Author: Leung, Marco Shiu Tsun; Lin, Shangzhe George; Chow, Jason; Harky, Amer
Title: COVIDâ€19 and Oncology: Service transformation during pandemic Cord-id: ldbscq4s Document date: 2020_8_18
ID: ldbscq4s
Snippet: BACKGROUND: The COVIDâ€19 pandemic has challenged healthcare systems around the world, where resources have refocused on increasing critical bed capacity to prepare for the peak in incidence of COVIDâ€19. Oncology faces an unprecedented challenge as patients require multidisciplinary care and are more likely to be immunosuppressed. Services in oncology have been transformed using minimal resources over a short period of time. This transformation continues and telemedicine is playing a key role
Document: BACKGROUND: The COVIDâ€19 pandemic has challenged healthcare systems around the world, where resources have refocused on increasing critical bed capacity to prepare for the peak in incidence of COVIDâ€19. Oncology faces an unprecedented challenge as patients require multidisciplinary care and are more likely to be immunosuppressed. Services in oncology have been transformed using minimal resources over a short period of time. This transformation continues and telemedicine is playing a key role. AIMS: We explore how services in oncology have transformed to deliver services including consultations, systemic anticancer therapy, and surgery for patients, while shielding them from contracting COVIDâ€19. We assess the risks and benefits of the service transformation in the immediate, interim, and long term, and how telemedicine supports the process. METHODS: We performed a comprehensive review of the literature using suitable keywords on the search engines of PubMed, SCOPUS, Google Scholar, and latest official data from May to June 2020. RESULTS: Through the published literature on this topic, we discuss the transformations in oncology and the impact on patients and healthcare workers due to the COVIDâ€19 pandemic. We reflect on the lessions from COVIDâ€19 and assess the role of telemedicine in the future of oncology services. CONCLUSION: Transformation of services in oncology effectively shields patients from COVIDâ€19 infections, and telemedicine plays a role in virtual consultations. The longâ€term effects are yet to be seen, such as safety of homeâ€based treatment, and effectiveness of virtual communication on patient care. As oncology requires a multidisciplinary approach, telemedicine will play a key role to improve patientâ€centered cancer care in the future.
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