About: Delivering esophago-gastric cancer care during the COVID-19 pandemic in the United Kingdom: a surgical perspective

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About: Delivering esophago-gastric cancer care during the COVID-19 pandemic in the United Kingdom: a surgical perspective Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Delivering esophago-gastric cancer care during the COVID-19 pandemic in the United Kingdom: a surgical perspective
Creator	Chmelo, J Hayes, N Immanuel, A Navidi, M Phillips, A Wahed, S
Source	Medline; PMC
abstract	BACKGROUND: The COVID-19 pandemic continues to have a significant impact on the provision of medical care. Planning to ensure there is capability to treat those that become ill with the virus has led to an almost complete moratorium on elective work. This study evaluates the impact of COVID-19 on cancer, in particular surgical intervention, in patients with esophago-gastric cancer at a high-volume tertiary center. METHODS: All patients undergoing potential management for esophago-gastric cancer from 12 March to 22 May 2020 had their outcomes reviewed. Multi-disciplinary team (MDT) decisions, volume of cases, and outcomes following resection were evaluated. RESULTS: Overall 191 patients were discussed by the MDT, with a 12% fall from the same period in 2019, including a fall in new referrals from 120 to 83 (P = 0.0322). The majority of patients (80%) had no deviation from the pre-COVID-19 pathway. Sixteen patients had reduced staging investigations, 4 had potential changes to their treatment only, and 10 had a deviation from both investigation and potential treatment. Only one patient had palliation rather than potentially curative treatment. Overall 19 patients underwent surgical resection. Eight patients (41%) developed complications with two (11%) graded Clavien-Dindo 3 or greater. Two patients developed COVID-19 within a month of surgery, one spending 4 weeks in critical care due to respiratory complications; both recovered. Twelve patients underwent endoscopic resections with no complications. CONCLUSION: Care must be taken not to compromise cancer treatment and outcomes during the COVID-19 pandemic. Excellent results can be achieved through meticulous logistical planning, good communication, and maintaining high-level clinical care.
has issue date	2020-08-20(xsd:dateTime)
bibo:doi	10.1093/dote/doaa091
bibo:pmid	32816020
has license	no-cc
schema:url	https://doi.org/10.1093/dote/doaa091
resource representing a document's title	Delivering esophago-gastric cancer care during the COVID-19 pandemic in the United Kingdom: a surgical perspective
has PubMed Central identifier	PMC7454454
has PubMed identifier	32816020
schema:publication	Dis Esophagus
resource representing a document's body	covid:PMC7454454#body_text
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