Table 2.
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.