新型冠状病毒感染疫情背景下肿瘤患者放射治疗管理相关问题中国专家共识（2023版）

doi:10.3760/cma.j.cn371439-20230706-00111

摘要/Abstract

摘要：

新型冠状病毒感染（COVID-19）疫情的持续大流行给全球卫生健康系统带来了前所未有的挑战，并在世界范围内对恶性肿瘤患者的标准治疗产生了一定影响，包括放疗。资源的限制会导致治疗能力下降，若要降低肿瘤患者暴露于新型冠状病毒的风险，则需要限制放疗的就诊次数，放疗科医生有必要根据现有的临床证据，在不降低疗效的基础上，做出有利于减少感染风险的放疗决策。目前，COVID-19疫情已接近尾声，但更具传染性的变种或其他病毒还可能会出现并传播。为此，中国医师协会放射肿瘤治疗医师分会、中华医学会放射肿瘤治疗学分会、中国抗癌协会肿瘤放射治疗专业委员会参考国内外多项关于恶性肿瘤患者在COVID-19疫情期间的相关指南及最新循证证据，根据中国的国情、医疗体系以及COVID-19流行特征制定了《新型冠状病毒感染疫情背景下肿瘤患者放射治疗管理相关问题中国专家共识（2023版）》。

关键词: 新型冠状病毒肺炎, 放射疗法, 肿瘤, 临床共识

Abstract:

The ongoing COVID-19 pandemic has posed unprecedented challenges to global healthcare systems and has had a specific impact on the standard treatment of cancer patients worldwide， including radiotherapy. Resource constraints can lead to a decline in treatment capacity， and to reduce the risk of cancer patients being exposed to the novel coronavirus， the number of radiotherapy visits must be limited. Based on existing clinical evidence， radiation oncologists need to make radiotherapy decisions that reduce the risk of infection without compromising efficacy. The COVID-19 pandemic is nearing its end， but more infectious variants or other viruses may emerge and spread. Therefore， the Radiation Oncology Treatment Physician Branch of the Chinese Medical Doctor Association， the Radiation Oncology Therapy Branch of the Chinese Medical Association， and the Chinese Association of Radiation Therapy of the China Anti-Cancer Association refer to a number of relevant guidelines and the latest updates on patients with malignant tumors during the COVID-19 epidemic at home and abroad. According to China's national conditions， medical system and COVID-19 epidemic characteristics， the "Chinese expert consensus on issues related to radiotherapy management of cancer patients under the background of COVID-19 （2023 Edition）" is formulated.

Key words: COVID-19, Radiotherapy, Neoplasms, Clinical consensus

中国医师协会放射肿瘤治疗医师分会, 中华医学会放射肿瘤治疗学分会, 中国抗癌协会肿瘤放射治疗专业委员会. 新型冠状病毒感染疫情背景下肿瘤患者放射治疗管理相关问题中国专家共识（2023版）[J]. 国际肿瘤学杂志, 2023, 50(10): 577-584.

Radiation Oncology Treatment Physician Branch, Chinese Medical Doctor Association； Radiation Oncology Therapy Branch, Chinese Medical Association； Chinese Association of Radiation Therapy, China Anti-Cancer Association. Chinese expert consensus on issues related to radiotherapy management of cancer patients under the back ground of COVID-19 （2023 Edition）[J]. Journal of International Oncology, 2023, 50(10): 577-584.

图/表 2

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质量等级	定义
Ⅰ级（高质量）	进一步研究也不可能改变该疗效评估结果的可信度
Ⅱ级（中等质量）	进一步研究很可能影响该疗效评估结果的可信度，且可能改变该评估结果
Ⅲ级（低质量）	进一步研究极有可能影响该疗效评估结果的可信度，且该评估结果极有可能被改变
Ⅳ级（极低质量）	任何疗效评估结果都很不确定

推荐级别	定义
强推荐	基于可获得证据，非常确定获益大于风险和负担，则做出强推荐
弱推荐	基于可获得证据，认为获益、风险和负担相当平衡，或获益、风险的程度存在明显不确定性，则做出弱推荐