Approaching glioblastoma during COVID-19 pandemic: current recommendations and considerations in Brazil

Abstract: Background: Cancer patients in general and glioblastoma patients, in particular, have an increased risk of developing complications from the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and reaching a balance between the risk of exposure to infection and the clinical benefit of their treatment is ideal. The aggressive behavior of this group of tumors justifies the need for a multidisciplinary team to assist in clinical decisions during the current pandemic. Brazil is now ranked #2 in the number of cases and deaths from COVID-19 pandemic, and existing disparities in the treatment of neuro-oncology patients in Brazil will challenge the clinical and surgical decisions of this population, possibly affecting global survival. Objective: To search the literature about the management of glioblastomas during COVID-19 pandemic to guide surgical and clinical decisions in this population of patients in Brazil. Methods: We performed a systematic search on the PubMed electronic database targeting consensus statements concerning glioblastoma approaches during COVID-19 pandemic up to July 18, 2020. Results: When approaching glioblastoma during the COVID-19 pandemic, important parameters that help in the decision-making process are age, performance status, tumor molecular profile, and patient consent. Younger patients should follow the standard protocol after maximal safe resection, mainly those with MGMT methylated tumors. Aged and underperforming patients should be carefully evaluated, and probably a monotherapy scheme is to be considered. Centers are advised to engage in telemedicine and to elaborate means to reduce local infection. Conclusion: Approaching glioblastoma during the COVID-19 pandemic will be challenging worldwide, but particularly in Brazil, where a significant inequality of healthcare exists.

Weitere Titel
Abordando glioblastomas durante a pandemia pelo COVID-19: recomendações atuais e considerações no Brasil
Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Approaching glioblastoma during COVID-19 pandemic: current recommendations and considerations in Brazil ; volume:79 ; number:02 ; year:2021 ; pages:167-172
Arquivos de neuro-psiquiatria ; 79, Heft 02 (2021), 167-172

Beteiligte Personen und Organisationen
Batistella, Gabriel Novaes de Rezende
Santos, Adrialdo José
Paiva, Manoel Antonio de
Ferrigno, Robson
Camargo, Veridiana Pires de
Stavale, João Norberto
Maldaun, Marcos Vinicius Calfat

DOI
10.1590/0004-282X-anp-2020-0434
URN
urn:nbn:de:101:1-2023081711113968906123
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
14.08.2025, 11:00 MESZ

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Beteiligte

  • Batistella, Gabriel Novaes de Rezende
  • Santos, Adrialdo José
  • Paiva, Manoel Antonio de
  • Ferrigno, Robson
  • Camargo, Veridiana Pires de
  • Stavale, João Norberto
  • Maldaun, Marcos Vinicius Calfat

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