cancer patients, especially the older ones, may be denied supportive care because of their shorter life expectancy. Thus, special considerations should be taken to prevent infection of older cancer patients and to provide them with adequate social support during their cancer treatment. The following proposal was reached: (1) Education of health care providers about the special needs of older cancer patients and their risks of infection. (2) Special consideration such as surgical masks and separate scheduling should be made to protect them from being infected. (3) Social services such as patient navigators should be provided to ensure adequate medical supply, food, and daily transportation to cancer centers. (4) Close monitoring through phone calls, telecommunication to ensure social distancing and psychological support from patient family to prevent anxiety and depression. (5) Shorter course of radiotherapy by use of hypofractionation where possible to decrease the needs for daily transportation and exposure to infection. (6) Enrollment of older cancer patients in clinical trials for potential antiviral medications if infection does occur. (7) Home health care telemedicine may be an effective st
  • Altres:

    Autor segons l'article: Nguyen, Nam P.; Vinh-Hung, Vincent; Baumert, Brigitta G.; Zamagni, Alice; Arenas, Meritxell; Motta, Micaela; Carlos Lara, Pedro; Myint, Arthur Sun; Bonet, Marta; Popescu, Tiberiu; Te Vuong; Appalanaido, Gokula Kumar; Trigo, Lurdes; Karlsson, Ulf; Thariat, Juliette;
    Departament: Ciències Mèdiques Bàsiques
    Autor/s de la URV: Arenas Prat, Meritxell
    Paraules clau: Treatment Targeted therapy Older Navigation Mobility Epidemic Corona virus 19 Care Cancer patients Barriers Adults
    Resum: The coronavirus disease 19 (COVID-19) pandemic is unprecedented as it reached all countries in the world within a record short period of time. Even though COVID-19 infection may be just severe in any adults, older adults (65-year-old or older) may experience a higher mortality rate. Among those affected, cancer patients may have a worse outcome compared to the general population because of their depressed immune status. As the health resources of most countries are limited, clinicians may face painful decisions about which patients to save if they require artificial ventilation. Cancer patients, especially the older ones, may be denied supportive care because of their shorter life expectancy. Thus, special considerations should be taken to prevent infection of older cancer patients and to provide them with adequate social support during their cancer treatment. The following proposal was reached: (1) Education of health care providers about the special needs of older cancer patients and their risks of infection. (2) Special consideration such as surgical masks and separate scheduling should be made to protect them from being infected. (3) Social services such as patient navigators should be provided to ensure adequate medical supply, food, and daily transportation to cancer centers. (4) Close monitoring through phone calls, telecommunication to ensure social distancing and psychological support from patient family to prevent anxiety and depression. (5) Shorter course of radiotherapy by use of hypofractionation where possible to decrease the needs for daily transportation and exposure to infection. (6) Enrollment of older cancer patients in clinical trials for potential antiviral medications if infection does occur. (7) Home health care telemedicine may be an effective strategy for older cancer patients with COVID-19 infection to avoid hospital admission when health care resources become restricted. (8) For selected patients, immunotherapy and targeted therapy may become the systemic therapy of choice for older cancer patients and need to be tested in clinical trials.
    Àrees temàtiques: Oncology Medicina iii Cancer research
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    Adreça de correu electrònic de l'autor: meritxell.arenas@urv.cat
    Identificador de l'autor: 0000-0003-0815-2570
    Data d'alta del registre: 2023-02-19
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Enllaç font original: https://www.mdpi.com/2072-6694/12/5/1287
    Referència a l'article segons font original: Cancers. 12 (5):
    Referència de l'ítem segons les normes APA: Nguyen, Nam P.; Vinh-Hung, Vincent; Baumert, Brigitta G.; Zamagni, Alice; Arenas, Meritxell; Motta, Micaela; Carlos Lara, Pedro; Myint, Arthur Sun; Bo (2020). Older Cancer Patients during the COVID-19 Epidemic: Practice Proposal of the International Geriatric Radiotherapy Group. Cancers, 12(5), -. DOI: 10.3390/cancers12051287
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    DOI de l'article: 10.3390/cancers12051287
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2020
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Cancer Research,Oncology
    Treatment
    Targeted therapy
    Older
    Navigation
    Mobility
    Epidemic
    Corona virus 19
    Care
    Cancer patients
    Barriers
    Adults
    Oncology
    Medicina iii
    Cancer research
  • Documents:

  • Cerca a google

    Search to google scholar