Surgical cancer care in the COVID-19 era: front line views and consensus

Pinheiro, Rodrigo Nascimento; Coimbra, Felipe J. F.; Costa-Jr, Wilson Luiz Da; Ribeiro, Héber Salvador de Castro; Ribeiro, Reitan; Wainstein, Alberto Julius Alves; Laporte, Gustavo Andreazza; Coelho-Jr, Manoel Jesus Pinheiro; Fernandes, Paulo Henrique de Sousa; Cordeiro, Eduardo Zanella; Sarmento, Bruno José de Queiroz; Guimarães-Filho, Marco; Anghinoni, Marciano; Baiocchi, Glauco; Oliveira, Alexandre Ferreira

doi:10.1590/0100-6991e-20202601

Cited by 11 publications

(15 citation statements)

References 8 publications

(21 reference statements)

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“…The outbreak of the novel coronavirus disease COVID-19 in December 2019 that spread across the Asian continent and eventually turned into a pandemic [1,2] created numerous challenges in health care sectors unrelated to the management of infectious diseases, including dentistry [3][4][5][6][7]. Following the confirmation of the first case in an increasing number of countries, the physical infrastructure, including entire hospitals, hospital wards, beds and technical equipment, had to be repurposed.…”

Section: Introductionmentioning

confidence: 99%

Children’s Dental Anxiety during the COVID-19 Pandemic: Polish Experience

Olszewska

Rzymski

2020

JCM

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Dental fear and anxiety is a significant issue that affects pediatric patients and creates challenges in oral health management. Considering that the coronavirus disease 2019 (COVID-19) pandemic, along with its associated sanitary regime, social distancing measures and nationwide quarantines, could itself induce public fears, including in children, it is of great interest to explore whether this situation and the necessity of reorganizing dental care could potentially affect the emotional state of pediatric patients facing a need for urgent dental intervention. The present study assessed the emotional state of children ≤ seven years old (n = 25) requiring dental healthcare during a nationwide quarantine in Poland, as well as the anxiety levels of their caregivers. The Faces Anxiety Scale was adopted, and the evaluation was independently performed by the dentist, caregivers and children themselves. The level of anxiety in caregivers was also measured. As demonstrated, children requiring dental intervention during the nationwide quarantine did not reveal a significantly higher anxiety level as compared to the age- and indication-matched pre-pandemic control group (n = 20), regardless of whether their emotional state was evaluated by the dentist, caregivers, or by themselves. However, the share of children scoring the lowest anxiety level in all assessments was smaller in the pandemic group. Boys in the pandemic group had a higher anxiety level, as indicated by a caregiver assessment, and displayed a negative correlation with age in all three types of evaluation. Moreover, caregiver anxiety levels were higher in the pandemic group as compared to the pre-pandemic subset and revealed stronger correlations with the dental anxiety in children. The results suggest that the reorganization of oral healthcare under the pandemic scenario did not have a profound effect on children’s dental anxiety. Nevertheless, findings in young boys highlight that they may be more vulnerable and require special care to mitigate their anxiety and decrease the risk of dentophobia in the future—these observations must be, however, treated with caution due to the small sample size and require further confirmation. Moreover, it is important to reassure caregivers of the safety of the dental visit during the pandemic to minimize the effect of their own anxiety on dental fears in children.

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Section: Introductionmentioning

confidence: 99%

Children’s Dental Anxiety during the COVID-19 Pandemic: Polish Experience

Olszewska

Rzymski

2020

JCM

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“…However, the number of operations for gastric, colorectal and lung cancer has increased, having as main cause the reduction of the possibility of patients moving to university centers during the pandemic. The decision to operate was an eclectic one, based on the decision of each surgeon, which varied from the operation of cancers only with complications, to the operation of all cancers, so as not to have a second pandemic of cancer deaths, due to delayed treatment [9]. The pandemic forced the deployment of surgery staff to cover the ward for positive patients and affected staff who were quarantined for 14 days when they became infected, but without hospitalizations and deaths.…”

Section: Discussionmentioning

confidence: 99%

Management of Cancer Patients During the SARS-CoV-2 Pandemic, in a County in Romania

Leşe¹,

Micu-Chiş²,

Leşe³

2021

EJPM

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Introduction. The SARS-CoV-2 pandemic has profoundly affected health systems by relocating resources, enforcing restrictive measures and burdening health care workers. The study aims to assess the changes in the treatment and the evolution of cancer patients in a county in Romania, with a population of over a half million inhabitants. Patients and method. Patients with breast, gastric, colorectal, and lung cancer were studied over a two-year period: 14 months before the onset of the pandemic and 10 months after its beginning. The number of new cases of cancer, the number of chemotherapy and radiotherapy sessions, the number of surgeries and deaths from these four types of cancer were recorded. Results. During the pandemic, fewer chemotherapy sessions were administered for all cancers (p<0.0001). The number of radiotherapy sessions for breast (p<0.007) and colorectal cancer (p<0.002) increased by banning patients from going to university hospitals and decreased for lung cancer (p<0.03) which has symptoms similar to those of the SARS-CoV-2 virus. Conclusions. Cancer patients had limited access to chemotherapy. Their diagnosis and treatment were included in the same category as non-lifethreatening diseases. Testing, quarantine and travel limitation were not accompanied by additional safe medical services for the oncological patients. The death rate is inconclusive because the time since the onset of the pandemic is shorter than the natural evolution of the types of cancers studied.

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“…Os autores elencam que para garantir a continuidade da assistência, o serviço de telemedicina é uma opção para realizar orientações e encaminhamentos, fiscalizar os parâmetros de saúde ou apenas para troca de informações (11) . Manutenção do tratamento oncológico frente à pandemia de COVID-19: revisão de literatura Em um estudo (9) , a implementação de dupla triagem antes dos procedimentos contribuiu para a continuidade dos atendimentos e, caso houvesse alguma possibilidade de contaminação, o paciente seria dispensado e voltaria em 7 dias. Se permanecesse sem sinais de infecção só realizaria a cirurgia caso testasse negativo por duas vezes.…”

Section: Organização Dos Serviços De Saúde Oncológicos Brasileiros Para Manutenção Do Tratamentounclassified

Manutenção do tratamento oncológico frente í pandemia de COVID-19: revisão de literatura

Santos¹,

Freitas²,

Alves³

et al. 2021

SaudColetiv (Barueri)

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Objetivo: Identificar na literatura brasileira as estratégias adotadas nos serviços de saúde para manutenção do tratamento oncológico durante a pandemia de COVID-19. Métodos: Trata-se de uma revisão da literatura realizada nas bases de dados Literatura Latino-Americana e do Caribe em Ciências da Saúde, Medical Literature Analysis and Retrieval Sistem on-line, PubMed e na biblioteca eletrônica Scientific Electronic Library Online, que incluiu produções do ano de 2020, nos idiomas inglês e português, desde que abordassem o contexto nacional sobre a temática proposta. Resultados: Foram selecionados quatro artigos que auxiliaram na construção de duas categorias, a saber: enfrentamento da manutenção do tratamento oncológico pelos pacientes e organização dos serviços de saúde oncológicos brasileiros para manutenção do tratamento. Conclusão: Pode-se considerar que há um número ainda restrito de artigos no cenário nacional sobre a temática abordada e que tal lacuna interfira diretamente no curso de tratamento do paciente com câncer.

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Surgical cancer care in the COVID-19 era: front line views and consensus

Cited by 11 publications

References 8 publications

Children’s Dental Anxiety during the COVID-19 Pandemic: Polish Experience

Children’s Dental Anxiety during the COVID-19 Pandemic: Polish Experience

Management of Cancer Patients During the SARS-CoV-2 Pandemic, in a County in Romania

Manutenção do tratamento oncológico frente í pandemia de COVID-19: revisão de literatura

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