O'Neill Danielle, El-Ghobashy Alaa
Department of Gynaecological Oncology, The Royal Wolverhampton Hospital NHS Trust, West Midlands, WV10 0QP, United Kingdom.
Heliyon. 2021 Apr;7(4):e06658. doi: 10.1016/j.heliyon.2021.e06658. Epub 2021 Apr 1.
The coronavirus pandemic caused global devastation with over 2 million deaths and put unprecedented pressure on health care facilities world-wide. The response to the pandemic differed globally as countries faced different challenges. Within Gynaecological oncology, a multitude of guidance was published by various countries and organisations which demonstrated major themes. These consisted of implementations aimed at reducing transmission, managing limited resources, treatment prioritisation whilst continuing urgent oncological surgery where possible and the use of alternative therapies in the management of oncology patients to reduce hospital admission. Due to the novelty of this virus and its global effects, published guidance is currently limited to best practice and small-scale trials. This review aims to summarise the global response to coronavirus with respect to Gynaecological oncology and suggests potential interventions to limit the spread of the virus during resurgence or in the event of a future global pandemic. It also discusses the current trials recruiting relevant to the field of Gynaecological oncology to better inform the specialty on the management of cancer patients during COVID-19.
新冠疫情造成了全球范围的破坏,导致超过200万人死亡,并给全球医疗保健设施带来了前所未有的压力。由于各国面临不同挑战,全球对疫情的应对措施也各不相同。在妇科肿瘤领域,各国和各组织发布了大量指南,展现出了一些主要主题。这些主题包括旨在减少传播的措施、管理有限资源、在可能的情况下继续进行紧急肿瘤手术的同时确定治疗优先级,以及在肿瘤患者管理中使用替代疗法以减少住院。由于这种病毒的新颖性及其全球影响,目前已发布的指南仅限于最佳实践和小规模试验。本综述旨在总结全球在妇科肿瘤方面对新冠病毒的应对措施,并提出在疫情复发或未来发生全球大流行时限制病毒传播的潜在干预措施。它还讨论了目前正在招募的与妇科肿瘤领域相关的试验,以便更好地为该专业在新冠疫情期间管理癌症患者提供信息。