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Commentary

A Guide for Oncologic Patient Management during Covid-19 Pandemic: The Initial Experience of an Italian Oncologic Hub with Exemplificative Focus on Uro-Oncologic Patients

by
Francesco A. Mistretta
1,*,
Stefano Luzzago
1,*,
Luigi Orlando Molendini
2,
Matteo Ferro
1,
Enza Dossena
3,
Fabrizio Mastrilli
4,
Gennaro Musi
1 and
Ottavio de Cobelli
1,5,*
1
Department of Urology, European Institute of Oncology, IRCCS, 20100 Milan, Italy
2
Risk Officer, Department of Medical Direction, European Institute of Oncology, IRCCS, 20100 Milan, Italy
3
Nurse Director, Multidisciplinary Surgical Area, European Institute of Oncology, IRCCS, 20100 Milan, Italy
4
Chief Medical Officer, Department of Medical Direction, European Institute of Oncology, IRCCS, 20100 Milan, Italy
5
Department of Oncology and Haematology-Oncology, Università degli studi di Milano, 20100 Milan, Italy
*
Authors to whom correspondence should be addressed.
Cancers 2020, 12(6), 1513; https://doi.org/10.3390/cancers12061513
Submission received: 4 June 2020 / Accepted: 8 June 2020 / Published: 10 June 2020
(This article belongs to the Collection The Impact of COVID-19 Infection in Cancer)

Abstract

The recent exponential increase in the number of COVID-19 patients in Italy led to the adoption of specific extraordinary measures, such as the need to convey treatment of all non-deferrable cancer patients to specialized centres (hubs). We reported a comprehensive summary of guidelines to create and run an oncologic hub during the COVID-19 pandemic. Oncologic hubs must fulfil some specific requirements such as a high experience in oncologic patient treatment, strict strategies applied to remain a “COVID-19-free” centre, and the creation of a dedicated multidisciplinary “hub team”. Cancer treatment of patients who belong to external centres, namely spoke centres, could be organized in different pathways according to the grade of involvement and/or availability of the medical team of the spoke centre. Moreover, dedicated areas should be created for the management and treatment of patients who developed COVID-19 symptoms after hospitalization (i.e., dedicated wards, operation rooms and intensive care beds). Lastly, hospital staff must be highly trained for both preventing COVID-19 contagion and treating patients who develop the infection. We provided a simplified, but complete and easily applicable guide. We believe that this guide could help those clinicians who have to treat oncologic patients during the COVID-19 pandemic.
Keywords: SARS-CoV-2; COVID-19; oncology service; medical oncology; surgical oncology SARS-CoV-2; COVID-19; oncology service; medical oncology; surgical oncology

Share and Cite

MDPI and ACS Style

Mistretta, F.A.; Luzzago, S.; Molendini, L.O.; Ferro, M.; Dossena, E.; Mastrilli, F.; Musi, G.; de Cobelli, O. A Guide for Oncologic Patient Management during Covid-19 Pandemic: The Initial Experience of an Italian Oncologic Hub with Exemplificative Focus on Uro-Oncologic Patients. Cancers 2020, 12, 1513. https://doi.org/10.3390/cancers12061513

AMA Style

Mistretta FA, Luzzago S, Molendini LO, Ferro M, Dossena E, Mastrilli F, Musi G, de Cobelli O. A Guide for Oncologic Patient Management during Covid-19 Pandemic: The Initial Experience of an Italian Oncologic Hub with Exemplificative Focus on Uro-Oncologic Patients. Cancers. 2020; 12(6):1513. https://doi.org/10.3390/cancers12061513

Chicago/Turabian Style

Mistretta, Francesco A., Stefano Luzzago, Luigi Orlando Molendini, Matteo Ferro, Enza Dossena, Fabrizio Mastrilli, Gennaro Musi, and Ottavio de Cobelli. 2020. "A Guide for Oncologic Patient Management during Covid-19 Pandemic: The Initial Experience of an Italian Oncologic Hub with Exemplificative Focus on Uro-Oncologic Patients" Cancers 12, no. 6: 1513. https://doi.org/10.3390/cancers12061513

APA Style

Mistretta, F. A., Luzzago, S., Molendini, L. O., Ferro, M., Dossena, E., Mastrilli, F., Musi, G., & de Cobelli, O. (2020). A Guide for Oncologic Patient Management during Covid-19 Pandemic: The Initial Experience of an Italian Oncologic Hub with Exemplificative Focus on Uro-Oncologic Patients. Cancers, 12(6), 1513. https://doi.org/10.3390/cancers12061513

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