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Tytuł pozycji:

Surgical oncology operative experience at a high-volume safety-net hospital during the COVID-19 pandemic.

Tytuł:
Surgical oncology operative experience at a high-volume safety-net hospital during the COVID-19 pandemic.
Autorzy:
Kronenfeld JP; Division of Surgical Oncology, Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Collier AL; Division of Surgical Oncology, Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Choi S; Division of Surgical Oncology, Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Perez-Sanchez D; Division of Surgical Oncology, Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Shah AM; Division of Surgical Oncology, Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Lee C; Division of Surgical Oncology, Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Goel N; Division of Surgical Oncology, Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Źródło:
Journal of surgical oncology [J Surg Oncol] 2021 Dec; Vol. 124 (7), pp. 983-988. Date of Electronic Publication: 2021 Jul 22.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Publication: <2005-> : Hoboken, NJ : Wiley-Liss
Original Publication: New York, Plenum.
MeSH Terms:
COVID-19/*complications
Elective Surgical Procedures/*methods
Hospitals, High-Volume/*statistics & numerical data
Neoplasms/*surgery
SARS-CoV-2/*isolation & purification
Safety-net Providers/*statistics & numerical data
Aged ; COVID-19/transmission ; COVID-19/virology ; Female ; Florida/epidemiology ; Humans ; Male ; Middle Aged ; Neoplasms/epidemiology ; Neoplasms/virology ; Retrospective Studies ; Surgical Oncology
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Grant Information:
K12 CA226330 United States CA NCI NIH HHS; T32 CA211034 United States CA NCI NIH HHS; K12CA226330 United States CA NCI NIH HHS; T32CA211034 United States CA NCI NIH HHS; K12CA226330 United States CA NCI NIH HHS; T32CA211034 United States CA NCI NIH HHS
Contributed Indexing:
Keywords: clinical outcomes; coronavirus; surgical oncology
Entry Date(s):
Date Created: 20210722 Date Completed: 20211108 Latest Revision: 20220716
Update Code:
20240105
PubMed Central ID:
PMC8426825
DOI:
10.1002/jso.26616
PMID:
34291824
Czasopismo naukowe
Background: The coronavirus (COVID-19) pandemic led to disruptions in operative and hospital capabilities as the country triaged resources and canceled elective procedures. This study details the operative experience of a safety-net hospital for cancer-related operations during a 3-month period at the height of the pandemic.
Methods: Patients operated on for or diagnosed with malignancies of the abdomen, breast, skin, or soft-tissue (September 3, 2020-September 6, 2020) were identified from operative/clinic schedules. Sociodemographics, tumor and treatment characteristics, and COVID-19 information was identified through retrospective chart review of a prospectively maintained database. Descriptive statistics were calculated.
Results: Fifty patients evaluated within this window underwent oncologic surgery. Median age was 61 (interquartile range: 53-68), 56% were female, 86% were White, and 66% were Hispanic. The majority (28%) were for colon cancer. Only two patients tested positive for COVID-19 preoperatively or within 30 days of their operation. There were no mortalities during the 1-year study period.
Conclusion: During the COVID-19 pandemic, many hospitals and operative centers limited interventions to preserve resources, but oncologic procedures continued at many large-volume academic cancer centers. This study underscores the importance of continuing to offer surgery during the pandemic for surgical oncology cases at safety-net hospitals to minimize delays in time-sensitive oncologic treatment.
(© 2021 Wiley Periodicals LLC.)

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