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Commentary

Ethical Considerations in Chemotherapy and Vaccines in Cancer Patients in Times of the COVID-19 Pandemic

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Oncology Department, Clinical Hospital of Viña del Mar, Limache Street 1741, Viña del Mar 2520000, Chile
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Oncology Department, Bupa Reñaca Clinic, Anabaena Street 336, Viña del Mar 2520000, Chile
Curr. Oncol. 2021, 28(3), 2007-2013; https://doi.org/10.3390/curroncol28030186
Received: 19 April 2021 / Revised: 22 May 2021 / Accepted: 24 May 2021 / Published: 26 May 2021
(This article belongs to the Section Medical Oncology)
The COVID-19 situation is a worldwide health emergency with strong implications in clinical oncology. In this viewpoint, we address two crucial dilemmas from the ethical dimension: (1) Is it ethical to postpone or suspend cancer treatments which offer a statistically significant benefit in quality of life and survival in cancer patients during this time of pandemic?; (2) Should we vaccinate cancer patients against COVID-19 if scientific studies have not included this subgroup of patients? Regarding the first question, the best available evidence applied to the ethical principles of Beauchamp and Childress shows that treatments (such as chemotherapy) with clinical benefit are fair and beneficial. Indeed, the suspension or delay of such treatments should be considered malefic. Regarding the second question, applying the doctrine of double-effect, we show that the potential beneficial effect of vaccines in the population with cancer (or those one that has had cancer) is much higher than the potential adverse effects of these vaccines. In addition, there is no better and less harmful known solution. View Full-Text
Keywords: COVID-19; cancer; chemotherapy; vaccines; medical ethics COVID-19; cancer; chemotherapy; vaccines; medical ethics
MDPI and ACS Style

Schiappacasse, G.V. Ethical Considerations in Chemotherapy and Vaccines in Cancer Patients in Times of the COVID-19 Pandemic. Curr. Oncol. 2021, 28, 2007-2013. https://doi.org/10.3390/curroncol28030186

AMA Style

Schiappacasse GV. Ethical Considerations in Chemotherapy and Vaccines in Cancer Patients in Times of the COVID-19 Pandemic. Current Oncology. 2021; 28(3):2007-2013. https://doi.org/10.3390/curroncol28030186

Chicago/Turabian Style

Schiappacasse, Guido V. 2021. "Ethical Considerations in Chemotherapy and Vaccines in Cancer Patients in Times of the COVID-19 Pandemic" Curr. Oncol. 28, no. 3: 2007-2013. https://doi.org/10.3390/curroncol28030186

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