COVID-19: Kollateralschäden in der Kopf-Hals-Onkologie und Präventivmaßnahmen für künftige Pandemien

Zusammenfassung

Der Beginn der COVID-19-Pandemie führte zu enormen Herausforderungen für die globale Gesundheitsversorgung, da rasch Kapazitäten und Ressourcen für die Behandlung von COVID-19-Patienten zur Verfügung gestellt werden mussten. Dadurch kam es auch zu Einschränkungen bei der Versorgung onkologischer Patienten mit Kopf-Hals-Malignomen. Diese Übersichtsarbeit fasst die Entwicklung der Tumorinzidenzen während der Pandemie, die international erarbeiteten Richtlinien zur Versorgung von Patienten mit Kopf-Hals-Malignomen und Studien zur Verzögerung onkologischer Therapien sowie der Mortalität zusammen. Darüber hinaus werden Auswirkungen auf die psychische Gesundheit der Patienten, die psychosozialen Folgen sowie ethische Fragen beleuchtet. Perspektivisch werden Präventivmaßnahmen für derartige negative Kollateraleffekte bei künftigen Pandemien am Beispiel eines Konzepts für eine Applikationssoftware (App)-basierte digitale Betreuung von Patienten mit Kopf-Hals-Tumoren diskutiert.

Abstract

The start of the COVID-19 pandemic led to enormous challenges for global healthcare, as capacities and resources had to be made available quickly for the treatment of COVID-19 patients. As a result, restrictions had to be accepted, especially in the care of oncological patients. The collateral damage of these limitations inevitably also affects patients with head and neck cancer. This review article summarizes the development of tumor incidences during the pandemic, internationally developed guidelines for the care of patients with head and neck cancer and studies on the delay in oncological therapies and mortality. In addition, the effects on the mental health of the patients, the psychosocial consequences and ethical issues are examined. In perspective, preventive measures for such negative collateral effects in future pandemics are discussed using the example of a concept for application software (app)-based digital care for patients with head and neck cancer.

Schlüsselwörter

COVID-19-Pandemie - Kollateralschäden - Kopf-Hals-Onkologie - Therapieverzögerung - Mortalität - psychische Gesundheit - Präventivmaßnahmen - Telemedizin - digitale Lösungen - onkologische Apps

Keywords

COVID-19 pandemic - collateral damage - head and neck oncology - therapy delay - preventive measures - oncology apps

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