Systemic Treatment of Patients With Gastrointestinal Cancers During the COVID-19 Outbreak: COVID-19-adapted Recommendations of the National Cancer Institute of Milan

Clinical Colorectal Cancer
Filippo PietrantonioMaria Di Bartolomeo

Abstract

The current severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak poses a major challenge in the treatment decision-making of patients with cancer, who may be at higher risk of developing a severe and deadly SARS-CoV-2 infection compared with the general population. The health care emergency is forcing the reshaping of the daily assessment between risks and benefits expected from the administration of immune-suppressive and potentially toxic treatments. To guide our clinical decisions at the National Cancer Institute of Milan (Lombardy region, the epicenter of the outbreak in Italy), we formulated Coronavirus-adapted institutional recommendations for the systemic treatment of patients with gastrointestinal cancers. Here, we describe how our daily clinical practice has changed due to the pandemic outbreak, with the aim of providing useful suggestions for physicians that are facing the same challenges worldwide.

Citations

Aug 18, 2020·Cancer Management and Research·Wojciech Piotr PolkowskiKarol Rawicz-Pruszyński
Mar 15, 2021·International Journal of Clinical Practice·H C Yashavantha RaoSyed Noeman Taqui
Jan 4, 2022·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Massimo AmbroggiLuigi Cavanna

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