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Active and Effective Measures for the Care of Patients With Cancer During the COVID-19 Spread in China

Educational Objective
To understand Active and Effective Measures for the Care of Patients With Cancer During the COVID-19
1 Credit CME

Recently, an outbreak of the highly infectious novel coronavirus disease 2019 (COVID-19) has swept Wuhan, China, with 80 303 confirmed diagnosed cases in China as of March 3, 2020.1 Considering its high risk of person-to-person transmission, hospitals, especially in China, are the typical congregating places that will bear the brunt of this infectious disease. To reduce or avoid cross infection of COVID-19, many hospitals have started taking actions to limit the number of outpatient visits and inpatient admissions. For example, only emergency surgeries can be guaranteed, while most others are postponed. Maintenance chemotherapy and/or immunotherapy treatments for patients with advanced cancer are often suspended. However, forced delays or interruptions of routine treatment might increase the risk of disease deterioration, especially for patients with cancer. In China, approximately 4.3 million cases of cancer are diagnosed each year.2 During the epidemic of COVID-19, the treatment of patients with cancer, which is often considered as nonemergent, is inevitably affected across China, especially in Wuhan.

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Article Information

Corresponding Authors: Jie Wang, MD, PhD, Department of Medical Oncology (zlhuxi@163.com), and Jie He, MD, Department of Thoracic Surgery (hejie@cicams.ac.cn), State Key Laboratory of Molecular Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, 17 Pan-jia-yuan S Ln, Chaoyang District, Beijing 100021, China.

Published Online: April 1, 2020. doi:10.1001/jamaoncol.2020.1198

Conflict of Interest Disclosures: None reported.

Additional Contributions: The authors would like to thank Shangli Cai, PhD, Burning Rock Biotech, for the data collection. He received no compensation for his assistance.

References
1.
Huang  C , Wang  Y , Li  X ,  et al.  Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China.   Lancet. 2020;395(10223):497-506. doi:10.1016/S0140-6736(20)30183-5PubMedGoogle ScholarCrossref
2.
Chen  W , Zheng  R , Baade  PD ,  et al.  Cancer statistics in China, 2015.   CA Cancer J Clin. 2016;66(2):115-132. doi:10.3322/caac.21338PubMedGoogle ScholarCrossref
3.
Tencent. Epidemic situation tracker. Accessed March 23, 2020. https://news.qq.com/zt2020/page/feiyan.htm#/global
4.
Guan  WJ , Ni  ZY , Hu  Y ,  et al; China Medical Treatment Expert Group for Covid-19.  Clinical characteristics of coronavirus disease 2019 in China  [published online February 28, 2020].  N Engl J Med. doi:10.1056/NEJMoa2002032PubMedGoogle Scholar
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World Health Organization. Coronavirus disease (COVID-19) pandemic. Accessed March 23, 2020. https://www.who.int/emergencies/diseases/novel-coronavirus-2019
6.
Liang  W , Guan  W , Chen  R ,  et al.  Cancer patients in SARS-CoV-2 infection: a nationwide analysis in China.   Lancet Oncol. 2020;21(3):335-337. doi:10.1016/S1470-2045(20)30096-6PubMedGoogle ScholarCrossref
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