open access

Vol 52, No 3 (2021)
Review article
Submitted: 2021-03-14
Accepted: 2021-04-20
Published online: 2021-06-28
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Impact of COVID-19 on pediatric oncology

Katarzyna Adamczewska-Wawrzynowicz1, Swati Singh2, Katarzyna Derwich1
DOI: 10.5603/AHP.2021.0033
·
Acta Haematol Pol 2021;52(3):169-172.
Affiliations
  1. Department of Pediatric Oncology, Hematology and Transplantology, Poznan University of Medical Sciences, Poznan, Poland, ul. Szpitalna 27/33, 60-572 Poznan, Poland
  2. Center for Medical Education in English, Poznan University of Medical Sciences, Poznan, Poland

open access

Vol 52, No 3 (2021)
REVIEW ARTICLE
Submitted: 2021-03-14
Accepted: 2021-04-20
Published online: 2021-06-28

Abstract

The worldwide coronavirus disease 19 (COVID-19) pandemic led to a critical situation in the healthcare system concerning patients suffering from cancer and chronic diseases. It had the effect of causing them anxiety and reluctance to seek immediate medical attention when required due to the fear of COVID-19’s potentially acute and life-threatening states.

The main issues concerning pediatric patients in this regard are the reluctance to seek pediatric care leading to delayed referrals for severe conditions, including children’s neoplasms, that show a history of symptoms indicating cancer that has been present for weeks. The risk of prolonging diagnoses of pediatric neoplasms may be incomparably more threatening than the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection itself. The incidence of SARS-CoV-2 positivity in children with neoplasms is low, and the majority of them have a mild or moderate course of infection. A physical examination of a child with a history of symptoms indicating cancer is crucial to proper evaluation.

It is essential to minimise the risk of detecting advanced childhood cancer to prevent children from experiencing neoplasms that are otherwise highly curable if diagnosed early, in addition to possible long-term complications and increased mortality.

Abstract

The worldwide coronavirus disease 19 (COVID-19) pandemic led to a critical situation in the healthcare system concerning patients suffering from cancer and chronic diseases. It had the effect of causing them anxiety and reluctance to seek immediate medical attention when required due to the fear of COVID-19’s potentially acute and life-threatening states.

The main issues concerning pediatric patients in this regard are the reluctance to seek pediatric care leading to delayed referrals for severe conditions, including children’s neoplasms, that show a history of symptoms indicating cancer that has been present for weeks. The risk of prolonging diagnoses of pediatric neoplasms may be incomparably more threatening than the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection itself. The incidence of SARS-CoV-2 positivity in children with neoplasms is low, and the majority of them have a mild or moderate course of infection. A physical examination of a child with a history of symptoms indicating cancer is crucial to proper evaluation.

It is essential to minimise the risk of detecting advanced childhood cancer to prevent children from experiencing neoplasms that are otherwise highly curable if diagnosed early, in addition to possible long-term complications and increased mortality.

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Keywords

oncology, children, COVID-19

About this article
Title

Impact of COVID-19 on pediatric oncology

Journal

Acta Haematologica Polonica

Issue

Vol 52, No 3 (2021)

Article type

Review article

Pages

169-172

Published online

2021-06-28

Page views

292

Article views/downloads

245

DOI

10.5603/AHP.2021.0033

Bibliographic record

Acta Haematol Pol 2021;52(3):169-172.

Keywords

oncology
children
COVID-19

Authors

Katarzyna Adamczewska-Wawrzynowicz
Swati Singh
Katarzyna Derwich

References (14)
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  2. Ciacchini B, Tonioli F, Marciano C, et al. Reluctance to seek pediatric care during the COVID-19 pandemic and the risks of delayed diagnosis. Ital J Pediatr. 2020; 46(1): 87.
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  7. Dorantes-Acosta E, Ávila-Montiel D, Klünder-Klünder M, et al. Survival and complications in pediatric patients with cancer and COVID-19: a meta-analysis. Front Oncol. 2020; 10: 608282.
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  9. Sullivan M, Bouffet E, Rodriguez-Galindo C, et al. The COVID-19 pandemic: a rapid global response for children with cancer from SIOP, COG, SIOP-E, SIOP-PODC, IPSO, PROS, CCI, and St Jude Global. Pediatr Blood Cancer. 2020; 67(7): e28409.
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  11. Lazzerini M, Barbi E, Apicella A, et al. Delayed access or provision of care in Italy resulting from fear of COVID-19. Lancet Child Adolesc Health. 2020; 4(5): e10–e11.
  12. Ding YY, Ramakrishna S, Long AH, et al. Delayed cancer diagnoses and high mortality in children during the COVID-19 pandemic. Pediatr Blood Cancer. 2020; 67(9): e28427.
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