The Armed Conflict and the Impact on Patients With Cancer in Ukraine: Urgent Considerations

Author:

Caglevic Christian12ORCID,Rolfo Christian3ORCID,Gil-Bazo Ignacio4ORCID,Cardona Andrés5ORCID,Sapunar Jorge1,Hirsch Fred R.6ORCID,Gandara David R.7ORCID,Morgan Gilberto8ORCID,Novello Silvia9ORCID,Garassino Marina-Chiara10ORCID,Mountzios Giannis11ORCID,Leighl Natasha B.12ORCID,Bretel Denisse13ORCID,Arrieta Oscar14ORCID,Addeo Alfredo15ORCID,Liu Stephen V.16ORCID,Corrales Luis17ORCID,Subbiah Vivek18ORCID,Aboitiz Francisco19,Villarroel-Espindola Franz1ORCID,Reyes-Cosmelli Felipe2,Morales Ricardo12,Mahave Mauricio12,Raez Luis20,Alatorre Jorge21,Santos Edgardo22ORCID,Ubillos Luis23ORCID,Tan Daniel S.W.24ORCID,Zielinski Christoph25ORCID

Affiliation:

1. Cancer Research Department, Instituto Oncologico Fundacion Arturo Lopez Perez, Santiago, Chile

2. Clinical Trials Unit, Instituto Oncologico Fundacion Arturo Lopez Perez, Santiago, Chile

3. Clinical Research Center for Thoracic Oncology, The Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY

4. Universidad de Navarra, Department of Oncology, Pamplona, Spain

5. Luis Carlos Sarmiento Angulo Cancer Treatment and Research Center—CTIC, ONCOLGroup/FICMAC, Bogota, Colombia

6. Center for Thoracic Oncology. Mount Sinai Cancer, Mount Sinai Health System, Icahn School of Medicine, Joe Lowe and Louis Price Professor of Medicine, Tisch Cancer Institute, New York, NY

7. Center for Experimental Therapeutics in Cancer, UC Davis Comprehensive Cancer Center, Translational and Clinical Research Program, University of Hawaii Cancer Center, International Society of Liquid Biopsy, Sacramento, CA

8. Skåne University Hospital, Department of Oncology, Lund, Sweden

9. Oncology Department, AOU San Luigi, University of Turin, Turin, Italy

10. Thoracic Oncology Program, the University of Chicago, Chicago, IL

11. 4th Oncology Department and Clinical Trials Unit Henry Dunant Hospital Center, Athens, Greece

12. Medical Oncology Princess Margaret Cancer Centre, Department of Medicine, University of Toronto, IHPME, Dalla Lana School of Public Health, Toronto, Canada

13. GECOPERU, Lima, Peru

14. Toracic Oncology Unit, Instituto Nacional de Cancerologia de Mexico, Mexico City, Mexico

15. Oncology department, University Hospital Geneva, Geneva, Switzerland

16. Lombardi Comprehensive Cancer Center of Georgetown University, Washington, DC

17. Centro de Investigación y Manejo del Cáncer (CIMCA), San José, Costa Rica

18. Department of Investigational Cancer Therapeutics, Division of Cancer Medicine, Medical Oncology Research, MD Anderson Cancer Network, Clinical Center For Targeted Therapy, Division of Pediatrics UT MD Anderson Cancer Center, Houston, TX

19. Centro Interdisciplinario de Neurociencias, Facultad de Medicina, Pontificia Universidad Católica, Santiago, Chile

20. Memorial Cancer Institute/Memorial Health Care System, MCIFAU Florida Cancer Center of Excellence, Florida International University, Miami, FL

21. Instituto Nacional de Enfermedades Respiratorias (INER) Clínica de Oncología Torácica, México D.F., Mexico

22. Florida Precision Oncology/a Division of Genesis Care USA, Research Services Thoracic and Head/Neck Cancer Programs Clinical, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL

23. Instituto Nacional del Cancer, Montevideo, Uruguay

24. Department of Medical Oncology, National Cancer Centre Singapore, Singapore

25. Central European Cancer Center, Wiener Privatklinik, Vienna, and Central European Cooperative Oncology Group, HQ, Vienna, Austria

Abstract

On February 24, 2022, a war began within the Ukrainian borders. At least 3.0 million Ukrainian inhabitants have already fled the country. Critical infrastructure, including hospitals, has been damaged. Children with cancer were urgently transported to foreign countries, in an effort to minimize interruption of their life-saving treatments. Most adults did not have that option. War breeds cancer—delaying diagnosis, preventing treatment, and increasing risk. We project that a modest delay in care of only 4 months for five prevalent types of cancer will lead to an excess of over 3,600 cancer deaths in the subsequent years. It is critical that we establish plans to mitigate that risk as soon as possible.

Publisher

American Society of Clinical Oncology (ASCO)

Subject

Cancer Research,Oncology

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