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Sarcoma European and Latin American Network (SELNET) Recommendations on Prioritization in Sarcoma Care During the COVID-19 Pandemic

Martin-Broto, Javier ; Hindi, Nadia ; Aguiar, Samuel ; Badilla-González, Ronald ; Castro-Oliden, Victor ; Chacón, Matias ; Correa-Generoso, Raquel ; de Álava, Enrique ; Donati, Davide María and Eriksson, Mikael LU orcid , et al. (2020) In The Oncologist 25(10). p.1562-1573
Abstract

Background: The COVID-19 outbreak has resulted in collision between patients infected with SARS-CoV-2 and those with cancer on different fronts. Patients with cancer have been impacted by deferral, modification, and even cessation of therapy. Adaptive measures to minimize hospital exposure, following the precautionary principle, have been proposed for cancer care during COVID-19 era. We present here a consensus on prioritizing recommendations across the continuum of sarcoma patient care. Material and Methods: A total of 125 recommendations were proposed in soft-tissue, bone, and visceral sarcoma care. Recommendations were assigned as higher or lower priority if they cannot or can be postponed at least 2–3 months, respectively. The... (More)

Background: The COVID-19 outbreak has resulted in collision between patients infected with SARS-CoV-2 and those with cancer on different fronts. Patients with cancer have been impacted by deferral, modification, and even cessation of therapy. Adaptive measures to minimize hospital exposure, following the precautionary principle, have been proposed for cancer care during COVID-19 era. We present here a consensus on prioritizing recommendations across the continuum of sarcoma patient care. Material and Methods: A total of 125 recommendations were proposed in soft-tissue, bone, and visceral sarcoma care. Recommendations were assigned as higher or lower priority if they cannot or can be postponed at least 2–3 months, respectively. The consensus level for each recommendation was classified as “strongly recommended” (SR) if more than 90% of experts agreed, “recommended” (R) if 75%–90% of experts agreed and “no consensus” (NC) if fewer than 75% agreed. Sarcoma experts from 11 countries within the Sarcoma European-Latin American Network (SELNET) consortium participated, including countries in the Americas and Europe. The European Society for Medical Oncology-Magnitude of clinical benefit scale was applied to systemic-treatment recommendations to support prioritization. Results: There were 80 SRs, 35 Rs, and 10 NCs among the 125 recommendations issued and completed by 31 multidisciplinary sarcoma experts. The consensus was higher among the 75 higher-priority recommendations (85%, 12%, and 3% for SR, R, and NC, respectively) than in the 50 lower-priority recommendations (32%, 52%, and 16% for SR, R, and NC, respectively). Conclusion: The consensus on 115 of 125 recommendations indicates a high-level of convergence among experts. The SELNET consensus provides a tool for sarcoma multidisciplinary treatment committees during the COVID-19 outbreak. Implications for Practice: The Sarcoma European-Latin American Network (SELNET) consensus on sarcoma prioritization care during the COVID-19 era issued 125 pragmatical recommendations distributed as higher or lower priority to protect critical decisions on sarcoma care during the COVID-19 pandemic. A multidisciplinary team from 11 countries reached consensus on 115 recommendations. The consensus was lower among lower-priority recommendations, which shows reticence to postpone actions even in indolent tumors. The European Society for Medical Oncology-Magnitude of Clinical Benefit scale was applied as support for prioritizing systemic treatment. Consensus on 115 of 125 recommendations indicates a high level of convergence among experts. The SELNET consensus provides a practice tool for guidance in the decisions of sarcoma multidisciplinary treatment committees during the COVID-19 outbreak.

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publishing date
type
Contribution to journal
publication status
published
subject
keywords
COVID-19, Guidelines, Multidisciplinary, Patient care, Sarcoma
in
The Oncologist
volume
25
issue
10
pages
1562 - 1573
publisher
AlphaMed Press
external identifiers
  • pmid:32888360
  • scopus:85091375417
ISSN
1083-7159
DOI
10.1634/theoncologist.2020-0516
language
English
LU publication?
no
id
d73f37a3-da36-4d67-910b-db6bc0f55955
date added to LUP
2020-10-27 17:46:19
date last changed
2024-04-17 17:51:46
@article{d73f37a3-da36-4d67-910b-db6bc0f55955,
  abstract     = {{<p>Background: The COVID-19 outbreak has resulted in collision between patients infected with SARS-CoV-2 and those with cancer on different fronts. Patients with cancer have been impacted by deferral, modification, and even cessation of therapy. Adaptive measures to minimize hospital exposure, following the precautionary principle, have been proposed for cancer care during COVID-19 era. We present here a consensus on prioritizing recommendations across the continuum of sarcoma patient care. Material and Methods: A total of 125 recommendations were proposed in soft-tissue, bone, and visceral sarcoma care. Recommendations were assigned as higher or lower priority if they cannot or can be postponed at least 2–3 months, respectively. The consensus level for each recommendation was classified as “strongly recommended” (SR) if more than 90% of experts agreed, “recommended” (R) if 75%–90% of experts agreed and “no consensus” (NC) if fewer than 75% agreed. Sarcoma experts from 11 countries within the Sarcoma European-Latin American Network (SELNET) consortium participated, including countries in the Americas and Europe. The European Society for Medical Oncology-Magnitude of clinical benefit scale was applied to systemic-treatment recommendations to support prioritization. Results: There were 80 SRs, 35 Rs, and 10 NCs among the 125 recommendations issued and completed by 31 multidisciplinary sarcoma experts. The consensus was higher among the 75 higher-priority recommendations (85%, 12%, and 3% for SR, R, and NC, respectively) than in the 50 lower-priority recommendations (32%, 52%, and 16% for SR, R, and NC, respectively). Conclusion: The consensus on 115 of 125 recommendations indicates a high-level of convergence among experts. The SELNET consensus provides a tool for sarcoma multidisciplinary treatment committees during the COVID-19 outbreak. Implications for Practice: The Sarcoma European-Latin American Network (SELNET) consensus on sarcoma prioritization care during the COVID-19 era issued 125 pragmatical recommendations distributed as higher or lower priority to protect critical decisions on sarcoma care during the COVID-19 pandemic. A multidisciplinary team from 11 countries reached consensus on 115 recommendations. The consensus was lower among lower-priority recommendations, which shows reticence to postpone actions even in indolent tumors. The European Society for Medical Oncology-Magnitude of Clinical Benefit scale was applied as support for prioritizing systemic treatment. Consensus on 115 of 125 recommendations indicates a high level of convergence among experts. The SELNET consensus provides a practice tool for guidance in the decisions of sarcoma multidisciplinary treatment committees during the COVID-19 outbreak.</p>}},
  author       = {{Martin-Broto, Javier and Hindi, Nadia and Aguiar, Samuel and Badilla-González, Ronald and Castro-Oliden, Victor and Chacón, Matias and Correa-Generoso, Raquel and de Álava, Enrique and Donati, Davide María and Eriksson, Mikael and Falla-Jimenez, Martin and German, Gisela and Gobo Silva, Maria Leticia and Gouin, Francois and Gronchi, Alessandro and Haro-Varas, Juan Carlos and Jiménez-Brenes, Natalia and Kasper, Bernd and Lopes de Mello, Celso Abdon and Maki, Robert and Martínez-Delgado, Paula and Martínez-Said, Hector and Martinez-Tlahuel, Jorge Luis and Morales-Pérez, Jose Manuel and Muñoz-Casares, Francisco Cristobal and Nakagawa, Suely A. and Ortiz-Cruz, Eduardo Jose and Palmerini, Emanuela and Patel, Shreyaskumar and Moura, David S. and Stacchiotti, Silvia and Sunyach, Marie Pierre and Valverde, Claudia M. and Waisberg, Federico and Blay, Jean Yves}},
  issn         = {{1083-7159}},
  keywords     = {{COVID-19; Guidelines; Multidisciplinary; Patient care; Sarcoma}},
  language     = {{eng}},
  month        = {{10}},
  number       = {{10}},
  pages        = {{1562--1573}},
  publisher    = {{AlphaMed Press}},
  series       = {{The Oncologist}},
  title        = {{Sarcoma European and Latin American Network (SELNET) Recommendations on Prioritization in Sarcoma Care During the COVID-19 Pandemic}},
  url          = {{http://dx.doi.org/10.1634/theoncologist.2020-0516}},
  doi          = {{10.1634/theoncologist.2020-0516}},
  volume       = {{25}},
  year         = {{2020}},
}