Saudi orthopedic society guidelines for treating patients with bone and soft-tissue tumors during the COVID-19 pandemic

Objectives: The corona virus disease 2019 (COVID-19) pandemic has had a global effect and the Saudi Government has reacted aggressively to control the disease. Cancer patients are more susceptible to disease due to reduced immunity and are at higher risk of developing severe disease. In this article, we discuss the recommendations on slowing down the spread and easing the severity of COVID-19 in such patients. Methods: We have outlined guidelines and recommendations to be followed by orthopedic oncology centers in Saudi Arabia. These have been distributed to the Saudi Orthopedic Association-Oncology Chapter (SOA-OC) members for suggestions and recommendations. Results: A review of the literature was performed by searching for articles discussing COVID-19 measures related to cancer patients or patients undergoing surgical interventions during the pandemic. The authors discussed the recommendations and algorithmic pathways that were created to be implemented in orthopedic oncology centers around the country. Recommendations were reviewed by the SOA-OC members, who reached an agreement on application and publication. These recommendations focused on orthopedic cancer patient protection during clinical visits, inpatient, and surgical interventions. In addition, we discussed the recommendations for staff protection, including minimizing patient contact and continuing medical education during the pandemic. Conclusion: The reported algorithms and recommendations could help orthopedic oncology centers protect both their patients and staff from COVID-19 infection. These measures are highly recommended for continuing the treatment offered to orthopedic oncology patients, regardless of their infection status with COVID-19 during the pandemic.