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. 2020 Jun 8;135:130–146. doi: 10.1016/j.ejca.2020.05.015

Table 2.

Recommendations for departments organization and procedures for patients, visitors and staff.

Patients and visitors Patients visits Staff Departments organization Treatments scheduling References
Minimal presence at hospital Telemedicine and phone calls Dedicated areas in oncology and radiotherapy departments Switch IV treatment to oral drugs when possible You B et al. [1]
Management at home encouraged Open space out patients centres Prioritization according to life expectancy, age, line therapy number
Separation measures Temporary breaks for slowly evolving metastases
Minimise hospital visits and elective
Admissions
Consider delaying surgical procedure Al Shamsi et al. [2].
Consider surveillance for early stage
cancer
Consider postponing adjuvant CT
and RT but hold any active therapy
For all patients on active anti-cancer
therapy remain vigilant for COVID-19 symptoms
To manage currently infected patients Schedule outpatients based on priority criteria In-house isolation or quarantine of suspected cases to keep hospital admissions manageable N95 mask fitting Clear delineation of job responsibilities Integrate all best-practice approaches into work processes to prevent
further transmission
Isolate patients with suspected infection until they are cleared Prompt identification of suspected infection among staff and application of appropriate isolation
Patients and visitors screening before appointments Limitation of visitors in departments Staff temperature screening every day
Staff rotation schedules
Separate Entrance/exit Maintain therapy schedule according to the benefit risk and availability of means for locally advanced and high-risk, patients and those already started their therapy. Applicability in LMICs
Specific plan for COVID-19 suspected or positive Should be limited Staff COVID-19 + out of planning and self isolation 14 days Space with limited patients in waiting room Deep remission (3–6 months) stopping therapy is an option
Separate cancer patients from other patients Treatment of COVID-19+ patients outside of cancer center or dedicated area

COVID-19, coronavirus disease 2019.