Serveur d'exploration sur la COVID en France

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Caring for patients with cancer in the COVID-19 era.

Identifieur interne : 001397 ( Main/Exploration ); précédent : 001396; suivant : 001398

Caring for patients with cancer in the COVID-19 era.

Auteurs : Joris Van De Haar [Pays-Bas] ; Louisa R. Hoes [Pays-Bas] ; Charlotte E. Coles [Royaume-Uni] ; Kenneth Seamon [Royaume-Uni] ; Stefan Fröhling [Allemagne] ; Dirk J Ger [Allemagne] ; Franco Valenza [Italie] ; Filippo De Braud [Italie] ; Luigi De Petris [Suède] ; Jonas Bergh [Suède] ; Ingemar Ernberg [Suède] ; Benjamin Besse [France] ; Fabrice Barlesi [France] ; Elena Garralda [Espagne] ; Alejandro Piris-Giménez [Espagne] ; Michael Baumann [Allemagne] ; Giovanni Apolone [Italie] ; Jean Charles Soria [France] ; Josep Tabernero [Espagne] ; Carlos Caldas [Royaume-Uni] ; Emile E. Voest [Pays-Bas]

Source :

RBID : pubmed:32405058

Descripteurs français

English descriptors

Abstract

The current COVID-19 pandemic challenges oncologists to profoundly re-organize oncological care in order to dramatically reduce hospital visits and admissions and therapy-induced immune-related complications without compromising cancer outcomes. Since COVID-19 is a novel disease, guidance by scientific evidence is often unavailable, and impactful decisions are inevitably made on the basis of expert opinions. Here we report how the seven comprehensive cancer centers of Cancer Core Europe have organized their healthcare systems at an unprecedented scale and pace to make their operations 'pandemic proof'. We identify and discuss many commonalities, but also important local differences, and pinpoint critical research priorities to enable evidence-based remodeling of cancer care during the COVID-19 pandemic. Also, we discuss how the current situation offers a unique window of opportunity for assessing the effects of de-escalating anticancer regimens, which may fast-forward the development of more-refined and less-toxic treatments. By sharing our joint experiences, we offer a roadmap for proceeding and aim to mobilize the global research community to generate the data that are critically needed to offer the best possible care to patients.

DOI: 10.1038/s41591-020-0874-8
PubMed: 32405058


Affiliations:


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Le document en format XML

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<name sortKey="Baumann, Michael" sort="Baumann, Michael" uniqKey="Baumann M" first="Michael" last="Baumann">Michael Baumann</name>
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<nlm:affiliation>German Cancer Consortium, Heidelberg, Germany.</nlm:affiliation>
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<name sortKey="Apolone, Giovanni" sort="Apolone, Giovanni" uniqKey="Apolone G" first="Giovanni" last="Apolone">Giovanni Apolone</name>
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<name sortKey="Soria, Jean Charles" sort="Soria, Jean Charles" uniqKey="Soria J" first="Jean Charles" last="Soria">Jean Charles Soria</name>
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<nlm:affiliation>Gustave Roussy Cancer Campus, Villejuif, France.</nlm:affiliation>
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<name sortKey="Tabernero, Josep" sort="Tabernero, Josep" uniqKey="Tabernero J" first="Josep" last="Tabernero">Josep Tabernero</name>
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<name sortKey="Caldas, Carlos" sort="Caldas, Carlos" uniqKey="Caldas C" first="Carlos" last="Caldas">Carlos Caldas</name>
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<nlm:affiliation>Department of Oncology and Cancer Research UK Cambridge Institute, Li Ka Shing Center, University of Cambridge, Cambridge, UK. carlos.caldas@cruk.cam.ac.uk.</nlm:affiliation>
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<wicri:regionArea>Department of Oncology and Cancer Research UK Cambridge Institute, Li Ka Shing Center, University of Cambridge, Cambridge</wicri:regionArea>
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<name sortKey="Voest, Emile E" sort="Voest, Emile E" uniqKey="Voest E" first="Emile E" last="Voest">Emile E. Voest</name>
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<nlm:affiliation>Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands. e.voest@nki.nl.</nlm:affiliation>
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<nlm:affiliation>Division of Molecular Oncology & Immunology, The Netherlands Cancer Institute, Amsterdam, the Netherlands.</nlm:affiliation>
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<nlm:affiliation>Division of Molecular Carcinogenesis, The Netherlands Cancer Institute, Amsterdam, the Netherlands.</nlm:affiliation>
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<wicri:regionArea>Division of Molecular Carcinogenesis, The Netherlands Cancer Institute, Amsterdam</wicri:regionArea>
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<nlm:affiliation>Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.</nlm:affiliation>
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<wicri:regionArea>Oncode Institute, The Netherlands Cancer Institute, Amsterdam</wicri:regionArea>
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<nlm:affiliation>Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.</nlm:affiliation>
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<name sortKey="Coles, Charlotte E" sort="Coles, Charlotte E" uniqKey="Coles C" first="Charlotte E" last="Coles">Charlotte E. Coles</name>
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<author>
<name sortKey="Seamon, Kenneth" sort="Seamon, Kenneth" uniqKey="Seamon K" first="Kenneth" last="Seamon">Kenneth Seamon</name>
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<wicri:regionArea>Cancer Research UK Cambridge Cancer Center, Cambridge</wicri:regionArea>
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<author>
<name sortKey="Frohling, Stefan" sort="Frohling, Stefan" uniqKey="Frohling S" first="Stefan" last="Fröhling">Stefan Fröhling</name>
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<wicri:regionArea>German Cancer Consortium, Heidelberg</wicri:regionArea>
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<region type="land" nuts="1">Bade-Wurtemberg</region>
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<affiliation wicri:level="3">
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<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Division of Translational Medical Oncology, National Center for Tumor Diseases Heidelberg and German Cancer Research Center, Heidelberg</wicri:regionArea>
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<author>
<name sortKey="J Ger, Dirk" sort="J Ger, Dirk" uniqKey="J Ger D" first="Dirk" last="J Ger">Dirk J Ger</name>
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<name sortKey="Valenza, Franco" sort="Valenza, Franco" uniqKey="Valenza F" first="Franco" last="Valenza">Franco Valenza</name>
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<wicri:regionArea>Università Statale di Milano, Milan</wicri:regionArea>
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<settlement type="city">Milan</settlement>
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<wicri:regionArea>Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan</wicri:regionArea>
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<author>
<name sortKey="De Braud, Filippo" sort="De Braud, Filippo" uniqKey="De Braud F" first="Filippo" last="De Braud">Filippo De Braud</name>
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<nlm:affiliation>Università Statale di Milano, Milan, Italy.</nlm:affiliation>
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<wicri:regionArea>Università Statale di Milano, Milan</wicri:regionArea>
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<affiliation wicri:level="3">
<nlm:affiliation>Theme Cancer, Karolinska University Hospital, Stockholm, Sweden.</nlm:affiliation>
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<wicri:regionArea>Theme Cancer, Karolinska University Hospital, Stockholm</wicri:regionArea>
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<nlm:affiliation>Department of Oncology and Pathology, Karolinska Institutet, Stockholm, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Oncology and Pathology, Karolinska Institutet, Stockholm</wicri:regionArea>
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</placeName>
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<wicri:regionArea>Theme Cancer, Karolinska University Hospital, Stockholm</wicri:regionArea>
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<nlm:affiliation>Department of Microbiology, Tumor and Cell Biology, Karolinska Institute, Stockholm, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Department of Microbiology, Tumor and Cell Biology, Karolinska Institute, Stockholm</wicri:regionArea>
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<country xml:lang="fr">France</country>
<wicri:regionArea>Gustave Roussy Cancer Campus, Villejuif</wicri:regionArea>
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<settlement type="city">Villejuif</settlement>
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<wicri:regionArea>Gustave Roussy Cancer Campus, Villejuif</wicri:regionArea>
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<settlement type="city">Villejuif</settlement>
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<nlm:affiliation>Aix Marseille University, CNRS, INSERM, CRCM, Marseille, France.</nlm:affiliation>
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<wicri:regionArea>Aix Marseille University, CNRS, INSERM, CRCM, Marseille</wicri:regionArea>
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<region type="region">Provence-Alpes-Côte d'Azur</region>
<region type="old region">Provence-Alpes-Côte d'Azur</region>
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<name sortKey="Garralda, Elena" sort="Garralda, Elena" uniqKey="Garralda E" first="Elena" last="Garralda">Elena Garralda</name>
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<nlm:affiliation>Department of Medical Oncology, Vall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology, Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Medical Oncology, Vall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology, Barcelona</wicri:regionArea>
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<settlement type="city">Barcelone</settlement>
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<name sortKey="Piris Gimenez, Alejandro" sort="Piris Gimenez, Alejandro" uniqKey="Piris Gimenez A" first="Alejandro" last="Piris-Giménez">Alejandro Piris-Giménez</name>
<affiliation wicri:level="3">
<nlm:affiliation>Department of Medical Oncology, Vall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology, Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Medical Oncology, Vall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology, Barcelona</wicri:regionArea>
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<settlement type="city">Barcelone</settlement>
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<name sortKey="Baumann, Michael" sort="Baumann, Michael" uniqKey="Baumann M" first="Michael" last="Baumann">Michael Baumann</name>
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<nlm:affiliation>German Cancer Consortium, Heidelberg, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>German Cancer Consortium, Heidelberg</wicri:regionArea>
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<region type="land" nuts="1">Bade-Wurtemberg</region>
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<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>German Cancer Research Center, Heidelberg</wicri:regionArea>
<placeName>
<region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
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<name sortKey="Apolone, Giovanni" sort="Apolone, Giovanni" uniqKey="Apolone G" first="Giovanni" last="Apolone">Giovanni Apolone</name>
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<nlm:affiliation>Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan</wicri:regionArea>
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<settlement type="city">Milan</settlement>
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<name sortKey="Soria, Jean Charles" sort="Soria, Jean Charles" uniqKey="Soria J" first="Jean Charles" last="Soria">Jean Charles Soria</name>
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<nlm:affiliation>Gustave Roussy Cancer Campus, Villejuif, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Gustave Roussy Cancer Campus, Villejuif</wicri:regionArea>
<placeName>
<settlement type="city">Villejuif</settlement>
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<name sortKey="Tabernero, Josep" sort="Tabernero, Josep" uniqKey="Tabernero J" first="Josep" last="Tabernero">Josep Tabernero</name>
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<nlm:affiliation>Department of Medical Oncology, Vall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology, Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Department of Medical Oncology, Vall d'Hebron University Hospital, Vall d'Hebron Institute of Oncology, Barcelona</wicri:regionArea>
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<settlement type="city">Barcelone</settlement>
<region nuts="2" type="region">Catalogne</region>
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<name sortKey="Caldas, Carlos" sort="Caldas, Carlos" uniqKey="Caldas C" first="Carlos" last="Caldas">Carlos Caldas</name>
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<nlm:affiliation>Cancer Research UK Cambridge Cancer Center, Cambridge, UK. carlos.caldas@cruk.cam.ac.uk.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Cancer Research UK Cambridge Cancer Center, Cambridge</wicri:regionArea>
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<settlement type="city">Cambridge</settlement>
<region type="country">Angleterre</region>
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<name sortKey="Voest, Emile E" sort="Voest, Emile E" uniqKey="Voest E" first="Emile E" last="Voest">Emile E. Voest</name>
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<nlm:affiliation>Division of Molecular Oncology & Immunology, The Netherlands Cancer Institute, Amsterdam, the Netherlands. e.voest@nki.nl.</nlm:affiliation>
<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
<wicri:regionArea>Division of Molecular Oncology & Immunology, The Netherlands Cancer Institute, Amsterdam</wicri:regionArea>
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<settlement type="city">Amsterdam</settlement>
<region nuts="2" type="province">Hollande-Septentrionale</region>
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<nlm:affiliation>Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands. e.voest@nki.nl.</nlm:affiliation>
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<title level="j">Nature medicine</title>
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<term>Coronavirus Infections (complications)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (prevention & control)</term>
<term>Delivery of Health Care (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Neoplasms (complications)</term>
<term>Neoplasms (therapy)</term>
<term>Pandemics (prevention & control)</term>
<term>Pneumonia, Viral (complications)</term>
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<term>Pneumonia, Viral (prevention & control)</term>
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<term>Infections à coronavirus (prévention et contrôle)</term>
<term>Infections à coronavirus (épidémiologie)</term>
<term>Pandémies (prévention et contrôle)</term>
<term>Pneumopathie virale (complications)</term>
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<term>Tumeurs (thérapie)</term>
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<div type="abstract" xml:lang="en">The current COVID-19 pandemic challenges oncologists to profoundly re-organize oncological care in order to dramatically reduce hospital visits and admissions and therapy-induced immune-related complications without compromising cancer outcomes. Since COVID-19 is a novel disease, guidance by scientific evidence is often unavailable, and impactful decisions are inevitably made on the basis of expert opinions. Here we report how the seven comprehensive cancer centers of Cancer Core Europe have organized their healthcare systems at an unprecedented scale and pace to make their operations 'pandemic proof'. We identify and discuss many commonalities, but also important local differences, and pinpoint critical research priorities to enable evidence-based remodeling of cancer care during the COVID-19 pandemic. Also, we discuss how the current situation offers a unique window of opportunity for assessing the effects of de-escalating anticancer regimens, which may fast-forward the development of more-refined and less-toxic treatments. By sharing our joint experiences, we offer a roadmap for proceeding and aim to mobilize the global research community to generate the data that are critically needed to offer the best possible care to patients.</div>
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<PMID Version="1">32405058</PMID>
<DateCompleted>
<Year>2020</Year>
<Month>05</Month>
<Day>18</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>05</Month>
<Day>28</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1546-170X</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>26</Volume>
<Issue>5</Issue>
<PubDate>
<Year>2020</Year>
<Month>05</Month>
</PubDate>
</JournalIssue>
<Title>Nature medicine</Title>
<ISOAbbreviation>Nat. Med.</ISOAbbreviation>
</Journal>
<ArticleTitle>Caring for patients with cancer in the COVID-19 era.</ArticleTitle>
<Pagination>
<MedlinePgn>665-671</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1038/s41591-020-0874-8</ELocationID>
<Abstract>
<AbstractText>The current COVID-19 pandemic challenges oncologists to profoundly re-organize oncological care in order to dramatically reduce hospital visits and admissions and therapy-induced immune-related complications without compromising cancer outcomes. Since COVID-19 is a novel disease, guidance by scientific evidence is often unavailable, and impactful decisions are inevitably made on the basis of expert opinions. Here we report how the seven comprehensive cancer centers of Cancer Core Europe have organized their healthcare systems at an unprecedented scale and pace to make their operations 'pandemic proof'. We identify and discuss many commonalities, but also important local differences, and pinpoint critical research priorities to enable evidence-based remodeling of cancer care during the COVID-19 pandemic. Also, we discuss how the current situation offers a unique window of opportunity for assessing the effects of de-escalating anticancer regimens, which may fast-forward the development of more-refined and less-toxic treatments. By sharing our joint experiences, we offer a roadmap for proceeding and aim to mobilize the global research community to generate the data that are critically needed to offer the best possible care to patients.</AbstractText>
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<LastName>van de Haar</LastName>
<ForeName>Joris</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Division of Molecular Oncology & Immunology, The Netherlands Cancer Institute, Amsterdam, the Netherlands.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Division of Molecular Carcinogenesis, The Netherlands Cancer Institute, Amsterdam, the Netherlands.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Hoes</LastName>
<ForeName>Louisa R</ForeName>
<Initials>LR</Initials>
<AffiliationInfo>
<Affiliation>Division of Molecular Oncology & Immunology, The Netherlands Cancer Institute, Amsterdam, the Netherlands.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Coles</LastName>
<ForeName>Charlotte E</ForeName>
<Initials>CE</Initials>
<AffiliationInfo>
<Affiliation>Cancer Research UK Cambridge Cancer Center, Cambridge, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Seamon</LastName>
<ForeName>Kenneth</ForeName>
<Initials>K</Initials>
<AffiliationInfo>
<Affiliation>Cancer Research UK Cambridge Cancer Center, Cambridge, UK.</Affiliation>
</AffiliationInfo>
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<LastName>Fröhling</LastName>
<ForeName>Stefan</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>German Cancer Consortium, Heidelberg, Germany.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Division of Translational Medical Oncology, National Center for Tumor Diseases Heidelberg and German Cancer Research Center, Heidelberg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Jäger</LastName>
<ForeName>Dirk</ForeName>
<Initials>D</Initials>
<AffiliationInfo>
<Affiliation>Department of Medical Oncology, National Center for Tumor Diseases Heidelberg and Heidelberg University Hospital, Heidelberg, Germany.</Affiliation>
</AffiliationInfo>
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<LastName>Valenza</LastName>
<ForeName>Franco</ForeName>
<Initials>F</Initials>
<AffiliationInfo>
<Affiliation>Università Statale di Milano, Milan, Italy.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.</Affiliation>
</AffiliationInfo>
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