Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Editorial
. 2020 Jun 2;172(11):756-758.
doi: 10.7326/M20-1133. Epub 2020 Mar 27.

A War on Two Fronts: Cancer Care in the Time of COVID-19

Affiliations
Editorial

A War on Two Fronts: Cancer Care in the Time of COVID-19

Alexander Kutikov et al. Ann Intern Med. .

Abstract

Initial reports suggest that COVID-19 can be particularly lethal in patients with cancer. This commentary discusses how to balance a delay in cancer diagnosis or treatment against the risk for a potential COVID-19 exposure, mitigate the risks for significant care disruptions associated with social distancing behaviors, and manage the appropriate allocation of limited health care resources in this unprecedented time of health care crisis.

Keywords: COVID-19; Cancer chemotherapy; Cancer treatment; Drug delivery system preparation; Health care; Health care providers; Hereditary nonpolyposis colorectal cancer; Patients; Prevention, policy, and public health; Respiratory system procedures.

PubMed Disclaimer

Figures

Figure.
Figure.
Guidance on decisions about immediate cancer treatment during the COVID-19 crisis. Robust outcomes evidence supporting a decision to initiate or delay cancer care is often lacking. Recommendations in this figure are consensus-based and should be used as a general guideline only. Expert oncologic opinion tailored to individual patient and local health system conditions should always be obtained. COVID-19 = coronavirus 2019; HR+ = hormone receptor–positive; HER– = human epidermal growth factor receptor–negative.

Comment in

References

    1. Ferguson NM, Laydon D, Nedjati-Gilani G, et al. Report 9: Impact of non-pharmaceutical interventions (NPIs) to reduce COVID-19 mortality and healthcare demand. Imperial College London. 16 March 2020. Accessed at www.imperial.ac.uk/mrc-global-infectious-disease-analysis/news--wuhan-co.... on 17 March 2020.
    1. Liang W, Guan W, Chen R, et al. Cancer patients in SARS-CoV-2 infection: a nationwide analysis in China. Lancet Oncol. 2020;21:335-337. [PMID: 32066541] doi:10.1016/S1470-2045(20)30096-6. - PMC - PubMed
    1. Di Marco F, Barbaro M. ‘It's like a war.' New York Times. 17 March 2020. Accessed at www.nytimes.com/2020/03/17/podcasts/the-daily/italy-coronavirus.html?sho.... on 19 March 2020.
    1. Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020;395:507-513. [PMID: 32007143] doi:10.1016/S0140-6736(20)30211-7. - PMC - PubMed
    1. Chopra V, Toner E, Waldhorn R, et al. How should U.S. hospitals prepare for coronavirus disease 2019 (COVID-19)? Ann Intern Med. 11 March 2020. [Epub ahead of print]. doi:10.7326/M20-0907. - PMC - PubMed

Publication types