id author title date pages extension mime words sentences flesch summary cache txt cord-335265-kuc3v5m9 Elghazawy, Hagar Implementation of breast cancer continuum of care in low- and middle-income countries during the COVID-19 pandemic 2020-07-27 .txt text/plain 7088 352 41 • Healthcare workers are at high risk of being infected with the virus; at least 2629 were infected, of whom 8.3% died, since the onset of the outbreak in Italy [43] ; • Use extensive infection control measures and personal protective equipment when dealing with infected patients [44, 45] ; • Reduce direct communication by using cyberspace capacities to communicate with each other and the patients, and perform virtual MDT meetings [37] ; • Divide BC teams (surgeons, medical and radiation oncologists, technicians) into tandem operation teams (ideally 50% on-site, 50% off-site) to reduce risk of exposure to infection with ideally regular alternation every 2 weeks (to overcome the incubation period of the 14-day half-life of SARS-CoV-2) [30] ; • Supply pathologists who perform fine-needle aspiration of breast lesions with enhanced biosafety precautions (i.e., procedure room with adequate ventilation, hand hygiene, wearing personal protective equipment including surgical mask, eye protection and gown) if possible, because they may be at increased risk for exposure to infected droplets [46] ; • Extend the infusion unit and radiation therapy working hours from early morning to late evening, to accommodate any delayed patients with appropriate distancing and isolation [32] ; • Support the presence of organizations that can provide oncological home care, applying 'double triage' protocol to ensure the continuity of care and protect healthcare professionals from the exposure to infection [47] ; • Allocate older healthcare workers and those with comorbidities to off-site duties, if possible [42] . ./cache/cord-335265-kuc3v5m9.txt ./txt/cord-335265-kuc3v5m9.txt