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Chinese expert recommendations on management of hepatocellular carcinoma during COVID-19 pandemic: a nationwide multicenter survey.

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机构: [1]Department of Hepatobiliary Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, [2]KeyLaboratory of Gene Editing Screening and R&D of Digestive System Tumor Drugs, [3]Department of Medical Oncology, [4]Department ofRadiation Oncology, [5]Office for Cancer Registry, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College, [6]Department of General Surgery, Peking UniversityThird Hospital, [7]Department of Interventional Therapy, [8]Department of Pancreatic and Gastric Surgery, National Cancer Center/NationalClinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing, [9]Department of Hepatobiliary and Pancreatic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, [10]Department of Liver Surgery & Liver Transplant Center, Zhongshan Hospital, Fudan University, Shanghai, [11]Department of Hepatobiliaryand Pancreatic Surgery, Harbin Medical University Cancer Hospital, Harbin, [12]Departments of Hepatobiliary Surgery, GeneralHospital of Ningxia Medical University, Yinchuan, [13]Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital ofZhengzhou University, Zhengzhou, [14]Department of Hepatobiliary Cancer, Tianjin Medical University Cancer Institute & Hospital,Tianjin, [15]Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, [16]Department of GeneralSurgery, The First Hospital of Lanzhou University, Lanzhou, [17]Department of Hepatopancreatobiliary Surgery, The Affiliated TumorHospital of Xinjiang Medical University, Urumqi, [18]Department of Surgical Oncology, Xinxiang Central Hospital, Xinxiang, [19]Departmentof Colorectal Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, Shenyang, [20]Henan CancerHospital, Zhengzhou, [21]Yan’an Affiliated Hospital of Kunming Medical University, Kunming, [22]Department of Hepatobiliary andPancreatic Surgery, The Second Hospital of Jilin University, Changchun, [23]Department of Hepatobiliary and Pancreatic Surgery, TheFirst Affiliated Hospital of Zhejiang University School of Medicine, Zhejiang Clinical Research Cneter of Hepatobiliary and PancreaticDiseases, Hangzhou, [24]Department of Intervention, Inner Mongolia People’s Hospital, Hohhot, [25]Department of the Third AbdominalSurgery, Gansu Provincial Cancer Hospital, Lanzhou, [26]Department of Intervention Ultrasound, Ningxia People’s Hospital, Yinchuan, [27]Department of Oncology, The Affiliated Cancer Hospital of Guizhou Medical University, Guiyang, [28]Department of Interventional &Vascular Therapy, The Fourth Hospital of Harbin Medical University, Harbin, [29]Department of Hepatobiliary Surgery, Haikou MunicipalHospital, Haikou, [30]Department of Hepatobiliary Surgery, Tianjin First Center Hospital, Tianjin, [31]Vascular and Interventional Department,Chongqing University Cancer Hospital, Chongqing, [32]Department of Hepatobiliary Surgery, The First Affiliated Hospital ofGuangxi Medical University, Nanning, [33]Department of Hepatobiliary Surgery, The Affiliated Hospital of Qingdao University, Qingdao, [34]Department of Hepatobiliary Surgery, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou, [35]Department ofGeneral Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, [36]Hepatic Surgery Center, Tongji Hospital, TongjiMedical College of Huazhong University of Science and Technology, [37]Department of Hepatobiliary and Pancreatic Surgery, HubeiCancer Hospital, Wuhan, [38]Department of Hepatobiliary and Pancreatic Surgery, The Second Hospital of Dalian Medical University,Dalian, [39]Department of Hepatopancreatobiliary Surgery, Hainan Cancer Hospital, Haikou, [40]Department of Hepatobiliary andPancreatic Surgery, The First Affiliated Hospital of Kunming Medical University, Kumming, [41]Department of Transplantation, The FirstAffiliated Hospital, Sun Yat-sen University, Guangzhou, [42]Department of Hepatobiliary Surgery, Union Hospital, Tongji Medical College,Huazhong University of Science and Technology, Wuhan, [43]Department of Hepatobiliary Surgery, Sun Yat-sen University CancerCenter, Guangzhou, [44]Institute of Hepatobiliary Surgery, Southwest Hospital, Army Medical University, Chongqing, [45]Department ofGastrointestinal Medical Oncology, Harbin Medical University Cancer Hospital, Harbin, [46]Department of Liver Surgery, West ChinaHospital, Sichuan University, Chengdu, [47]Department of Liver Surgery, Peking Union Medical College Hospital, Peking Union MedicalCollege, Beijing, [48]Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin’sClinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University, Tianjin, [49]Department of Hepatobiliary Surgery, Eastern Hepatobiliary Surgery Hospital, The Second Military Medical University, Shanghai, [50]Department of Hepatobiliary Surgery, The First Affiliated Hospital of University of Science and Technology of China, [51]Sir RunRun Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China
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摘要:
This study aimed to investigate the work status of clinicians in China and their management strategy alteration for patients with hepatocellular carcinoma (HCC) during the COVID-19 pandemic.A nationwide online questionnaire survey was conducted in 42 class-A tertiary hospitals across China. Experienced clinicians of HCC-related specialties responded with their work status and management suggestions for HCC patients during the pandemic.716 doctors responded effectively with a response rate of 60.1%, and 664 were included in the final analysis. Overall, 51.4% (341/664) of clinicians reported more than a 60% reduction of the regular workload and surgeons declared the highest proportion of workload reduction. 92.5% (614/664) of the respondents have been using online medical consultation to substitute for the "face-to-face" visits. Adaptive adjustment for the treatment strategy for HCC was made, including the recommendations of noninvasive and minimally invasive treatments such as transcatheter arterial chemoembolization for early and intermediate stage. Targeted therapy has been the mainstay for advanced stage and also as a bridge therapy for resectable HCC.During the COVID-19 pandemic, online medical consultation is recommended to avoid social contact. Targeted therapy as a bridge therapy is recommended for resectable HCC considering the possibility of delayed surgery.Copyright © 2021. Published by Elsevier Ltd.

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出版当年[2021]版:
大类 | 3 区 医学
小类 | 3 区 胃肠肝病学 3 区 外科
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 外科 4 区 胃肠肝病学
第一作者:
第一作者机构: [1]Department of Hepatobiliary Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, [2]KeyLaboratory of Gene Editing Screening and R&D of Digestive System Tumor Drugs,
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通讯作者:
通讯机构: [1]Department of Hepatobiliary Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, [2]KeyLaboratory of Gene Editing Screening and R&D of Digestive System Tumor Drugs, [*1]National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 17 Panjiayuannanli, Chaoyang District, Beijing, 100021, China.
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