Surgical care of thoracic malignancies during the COVID‐19 pandemic in México: An expert consensus guideline from the Sociedad Mexicana de Oncología (SMeO) and the Sociedad Mexicana de Cirujanos Torácicos Generales (SMCTG)
Abstract To date, the impact, timeline and duration of COVID‐19 pandemic remains unknown and more than ever it is necessary to provide safe pathways for cancer patients. Multiple triage systems for nonemergent surgical procedures have been published, but potentially curative cancer procedures are es...
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doaj-6bcc1b8f7e5b4dea900d366b6eb38cbe2020-11-25T02:50:47ZengWileyThoracic Cancer1759-77061759-77142020-08-011182370237510.1111/1759-7714.13546Surgical care of thoracic malignancies during the COVID‐19 pandemic in México: An expert consensus guideline from the Sociedad Mexicana de Oncología (SMeO) and the Sociedad Mexicana de Cirujanos Torácicos Generales (SMCTG)Jose Corona‐Cruz0Enrique Guzmán‐de Alba1Marco Iñiguez‐García2Raúl López‐Saucedo3Carlos Olivares‐Torres4Jeronimo Rodriguez‐Cid5Gustavo Salazar‐Otaola6Héctor Martínez‐Said7Raja M. Flores8Oscar Arrieta9Thoracic Surgical Oncology Instituto Nacional de Cancerologia Mexico City MexicoThoracic Surgery Centro Médico ABC Mexico City MexicoThoracic Surgery Instituto Nacional de Enfermedades Respiratorias Mexico City MexicoSurgery Division Centenario Hospital Miguel Hidalgo Aguascalientes MexicoThoracic Surgery Hospital General de Tijuana Tijuana MexicoThoracic Oncology Instituto Nacional de Enfermedades Respiratorias Mexico City MexicoThoracic Surgery Hospital General de Tijuana Tijuana MexicoSurgical Oncology Instituto Nacional de Cancerologia Mexico City MexicoDivision of Thoracic Surgery Mount Sinai School of Medicine New York New York USAThoracic Oncology Unit Instituto Nacional de Cancerologia Mexico City MexicoAbstract To date, the impact, timeline and duration of COVID‐19 pandemic remains unknown and more than ever it is necessary to provide safe pathways for cancer patients. Multiple triage systems for nonemergent surgical procedures have been published, but potentially curative cancer procedures are essential surgery rather than elective surgery. In the present and future scenario of our country, thoracic oncology teams may have the difficult decision of weighing the utility of surgical intervention against the risk for inadvertent COVID‐19 exposure for patients and medical staff. In consequence, traditional pathways of surgical care must be adjusted to reduce the risk of infection and the use of resources. It is recommended that all thoracic cancer patients should be offered treatment according to the accepted standard of care until shortage of services require a progressive reduction in surgical cases. Here, we present a consensus of recommendations discussed by a multidisciplinary panel of experts on thoracic oncology and based on the best available evidence, and hope it will provide a modifiable framework of guidance for local strategy planners in thoracic cancer care services in Mexico. Key points Significant findings of the study This article provides recommendations to guarantee the continuity of surgical care for thoracic oncology cases during COVID‐19 pandemic, whilst maintaining the safety of patients and medical staff. What this study adds This guideline is the result of an expert consensus on thoracic surgical oncology with recommendations adapted to medical, economic and social realities of Mexico.https://doi.org/10.1111/1759-7714.13546COVID‐19lung cancersurgical oncologythoracic oncologythoracic surgery |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jose Corona‐Cruz Enrique Guzmán‐de Alba Marco Iñiguez‐García Raúl López‐Saucedo Carlos Olivares‐Torres Jeronimo Rodriguez‐Cid Gustavo Salazar‐Otaola Héctor Martínez‐Said Raja M. Flores Oscar Arrieta |
spellingShingle |
Jose Corona‐Cruz Enrique Guzmán‐de Alba Marco Iñiguez‐García Raúl López‐Saucedo Carlos Olivares‐Torres Jeronimo Rodriguez‐Cid Gustavo Salazar‐Otaola Héctor Martínez‐Said Raja M. Flores Oscar Arrieta Surgical care of thoracic malignancies during the COVID‐19 pandemic in México: An expert consensus guideline from the Sociedad Mexicana de Oncología (SMeO) and the Sociedad Mexicana de Cirujanos Torácicos Generales (SMCTG) Thoracic Cancer COVID‐19 lung cancer surgical oncology thoracic oncology thoracic surgery |
author_facet |
Jose Corona‐Cruz Enrique Guzmán‐de Alba Marco Iñiguez‐García Raúl López‐Saucedo Carlos Olivares‐Torres Jeronimo Rodriguez‐Cid Gustavo Salazar‐Otaola Héctor Martínez‐Said Raja M. Flores Oscar Arrieta |
author_sort |
Jose Corona‐Cruz |
title |
Surgical care of thoracic malignancies during the COVID‐19 pandemic in México: An expert consensus guideline from the Sociedad Mexicana de Oncología (SMeO) and the Sociedad Mexicana de Cirujanos Torácicos Generales (SMCTG) |
title_short |
Surgical care of thoracic malignancies during the COVID‐19 pandemic in México: An expert consensus guideline from the Sociedad Mexicana de Oncología (SMeO) and the Sociedad Mexicana de Cirujanos Torácicos Generales (SMCTG) |
title_full |
Surgical care of thoracic malignancies during the COVID‐19 pandemic in México: An expert consensus guideline from the Sociedad Mexicana de Oncología (SMeO) and the Sociedad Mexicana de Cirujanos Torácicos Generales (SMCTG) |
title_fullStr |
Surgical care of thoracic malignancies during the COVID‐19 pandemic in México: An expert consensus guideline from the Sociedad Mexicana de Oncología (SMeO) and the Sociedad Mexicana de Cirujanos Torácicos Generales (SMCTG) |
title_full_unstemmed |
Surgical care of thoracic malignancies during the COVID‐19 pandemic in México: An expert consensus guideline from the Sociedad Mexicana de Oncología (SMeO) and the Sociedad Mexicana de Cirujanos Torácicos Generales (SMCTG) |
title_sort |
surgical care of thoracic malignancies during the covid‐19 pandemic in méxico: an expert consensus guideline from the sociedad mexicana de oncología (smeo) and the sociedad mexicana de cirujanos torácicos generales (smctg) |
publisher |
Wiley |
series |
Thoracic Cancer |
issn |
1759-7706 1759-7714 |
publishDate |
2020-08-01 |
description |
Abstract To date, the impact, timeline and duration of COVID‐19 pandemic remains unknown and more than ever it is necessary to provide safe pathways for cancer patients. Multiple triage systems for nonemergent surgical procedures have been published, but potentially curative cancer procedures are essential surgery rather than elective surgery. In the present and future scenario of our country, thoracic oncology teams may have the difficult decision of weighing the utility of surgical intervention against the risk for inadvertent COVID‐19 exposure for patients and medical staff. In consequence, traditional pathways of surgical care must be adjusted to reduce the risk of infection and the use of resources. It is recommended that all thoracic cancer patients should be offered treatment according to the accepted standard of care until shortage of services require a progressive reduction in surgical cases. Here, we present a consensus of recommendations discussed by a multidisciplinary panel of experts on thoracic oncology and based on the best available evidence, and hope it will provide a modifiable framework of guidance for local strategy planners in thoracic cancer care services in Mexico. Key points Significant findings of the study This article provides recommendations to guarantee the continuity of surgical care for thoracic oncology cases during COVID‐19 pandemic, whilst maintaining the safety of patients and medical staff. What this study adds This guideline is the result of an expert consensus on thoracic surgical oncology with recommendations adapted to medical, economic and social realities of Mexico. |
topic |
COVID‐19 lung cancer surgical oncology thoracic oncology thoracic surgery |
url |
https://doi.org/10.1111/1759-7714.13546 |
work_keys_str_mv |
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