{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T14:11:01Z","timestamp":1760278261082,"version":"build-2065373602"},"reference-count":9,"publisher":"Wiley","issue":"17","license":[{"start":{"date-parts":[[2020,5,28]],"date-time":"2020-05-28T00:00:00Z","timestamp":1590624000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["acsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:p>The treatment of patients with cancer who test positive for severe acute respiratory syndrome coronavirus 2 (SARS\u2010CoV\u20102) poses unique challenges. In this commentary, the authors describe the ethical rationale and implementation details for the creation of a novel, multidisciplinary treatment prioritization committee, including physicians, frontline staff, an ethicist, and an infectious disease expert. Organizational obligations to health care workers also are discussed. The treatment prioritization committee sets a threshold of acceptable harm to patients from decreased cancer control that is justified to reduce risk to staff. The creation of an ethical, consistent, and transparent decision\u2010making process involving such frontline stakeholders is essential as departments across the country are faced with decisions regarding the treatment of SARS\u2010CoV\u20102\u2013positive patients with cancer.<\/jats:p>","DOI":"10.1002\/cncr.32962","type":"journal-article","created":{"date-parts":[[2020,5,28]],"date-time":"2020-05-28T08:59:55Z","timestamp":1590656395000},"page":"3896-3899","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Treating the SARS\u2010CoV\u20102\u2013positive patient with cancer: A proposal for a pragmatic and transparent ethical process"],"prefix":"10.1002","volume":"126","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2851-4903","authenticated-orcid":false,"given":"Subha","family":"Perni","sequence":"first","affiliation":[{"name":"Harvard Radiation Oncology Program Harvard University Boston Massachusetts USA"},{"name":"Department of Radiation Oncology Brigham and Women's Hospital, Dana\u2010Farber Cancer Institute, Harvard Medical School, Harvard University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael G.","family":"Milligan","sequence":"additional","affiliation":[{"name":"Harvard Radiation Oncology Program Harvard University Boston Massachusetts USA"},{"name":"Department of Radiation Oncology Brigham and Women's Hospital, Dana\u2010Farber Cancer Institute, Harvard Medical School, Harvard University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anurag","family":"Saraf","sequence":"additional","affiliation":[{"name":"Harvard Radiation Oncology Program Harvard University Boston Massachusetts USA"},{"name":"Department of Radiation Oncology Brigham and Women's Hospital, Dana\u2010Farber Cancer Institute, Harvard Medical School, Harvard University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Todd","family":"Vivenzio","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Brigham and Women's Hospital, Dana\u2010Farber Cancer Institute, Harvard Medical School, Harvard University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Marques","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases Department of Medicine Brigham and Women's Hospital Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meghan A.","family":"Baker","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases Department of Medicine Brigham and Women's Hospital Boston Massachusetts USA"},{"name":"Department of Population Medicine Harvard Medical School Harvard Pilgrim Health Care Institute Harvard University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tara","family":"Kosak","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Brigham and Women's Hospital, Dana\u2010Farber Cancer Institute, Harvard Medical School, Harvard University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Bartlett","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Brigham and Women's Hospital, Dana\u2010Farber Cancer Institute, Harvard Medical School, Harvard University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle A.","family":"Physic","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Brigham and Women's Hospital, Dana\u2010Farber Cancer Institute, Harvard Medical School, Harvard University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monica R.","family":"Batchelder","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Brigham and Women's Hospital, Dana\u2010Farber Cancer Institute, Harvard Medical School, Harvard University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"McBride","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy","family":"Bredfeldt","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Brigham and Women's Hospital, Dana\u2010Farber Cancer Institute, Harvard Medical School, Harvard University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel W.","family":"Cail","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Brigham and Women's Hospital, Dana\u2010Farber Cancer Institute, Harvard Medical School, Harvard University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meghan C.","family":"Kearney","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Brigham and Women's Hospital, Dana\u2010Farber Cancer Institute, Harvard Medical School, Harvard University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colleen","family":"Whitehouse","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Brigham and Women's Hospital, Dana\u2010Farber Cancer Institute, Harvard Medical School, Harvard University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Orio","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Brigham and Women's Hospital, Dana\u2010Farber Cancer Institute, Harvard Medical School, Harvard University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerard","family":"Walsh","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Brigham and Women's Hospital, Dana\u2010Farber Cancer Institute, Harvard Medical School, Harvard University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2378-4800","authenticated-orcid":false,"given":"Daphne A.","family":"Haas\u2010Kogan","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Brigham and Women's Hospital, Dana\u2010Farber Cancer Institute, Harvard Medical School, Harvard University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neil E.","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Brigham and Women's Hospital, Dana\u2010Farber Cancer Institute, Harvard Medical School, Harvard University Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,5,28]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_4_2_1","DOI":"10.1056\/NEJMsb2005114"},{"doi-asserted-by":"publisher","key":"e_1_2_4_3_1","DOI":"10.1056\/NEJMp2005689"},{"doi-asserted-by":"publisher","key":"e_1_2_4_4_1","DOI":"10.1016\/S1470-2045(20)30096-6"},{"doi-asserted-by":"publisher","key":"e_1_2_4_5_1","DOI":"10.1001\/jamaoncol.2020.0980"},{"doi-asserted-by":"publisher","key":"e_1_2_4_6_1","DOI":"10.1136\/jme.2006.018978"},{"unstructured":"ASTRO.COVID\u201019 Clinical Guidance.2020. Accessed March 29 2020.https:\/\/www.astro.org\/Daily\u2010Practice\/COVID\u201019\u2010Recommendations\u2010and\u2010Information\/Clinical\u2010Guidance","key":"e_1_2_4_7_1"},{"doi-asserted-by":"publisher","key":"e_1_2_4_8_1","DOI":"10.1016\/j.adro.2020.03.013"},{"unstructured":"ZaorskyNG YuJB McBrideSM et al.Prostate cancer radiotherapy recommendations in response to COVID\u201019. Accessed March 29 2020.https:\/\/www.astro.org\/ASTRO\/media\/ASTRO\/Daily%20Practice\/PDFs\/COVID\u2010Zaorsky\u2010et\u2010al(ADRO).pdf","key":"e_1_2_4_9_1"},{"doi-asserted-by":"publisher","key":"e_1_2_4_10_1","DOI":"10.1016\/j.chest.2018.09.025"}],"container-title":["Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fcncr.32962","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cncr.32962","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cncr.32962","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cncr.32962","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T13:55:22Z","timestamp":1760277322000},"score":1,"resource":{"primary":{"URL":"https:\/\/acsjournals.onlinelibrary.wiley.com\/doi\/10.1002\/cncr.32962"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,28]]},"references-count":9,"journal-issue":{"issue":"17","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["10.1002\/cncr.32962"],"URL":"https:\/\/doi.org\/10.1002\/cncr.32962","archive":["Portico"],"relation":{},"ISSN":["0008-543X","1097-0142"],"issn-type":[{"type":"print","value":"0008-543X"},{"type":"electronic","value":"1097-0142"}],"subject":[],"published":{"date-parts":[[2020,5,28]]},"assertion":[{"value":"2020-04-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}