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About:
ESMO Management and treatment adapted recommendations in the COVID-19 era: Breast Cancer
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An Entity of Type :
schema:ScholarlyArticle
, within Data Space :
wasabi.inria.fr
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document(s)
Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
ESMO Management and treatment adapted recommendations in the COVID-19 era: Breast Cancer
Creator
Curigliano, Giuseppe
Trapani, Dario
Cardoso, Fatima
Cortes, Javier
Cosimo, Serena
Criscitiello, Carmen
De Azambuja, Evandro
Delaloge, Suzette
Gnant, Michael
Loibl, Sibylle
Paluch-Shimon, Shani
Poortman, Philip
Senkus, Elzbieta
source
Medline; PMC
abstract
The global preparedness and response to the rapid escalation to severe acute respiratory syndrome coronavirus (SARS-CoV)-2-related disease (COVID-19) to a pandemic proportion has demanded the formulation of a reliable, useful and evidence-based mechanism for health services prioritisation, to achieve the highest quality standards of care to all patients. The prioritisation of high value cancer interventions must be embedded in the agenda for the pandemic response, ensuring that no inconsistency or discrepancy emerge in the health planning processes. The aim of this work is to organise health interventions for breast cancer management and research in a tiered framework (high, medium, low value), formulating a scheme of prioritisation per clinical cogency and intrinsic value or magnitude of benefit. The public health tools and schemes for priority setting in oncology have been used as models, aspiring to capture clinical urgency, value in healthcare, community goals and fairness, while respecting the principles of benevolence, non-maleficence, autonomy and justice. We discuss the priority health interventions across the cancer continuum, giving a perspective on the role and meaning to maintain some services (undeferrable) while temporarily abrogate some others (deferrable). Considerations for implementation and the essential link to pre-existing health services, especially primary healthcare, are addressed, outlining a framework for the development of effective and functional services, such as telemedicine. The discussion covers the theme of health systems strategising, and why oncology care, in particular breast cancer care, should be maintained in parallel to pandemic control measures, providing a pragmatic clinical model within the broader context of public healthcare schemes.
has issue date
2020-05-20
(
xsd:dateTime
)
bibo:doi
10.1136/esmoopen-2020-000793
bibo:pmid
32439716
has license
cc-by-nc
sha1sum (hex)
5f138b67151030fc296b2154aacad6b9b91014f1
schema:url
https://doi.org/10.1136/esmoopen-2020-000793
resource representing a document's title
ESMO Management and treatment adapted recommendations in the COVID-19 era: Breast Cancer
has PubMed Central identifier
PMC7295852
has PubMed identifier
32439716
schema:publication
ESMO Open
resource representing a document's body
covid:5f138b67151030fc296b2154aacad6b9b91014f1#body_text
is
schema:about
of
named entity 'prognosis'
named entity 'primary healthcare'
named entity 'physical distancing'
named entity 'breast cancer'
named entity 'radiation therapy'
named entity 'mTOR inhibitors'
named entity 'oncology'
named entity 'decision making'
named entity 'asymptomatic'
named entity 'Triaging'
named entity 'immune-modulating'
named entity 'drug holiday'
named entity 'oncology'
named entity 'public health interventions'
named entity 'health services'
named entity 'COVID-19'
named entity 'endocrine'
named entity 'oncology'
named entity 'thromboembolic'
named entity 'mTOR'
named entity 'healthcare professionals'
named entity 'COVID-19'
named entity 'breast cancer'
named entity 'breast CanCer'
named entity 'radiation therapy'
named entity 'imaging techniques'
named entity 'contingency plan'
named entity 'clinical decision making'
named entity 'HER2'
named entity 'health workforce'
named entity 'ECGs'
named entity 'chronic disease'
named entity 'health services'
named entity 'evidence-based'
named entity 'breast CanCer'
named entity 'not-for-profit'
named entity 'multidisciplinary team'
named entity 'COVID-19'
named entity 'diagnostic imaging'
named entity 'metastatic breast cancer'
named entity 'older patients'
named entity 'breast cancer'
named entity 'health systems'
named entity 'bisphosphonates'
named entity 'mammography'
named entity 'oncology'
named entity 'breast cancer care'
named entity 'trastuzumab'
named entity 'intravenous'
named entity 'health sector'
named entity 'Ontario'
named entity 'neoadjuvant'
named entity 'premedication'
named entity 'clinical trials'
named entity 'preclinical'
named entity 'clinical trial'
named entity 'oncology'
named entity 'mammography'
named entity 'anthracycline'
named entity 'MCBS'
named entity 'follow-up'
named entity 'COVID-19 pandemic'
named entity 'risk-benefit ratio'
named entity '12 weeks'
named entity 'postmenopausal'
named entity 'mammograms'
named entity 'COVID-19'
named entity 'antineoplastic'
named entity 'MCBS'
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