Cancer surgery in the era of COVID‐19 pandemic: Changing dynamics

Garg, Pankaj Kumar; Kaul, Pallvi; Choudhary, Deepti; Singh, Mahendra; Tiwari, Ashutosh

doi:10.1002/jso.26156

Cited by 6 publications

(5 citation statements)

References 8 publications

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“…Believing the initial fear during the pandemic is gradually waning off, Garg et al [23] proposed that cancer surgery can no longer be postponed indefinitely in the curative setting. They insisted that cancer patients cannot be denied surgery for as long as we learn to coexist with COVID-19, having recognized that various modifications are being made in hospital systems to minimize effect of COVID-19 on outcomes.…”

Section: Discussionmentioning

confidence: 99%

Early Postoperative Outcomes of Extremity Tumors During the COVID-19 Era in a Developing Country – Is Limb Salvage a Viable Option?

Lantin,

Rosario,

Chua

et al. 2023

Asian Pac J Cancer Care

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Background: With advancements in surgical techniques and adjuvant therapies, limb salvage (LS) has replaced amputation as the dominant treatment model for malignancies involving the extremities. But the COVID-19 pandemic has drastically affected cancer care especially in developing countries, with treatment delays possibly leading to a rise in amputations. Due to a lack of consensus regarding the ideal course of treatment for tumors involving the extremities in the current situation, the present study aimed to evaluate perioperative and short- term functional outcomes following LS surgery during the COVID-19 pandemic. Methods: A single-institutional series of 45 patients who underwent surgical resection for extremity tumors and followed for at least 6 weeks after operation were included. We analyzed patients according to whether one had LS or major amputation during surgery, and compared intraoperative blood loss, operative duration, perioperative complication rates, COVID-19 infection rates, and Musculoskeletal Tumor Society (MSTS) scores during last follow-up, between the two groups. Results: The LS group (n=21) had significantly longer operative duration (323 min vs. 214 min, p=.004) but higher MSTS scores (81% vs. 49%, p=.001) than the amputation group (n=24). Intraoperative blood loss (1113 mL vs. 779 mL, p=.46), superficial infection rates (14% vs. 8%, p=.12), and COVID-19 infection rates (14% vs. 29%, p=.23) were similar between the two groups. Conclusion: The authors conclude that LS surgery can be a viable option for treating tumors involving the extremities especially in developing countries in the COVID-19 era.

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Section: Discussionmentioning

confidence: 99%

Early Postoperative Outcomes of Extremity Tumors During the COVID-19 Era in a Developing Country – Is Limb Salvage a Viable Option?

Lantin,

Rosario,

Chua

et al. 2023

Asian Pac J Cancer Care

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“…The pandemic status and the national lockdown have created delays in both diagnosis and surgical treatment of cancer (Vecchio et al 2020), leading patients to undergo surgery at more advanced stages of the oncological pathologies (Garg et al 2020).…”

Section: Discussionmentioning

confidence: 99%

Cardiovascular tissue banking activity during SARS-CoV-2 pandemic: evolution of national protocols and Lombardy experience

et al. 2021

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The worldwide pandemic outbreak due to severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) has created unprecedented challenges for public health services. Lombardy, region of the Northern Italy, has been the first area in the Western world whose organs and tissues procurement programs have had to face the virus pandemic emergency. We retrospectively collected and analyzed data about cardiovascular tissues (CT) in 2019 and in 2020. We aimed to describe the rapid evolution of SARS-CoV-2 regulation laws for tissue donor’s selection and harvesting from February 2020 until January 2021. As expected the number of CT donors in 2020 was significantly lower than those of 2019 (66 vs. 99, p value 0.02). The total number of CT collected from donors have been 254 in 2019 and 206 in 2020 ( p 0.28). Femoral arteries were the most required vascular tissues (55.5% in 2019 and 40% in 2020). Fifty-five and forty-eight pulmonary valves were implanted in 2019 and 2020, respectively. No differences were found for the types of CT requests between the 2 years. The median age of receivers of vascular tissues was 69.6 ± 14.6 years in the 2019 and 63.3 ± 14.9 years in 2020 ( p < 0.01). The median age of receivers of pulmonary and aortic valves did not differ between the 2 years (9.32 ± 11.49 vs. 8.36 ± 10.66 and 48.67 ± 27.19 vs. 37.14 ± 31.97 respectively). Despite the dramatically reduction of donors, the number of CT collected has not decreased significantly and so far the CT distribution rate is comparable to those of 2019.

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“…No matter what may come, we, as doctors, are obligated to serve mankind-COVID-19 pandemic is yet another opportunity to resolve our faith and commitment to our noble profession [7,8]. In the current time, the routine wearing of facemasks during interaction with the patients is an unavoidable norm, and we have to find ways to circumvent it to boost doctor-patient mutual trust further.…”

Section: Body Gestures and Movements: Body Gestures And Move-mentioning

confidence: 99%

Deciphering the Optimum Doctor-Patient Communication Strategy During COVID-19 Pandemic

Kaul

Choudhary

Garg

2021

Indian J Surg Oncol

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Cancer surgery in the era of COVID‐19 pandemic: Changing dynamics

Cited by 6 publications

References 8 publications

Early Postoperative Outcomes of Extremity Tumors During the COVID-19 Era in a Developing Country – Is Limb Salvage a Viable Option?

Early Postoperative Outcomes of Extremity Tumors During the COVID-19 Era in a Developing Country – Is Limb Salvage a Viable Option?

Cardiovascular tissue banking activity during SARS-CoV-2 pandemic: evolution of national protocols and Lombardy experience

Deciphering the Optimum Doctor-Patient Communication Strategy During COVID-19 Pandemic

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