Neuro-oncology management during the COVID-19 pandemic with a focus on WHO grades III and IV gliomas

Abstract Background Because of the increased risk in cancer patients of developing complications caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), physicians have to balance the competing risks of the negative impact of the pandemic and the primary tumor disease. In this consen...

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Veröffentlicht in:Neuro-oncology (Charlottesville, Va.) Va.), 2020-07, Vol.22 (7), p.928-935
Hauptverfasser: Bernhardt, Denise, Wick, Wolfgang, Weiss, Stephanie E, Sahgal, Arjun, Lo, Simon S, Suh, John H, Chang, Eric L, Foote, Matthew, Perry, James, Meyer, Bernhard, Vajkoczy, Peter, Wen, Patrick Y, Straube, Christoph, Pigorsch, Steffi, Wilkens, Jan J, Combs, Stephanie E
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container_end_page 935
container_issue 7
container_start_page 928
container_title Neuro-oncology (Charlottesville, Va.)
container_volume 22
creator Bernhardt, Denise
Wick, Wolfgang
Weiss, Stephanie E
Sahgal, Arjun
Lo, Simon S
Suh, John H
Chang, Eric L
Foote, Matthew
Perry, James
Meyer, Bernhard
Vajkoczy, Peter
Wen, Patrick Y
Straube, Christoph
Pigorsch, Steffi
Wilkens, Jan J
Combs, Stephanie E
description Abstract Background Because of the increased risk in cancer patients of developing complications caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), physicians have to balance the competing risks of the negative impact of the pandemic and the primary tumor disease. In this consensus statement, an international group of experts present mitigation strategies and treatment guidance for patients suffering from high grade gliomas (HGGs) during the coronavirus disease 2019 (COVID-19) pandemic. Methods Sixteen international experts in the treatment of HGG contributed to this consensus-based practice recommendation, including neuro-oncologists, neurosurgeons, radiation oncologists, and a medical physicist. Generally, treatment of neuro-oncological patients cannot be significantly delayed and initiating therapy should not be outweighed by COVID-19. We present detailed interdisciplinary treatment strategies for molecular subgroups in 2 pandemic scenarios, a scale-up phase and a crisis phase. Conclusion This practice recommendation presents a pragmatic framework and consensus-based mitigation strategies for the treatment of HGG patients during the SARS-CoV-2 pandemic.
doi_str_mv 10.1093/neuonc/noaa113
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In this consensus statement, an international group of experts present mitigation strategies and treatment guidance for patients suffering from high grade gliomas (HGGs) during the coronavirus disease 2019 (COVID-19) pandemic. Methods Sixteen international experts in the treatment of HGG contributed to this consensus-based practice recommendation, including neuro-oncologists, neurosurgeons, radiation oncologists, and a medical physicist. Generally, treatment of neuro-oncological patients cannot be significantly delayed and initiating therapy should not be outweighed by COVID-19. We present detailed interdisciplinary treatment strategies for molecular subgroups in 2 pandemic scenarios, a scale-up phase and a crisis phase. Conclusion This practice recommendation presents a pragmatic framework and consensus-based mitigation strategies for the treatment of HGG patients during the SARS-CoV-2 pandemic.</description><identifier>ISSN: 1522-8517</identifier><identifier>EISSN: 1523-5866</identifier><identifier>DOI: 10.1093/neuonc/noaa113</identifier><identifier>PMID: 32369601</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Editor's Choice ; Fast-Track</subject><ispartof>Neuro-oncology (Charlottesville, Va.), 2020-07, Vol.22 (7), p.928-935</ispartof><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. 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In this consensus statement, an international group of experts present mitigation strategies and treatment guidance for patients suffering from high grade gliomas (HGGs) during the coronavirus disease 2019 (COVID-19) pandemic. Methods Sixteen international experts in the treatment of HGG contributed to this consensus-based practice recommendation, including neuro-oncologists, neurosurgeons, radiation oncologists, and a medical physicist. Generally, treatment of neuro-oncological patients cannot be significantly delayed and initiating therapy should not be outweighed by COVID-19. We present detailed interdisciplinary treatment strategies for molecular subgroups in 2 pandemic scenarios, a scale-up phase and a crisis phase. 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Fast-Track
title Neuro-oncology management during the COVID-19 pandemic with a focus on WHO grades III and IV gliomas
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