Evidence map›Paper›PMID 32565901›Full record

ReviewEcancermedicalscience2020

Evidence-based recommendations for gastrointestinal cancers during the COVID-19 pandemic by the Brazilian Gastrointestinal Tumours Group.

Rachel P Riechelmann, Renata D'Alpino Peixoto, Gustavo Dos Santos Fernandes, Rui F Weschenfelder, Gabriel Prolla, Duílio Rocha Filho, Aline Chaves Andrade, Marcela Crosara, Juliana Florinda M Rego, Rene C Gansl and 5 more

Open access · goldAbstract readReview
In one paragraph

Review in Ecancermedicalscience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Observational
  5. Article
  6. Managing oncology clinical trials during COVID-19 pandemic.Contemporary clinical trials communications · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 11 institutions in 4 countries.

Rachel P RiechelmannAC Camargo Cancer Center, Sao Paulo, SP 01509-010, Brazil.
Renata D'Alpino PeixotoHospital Oswaldo Cruz, Sao Paulo, SP 01323-020, Brazil.
Gustavo Dos Santos FernandesHospital Sírio Libanês, Distrito Federal, DF 70200-730, Brazil.
Rui F WeschenfelderHospital Moinhos de Vento, Porto Alegre, RS 90035-000, Brazil.
Gabriel ProllaCentro de Oncologia Hospital São Lucas da PUCRS, Porto Alegre, RS 90610-000, Brazil.
Duílio Rocha FilhoHospital Universitário Walter Cantídio, Foratleza, CE 60430-372, Brazil.
Aline Chaves AndradeGrupo Oncoclínicas, Belo Horizonte, MG 30360-680, Brazil.
Marcela CrosaraRede D'Or, DF 70390-140, Brazil.
Juliana Florinda M RegoHospital Universitário Onofre Lopes, Natal, RN 59012-300, Brazil.
Rene C GanslHospital Israelita Albert Einstein, Sao Paulo, SP 05652-900, Brazil.
Felipe CoimbraAC Camargo Cancer Center, Sao Paulo, SP 01509-010, Brazil.
Samuel AguiarAC Camargo Cancer Center, Sao Paulo, SP 01509-010, Brazil.
Elisângela CarvalhoHospital São Rafael, Salvador, 41253-900, Brazil.
Paulo M HoffInstituto do Cancer do Estado de São Paulo, Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, SP 01246-000, Brazil.
Anelisa K CoutinhoClinica AMO, Assistência Multidisciplinar em Oncologia, Salvador, BA 41950-640, Brazil.
AC Camargo Hospital · BRD’Or Institute for Research and Education · BRFleury S.A. (Brazil) · BRHospital Alemão Oswaldo Cruz · BRHospital Moinhos de Vento · BRHospital São Lucas da PUCRS · BRHospital São Rafael · BRHospital Universitário Onofre Lopes · BRHospital Universitário Walter Cantídio · BRInstituto do Câncer do Estado de São Paulo · BRMerck Serono (Switzerland) · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAs of 2020, the world is facing the great challenge of the COVID-19 (Coronavirus disease 2019) pandemic, caused by the SARS-CoV-2 virus. While the overall mortality is low, the virus is highly virulent and may infect millions of people worldwide. This will consequently burden health systems, particularly by those individuals considered to be at high risk of severe complications from COVID-19. Such risk factors include advanced age, cardiovascular and pulmonary diseases, diabetes and cancer. However, few data on the outcomes of cancer patients infected by SARS CoV-2 exist. Therefore, there is a lack of guidance on how to manage cancer patients during the pandemic. We sought to propose specific recommendations about the management of patients with gastrointestinal malignancies.

methodsThe Brazilian Gastrointestinal Tumours Group board of directors and members sought up-to-date scientific literature on each tumour type and discussed all recommendations by virtual meetings to provide evidence-based-and sometimes, expert opinion-recommendation statements. Our objectives were to recommend evidence-based approaches to both treat and minimise the risk of COVID-19 for cancer patients, and simultaneously propose how to decrease the use of hospital resources at a time these resources need to be available to treat COVID-19 patients.

resultsOverall and tumour-specific recommendations were made by stage (including surgical, locoregional, radiotherapy, systemic treatments and follow-up strategies) for the most common gastrointestinal malignancies: esophagus, gastric, pancreas, bile duct, hepatocellular, colorectal, anal cancer and neuroendocrine tumours.

conclusionsOur recommendations emphasise the importance of treating cancer patients, using the best evidence available, while simultaneously taking into consideration the world-wide health resource hyperutilisation to treat non-cancer COVID-19 patients.

Indexed as

cancercoronavirusCOVID-19gastrointestinal tumourspandemic

Identifiers

PMID32565901
PMCPMC7289615
OpenAlexW3028396809

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.