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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)

机译:在墨西哥的Covid-19大流行期间胸部恶性肿瘤的外科护理:墨西哥肿瘤学会(SMEO)和墨西哥通用胸外科医生(SMCTG)的专家共识指南

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摘要

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.
机译:迄今为止,Covid-19大流行的影响,时间表和持续时间仍然是未知的,而不是以往任何时候都需要为癌症患者提供安全的途径。用于非可我现的外科手术的多种分类系统已发表,但潜在的疗法癌症程序是必不可少的手术而不是选用手术。在我国的现在和未来情景中,胸内肿瘤学团队可能具有难以决定权衡手术干预效用的难以反映患者和医务人员的无意的Covid-19暴露风险。因此,必须调整外科护理的传统途径,以降低感染的风险和资源的使用。建议所有胸癌患者应根据接受的护理标准提供治疗,直到服务短缺需要逐步减少手术病例。在这里,我们提出了由胸科肿瘤学专家小组讨论的建议的共识,并根据最佳可用证据,并希望它将为墨西哥胸癌护理服务中的当地战略规划者提供可修改的框架指导框架。

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