新型冠状病毒肺炎(COVID-19)大流行对癌症患者及其治疗的全球性影响:系统综述
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Department of Pharmacology, Al-Ameen College of Pharmacy, Bangalore 560001, India

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Global Effect of COVID-19 Pandemic on Cancer Patients and its Treatment: A Systematic Review
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Department of Pharmacology, Al-Ameen College of Pharmacy, Bangalore 560001, India

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    摘要:

    背景:自新型冠状病毒肺炎(COVID-19)大流行以来,COVID-19对全球卫生服务产生了重大影响,卫生机构常规护理的中断,使癌症患者面临严重风险。在封锁隔离期间对肿瘤患者持续提供治疗成为一项艰巨任务。COVID-19及其致病病毒SARS-CoV-2给肿瘤患者的管理带来了相当大的挑战。新冠肺炎对包括癌症患者在内的老龄化和免疫抑制个体的呼吸道和全身感染尤为严重。目的:本综述中,我们重点关注被COVID-19感染的癌症患者和具有严重COVID-19感染风险的癌症患者,并发现抗癌治疗可能会增加COVID-19易感性,或对癌症和COVID-19有双重的治疗作用;此外,本文还尝试研究SARS-CoV-2病毒如何影响癌细胞。同时,评估COVID-19疫情对癌症患者及其治疗的全球影响。方法:以PubMed、Web of Science (WOS)、Embase、科克伦图书馆(Cochrane Library)、中国知网(CNKI)和VPDB(VIral Protein domain DataBase,Viral蛋白结构域数据库)中收录的2019年12月1日至2021年9月23日的关于COVID-19患者抗癌治疗的研究文献为基础,提取患者的特征、治疗类型、死亡率和其他附加结果并汇总进行综述。结果:COVID-19对癌症患者有很大的影响。COVID-19患者的肿瘤诊断比例高于其他人群。与此类似,癌症患者,特别是比例最高的肺癌患者,比其他人群更容易受到COVID-19的影响。结论:同时患有COVID-19和肿瘤的患者的总体死亡风险明显高于其他COVID-19患者。在COVID-19大流行期间,癌症筛查和检测工作有所减少,常规治疗也被推迟,这可能导致未来癌症死亡率的增加。

    Abstract:

    Background At a global level, the COVID-19 disease outbreak has had a major impact on health services and has induced disruption in routine care of health institutions, exposing cancer patients to severe risks. To provide uninterrupted tumor treatment throughout a pandemic lockdown is a major obstacle. Coronavirus disease (COVID-19) and its causative virus, SARS-CoV-2, stance considerable challenges for the management of oncology patients. COVID-19 presents particularly severe respiratory and systemic infection in aging and immunosuppressed individuals, including patients with cancer. Objective In the present review, we focused on emergent evidence from cancer sufferers that have been contaminated with COVID-19 and cancer patients who were at higher risk of severe COVID-19, and indicates that anticancer treatment may either rise COVID-19 susceptibility or have a duple therapeutic impact on cancer as well as COVID-19; moreover, how SARS-CoV-2 infection impacts cancer cells. Also, to assess the global effect of the COVID-19 disease outbreak on cancer and its treatment. Methods A literature survey was conducted using PubMed, Web of Science (WOS), Embase, Cochrane Library, China National Knowledge Infrastructure (CNKI), and VIral Protein domain DataBase (VIP DB) between Dec 1, 2019 and Sep 23, 2021, for studies on anticancer treatments in patients with COVID-19. The characteristics of the patients, treatment types, mortality, and other additional outcomes were extracted and pooled for synthesis. Results This disease has a huge effect on sufferers who have cancer(s). Sufferers of COVID-19 have a greater percentage of tumor diagnoses than the rest of the population. Likewise, cancer and highest proportion is lung cancer sufferers are more susceptible to COVID-19 constriction than the rest of the population. Conclusion Sufferers who have both COVID-19 and tumor have a considerably elevated death risk than single COVID-19 positive patients overall. During the COVID-19 pandemic, there was a reduction in the screening of cancer and detection, and also deferral of routine therapies, which may contribute to an increase in cancer mortality there in future.

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  • 在线发布日期: 2023-11-24
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