How technology can help in oncologic patient management during COVID-19 outbreak
Identifieur interne : 000461 ( Pmc/Corpus ); précédent : 000460; suivant : 000462How technology can help in oncologic patient management during COVID-19 outbreak
Auteurs : Paolo MercantiniSource :
- European Journal of Surgical Oncology [ 0748-7983 ] ; 2020.
Url:
DOI: 10.1016/j.ejso.2020.04.050
PubMed: NONE
PubMed Central: 7192092
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">How technology can help in oncologic patient management during COVID-19 outbreak</title><author><name sortKey="Mercantini, Paolo" sort="Mercantini, Paolo" uniqKey="Mercantini P" first="Paolo" last="Mercantini">Paolo Mercantini</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmc">7192092</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192092</idno><idno type="RBID">PMC:7192092</idno><idno type="doi">10.1016/j.ejso.2020.04.050</idno><idno type="pmid">NONE</idno><date when="2020">2020</date><idno type="wicri:Area/Pmc/Corpus">000461</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000461</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">How technology can help in oncologic patient management during COVID-19 outbreak</title><author><name sortKey="Mercantini, Paolo" sort="Mercantini, Paolo" uniqKey="Mercantini P" first="Paolo" last="Mercantini">Paolo Mercantini</name></author></analytic><series><title level="j">European Journal of Surgical Oncology</title><idno type="ISSN">0748-7983</idno><idno type="eISSN">1532-2157</idno><imprint><date when="2020">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kozak, V N" uniqKey="Kozak V">V.N. Kozak</name></author><author><name sortKey="Khorana, A A" uniqKey="Khorana A">A.A. Khorana</name></author><author><name sortKey="Amarnath, S" uniqKey="Amarnath S">S. Amarnath</name></author><author><name sortKey="Glass, K E" uniqKey="Glass K">K.E. Glass</name></author><author><name sortKey="Kalady, M F" uniqKey="Kalady M">M.F. Kalady</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="The Lancet Oncology" uniqKey="The Lancet Oncology">The Lancet Oncology</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marano, L" uniqKey="Marano L">L. Marano</name></author><author><name sortKey="Marrelli, D" uniqKey="Marrelli D">D. Marrelli</name></author><author><name sortKey="Roviello, F" uniqKey="Roviello F">F. Roviello</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Krupinski, E" uniqKey="Krupinski E">E. Krupinski</name></author><author><name sortKey="Comas, M" uniqKey="Comas M">M. Comas</name></author><author><name sortKey="Gallego, L" uniqKey="Gallego L">L. Gallego</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="letter"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Eur J Surg Oncol</journal-id><journal-id journal-id-type="iso-abbrev">Eur J Surg Oncol</journal-id><journal-title-group><journal-title>European Journal of Surgical Oncology</journal-title></journal-title-group><issn pub-type="ppub">0748-7983</issn><issn pub-type="epub">1532-2157</issn><publisher><publisher-name>Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmc">7192092</article-id><article-id pub-id-type="publisher-id">S0748-7983(20)30447-9</article-id><article-id pub-id-type="doi">10.1016/j.ejso.2020.04.050</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>How technology can help in oncologic patient management during COVID-19 outbreak</article-title></title-group><contrib-group><contrib contrib-type="author" id="au1"><name><surname>Mercantini</surname><given-names>Paolo</given-names></name><email>Paolo.mercantini@uniroma1.it</email><xref rid="cor1" ref-type="corresp">∗</xref></contrib><aff id="aff1">Department of Medical-Surgical Sciences and Translational Medicine, “Sapienza” University of Rome, Rome, Italy</aff></contrib-group><contrib-group><contrib contrib-type="author" id="au2"><name><surname>Lucarini</surname><given-names>Alessio</given-names></name></contrib><aff id="aff2">Department of Medical-Surgical Sciences and Translational Medicine, “Sapienza” University of Rome, Rome, Italy</aff></contrib-group><contrib-group><contrib contrib-type="author" id="au3"><name><surname>Mazzuca</surname><given-names>Federica</given-names></name></contrib><aff id="aff3">Department of Clinical and Molecular Medicine, “Sapienza” University of Rome, Rome, Italy</aff></contrib-group><contrib-group><contrib contrib-type="author" id="au4"><name><surname>Osti</surname><given-names>Mattia Falchetto</given-names></name></contrib><aff id="aff4">Department of Medical-Surgical Sciences and Translational Medicine, “Sapienza” University of Rome, Rome, Italy</aff></contrib-group><contrib-group><contrib contrib-type="author" id="au5"><name><surname>Laghi</surname><given-names>Andrea</given-names></name></contrib><aff id="aff5">Department of Medical-Surgical Sciences and Translational Medicine, “Sapienza” University of Rome, Rome, Italy</aff></contrib-group><author-notes><corresp id="cor1"><label>∗</label>Corresponding author. Department of Translational Medicine and Surgery, Sant'Andrea University Hospital, "Sapienza" University, 00189, Rome, Italy. <email>Paolo.mercantini@uniroma1.it</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>30</day><month>4</month><year>2020</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="epub"><day>30</day><month>4</month><year>2020</year></pub-date><history><date date-type="received"><day>24</day><month>4</month><year>2020</year></date><date date-type="accepted"><day>27</day><month>4</month><year>2020</year></date></history><permissions><copyright-statement>© 2020 Elsevier Ltd, BASO ~ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.</copyright-statement><copyright-year>2020</copyright-year><copyright-holder></copyright-holder><license><license-p>Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.</license-p></license></permissions><kwd-group id="kwrds0010"><title>Keywords</title><kwd>Gastrointestinal cancer</kwd><kwd>Multidisciplinary team</kwd><kwd>Oncology</kwd><kwd>COVID-19</kwd></kwd-group></article-meta></front><body><p id="p0010">Every country in the world is now facing the new pandemic disease caused by the SARS-CoV-2 virus, which is known to spread using droplets. Due to its transmission methods, the social distancing has entered in our routine in order to contain the spread of the novel coronavirus and this affect our everyday life in toto, including our routine clinical practice. The Lancet Oncology recently published an editorial [<xref rid="bib2" ref-type="bibr">2</xref>] which describes the many clouds that are gathering on the world of oncology. The author concludes stating “ultimately, the situation might lead to substantial changes in how research and medicine are practiced in the future, such as reduced international travel and increased remote networking and telemedicine”. In a recent paper from <italic>Marano</italic> et al. [<xref rid="bib3" ref-type="bibr">3</xref>] it is described their perspective on the management of cancer patient prior the admission and during the surgical procedures.</p><p id="p0015">We would like to briefly report how the GI oncology MultiDisciplinary Team (MDT) of Sant’Andrea University Hospital, Sapienza University of Rome, Italy, reacted to the COVID-19 outbreak thanks to the implementation of a new technology.</p><p id="p0020">In our institution, every Thursday since 2009 we gather in an Oncologic GI MDT meeting including more than 30 attendants of all grades (students, resident and consultant) from different specialties (surgical and medical oncology, radiotherapy, pathology, gastroenterology, radiology and nuclear medicine). More than 300 patients/years are discussed and a shared decision about treatment is taken.</p><p id="p0025">Since March 9, 2020, when our Government decided to prohibit meetings in order to contain the spreading of COVID-19, our MDT was interrupted for two consecutive weeks. After an initial briefing, we transformed our MDT into a “Smart-MDT”, using a dedicated oncology platform “The NAVIFY® Tumor Board” (Roche Diagnostics Information Solutions; Belmont, CA) [<xref rid="bib4" ref-type="bibr">4</xref>] (<xref rid="fig1" ref-type="fig">Fig. 1</xref>) This new platform is a cloud-based service where every clinician can insert any patient's record in a single “file” needed for the multidisciplinary discussion, which guarantee a continuous and cohesive data gathering contrarily to separate file from every single specialty; everything is available to every member of the MDT prior to convening. It also allows to have a detailed record for every step the patient undergoes from the beginning of his treatment. After all the data gathering, the software generates a slideshow with a one-click procedure.<fig id="fig1"><label>Fig. 1</label><graphic xlink:href="gr1_lrg"></graphic></fig></p><p id="p0030">As conferencing tool, we selected a software freely offered by our institution included in the G Suite for Educational®: Hangouts Meet, which allows up to 250 participants and the screen sharing for the case-presenter.</p><p id="p0035">The event and the invitation link is easily created through Google Calendar (<xref rid="fig2" ref-type="fig">Fig. 2</xref>).<fig id="fig2"><label>Fig. 2</label><graphic xlink:href="gr2_lrg"></graphic></fig></p><p id="p0040">Currently, we are at our fourth “Smart-MDT”. A total of 38 patients has been presented; no major problem has been encountered before, after and/or during the presentation. No major differences both in case preparation time compared to current methods and in duration of the MDT has been recorded between the “old-fashioned” face-to-face MDT and the new “Smart-MDT”. A shared therapeutic decision for all patients was possible.</p><p id="p0045">Our experience with this new method of MDT is -of course-limited, but our first impression is positive. In time where social interactions should be limited to contain the spreading of the SARS-CoV-2, technology is coming to our rescue with an easy-to-use software.</p><sec id="sec1"><title>Conclusion</title><p id="p0050">We would like to stress the importance of the MDT [<xref rid="bib1" ref-type="bibr">1</xref>] and how every institution should make available a software of virtual meeting in order to continue with the multidisciplinary approach even in this time of pandemic disease, that is known to offer the best prospect for planning optimal management and improving clinical outcomes in oncological patients.</p></sec><sec sec-type="COI-statement"><title>Declaration of competing interest</title><p id="p0055">None.</p></sec></body><back><ref-list id="cebib0010"><title>References</title><ref id="bib1"><label>1</label><element-citation publication-type="journal" id="sref1"><person-group person-group-type="author"><name><surname>Kozak</surname><given-names>V.N.</given-names></name><name><surname>Khorana</surname><given-names>A.A.</given-names></name><name><surname>Amarnath</surname><given-names>S.</given-names></name><name><surname>Glass</surname><given-names>K.E.</given-names></name><name><surname>Kalady</surname><given-names>M.F.</given-names></name></person-group><article-title>Multidisciplinary clinics for colorectal cancer care reduces treatment time</article-title><source>Clin Colorectal Canc</source><volume>16</volume><issue>4</issue><year>2017</year><fpage>366</fpage><lpage>371</lpage><pub-id pub-id-type="doi">10.1016/j.clcc.2017.03.020</pub-id></element-citation></ref><ref id="bib2"><label>2</label><element-citation publication-type="journal" id="sref2"><person-group person-group-type="author"><name><surname>The Lancet Oncology</surname></name></person-group><article-title>COVID-19: global consequences for oncology</article-title><source>Lancet Oncol</source><volume>21</volume><issue>4</issue><year>2020</year><fpage>467</fpage><pub-id pub-id-type="doi">10.1016/S1470-2045(20)30175-3</pub-id><pub-id pub-id-type="pmid">32240603</pub-id></element-citation></ref><ref id="bib3"><label>3</label><element-citation publication-type="journal" id="sref3"><person-group person-group-type="author"><name><surname>Marano</surname><given-names>L.</given-names></name><name><surname>Marrelli</surname><given-names>D.</given-names></name><name><surname>Roviello</surname><given-names>F.</given-names></name></person-group><article-title>European Journal of Surgical Oncology Cancer care under the outbreak of COVID-19 : a perspective from Italian tertiary referral center for surgical oncology</article-title><source>Eur J Surg Oncol</source><year>2020</year><fpage>19</fpage><lpage>20</lpage><pub-id pub-id-type="doi">10.1016/j.ejso.2020.04.004</pub-id><comment>xxxx</comment></element-citation></ref><ref id="bib4"><label>4</label><element-citation publication-type="journal" id="sref4"><person-group person-group-type="author"><name><surname>Krupinski</surname><given-names>E.</given-names></name><name><surname>Comas</surname><given-names>M.</given-names></name><name><surname>Gallego</surname><given-names>L.</given-names></name></person-group><article-title>A new software platform to improve multidisciplinary tumor board workflows and user satisfaction: a pilot study</article-title><source>J Pathol Inf</source><volume>9</volume><issue>1</issue><year>2018</year><fpage>26</fpage><pub-id pub-id-type="doi">10.4103/jpi.jpi_16_18</pub-id></element-citation></ref></ref-list><ack id="ack0010"><title>Acknowledgements</title><p>The authors disclose no conflict of interest. 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