Treating the SARS-CoV-2–positive patient with cancer: A proposal for a pragmatic and transparent ethical process Editorial


Authors: Perni, S.; Milligan, M. G.; Saraf, A.; Vivenzio, T.; Marques, A.; Baker, M. A.; Kosak, T.; Bartlett, S.; Physic, M. A.; Batchelder, M. R.; McBride, S.; Bredfeldt, J.; Cail, D. W.; Kearney, M. C.; Whitehouse, C.; Orio, P.; Walsh, G.; Haas-Kogan, D. A.; Martin, N. E.
Title: Treating the SARS-CoV-2–positive patient with cancer: A proposal for a pragmatic and transparent ethical process
Abstract: The treatment of patients with cancer who test positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) poses unique challenges. In this commentary, the authors describe the ethical rationale and implementation details for the creation of a novel, multidisciplinary treatment prioritization committee, including physicians, frontline staff, an ethicist, and an infectious disease expert. Organizational obligations to health care workers also are discussed. The treatment prioritization committee sets a threshold of acceptable harm to patients from decreased cancer control that is justified to reduce risk to staff. The creation of an ethical, consistent, and transparent decision-making process involving such frontline stakeholders is essential as departments across the country are faced with decisions regarding the treatment of SARS-CoV-2–positive patients with cancer. © 2020 American Cancer Society
Keywords: radiation oncology; patient safety; quality improvement; bioethics; coronavirus disease 2019 (covid-19)
Journal Title: Cancer
Volume: 126
Issue: 17
ISSN: 0008-543X
Publisher: Wiley Blackwell  
Date Published: 2020-09-01
Start Page: 3896
End Page: 3899
Language: English
DOI: 10.1002/cncr.32962
PUBMED: 32463478
PROVIDER: scopus
PMCID: PMC7283895
DOI/URL:
Notes: Note -- Source: Scopus
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  1. Sean Matthew McBride
    295 McBride