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{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/7529504","sourcedb":"PMC","sourceid":"7529504","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7529504","text":"The main reason to reduce services was a precautionary measure to minimize patient visits and maintain social distancing. These are prudent actions recommended by many of the published guidelines and recommendations on managing patients with cancer during this pandemic.15-19 Many of these guidelines were made to the best judgment of authors and based on anecdotal experience as well as reports from frontline oncologists in the current pandemic or from those who had previous experience in infectious outbreaks such as Middle East respiratory syndrome and severe acute respiratory syndrome.20 However, because there were many unknown facts about the pandemic and how it would affect an individual country or even an individual institution—in addition to the inherent heterogeneity of patients with cancer and health care systems—many arbitrary decisions were made, and the impact of these decisions on patients care and outcome deserves further investigation to help to create an evidence-based approach for the future. On the other hand, there were other involuntary causes for reducing the level of care provided that are worth reflecting on to avoid them or at least minimize their impact during any future crisis, including staff shortage, PPE shortage, and lack of access to 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