About: Outcomes of Elective Major Cancer Surgery During COVID 19 at Tata Memorial Centre: Implications for Cancer Care Policy

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About: Outcomes of Elective Major Cancer Surgery During COVID 19 at Tata Memorial Centre: Implications for Cancer Care Policy 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	Outcomes of Elective Major Cancer Surgery During COVID 19 at Tata Memorial Centre: Implications for Cancer Care Policy
Creator	Patil, Vijaya Singh, Vikas Badwe, Rajendra Bakshi, Ganesh Bhandare, Manish Chaturvedi, Pankaj Chaudhari, Vikram Chaukar, Devendra Goel, Mahesh Gulia, Ashish Karimundackal, George Maheshwari, Amita Moiyadi, Aliasgar Nair, Nita Nair, Sudhir Parmar, Vani Patkar, Shraddha Puri, Ajay Qureshi, Sajid Saklani, Avanish Shetty, Prakash Shrikhande, Shailesh Joshi, Poonam Aa Mch, Moiyadi Ap, Saklani Chitkara, Garvit Cs, Pramesh Da Ms, Chaukar Deshmukh, Anuja Desouza, Ashwin Frcs, M Goel, M Jaiswal, Dushyant Jiwnani, Sabita Joshi, Shalaka Jv Md, Divatia Kant Shankhdhar, Vinay Kumar, Shiva Mahajan, Richa Mantri, Mayur Mathews, Saumya Mch, Bakshi Mch, Bhandare Mch, Gulia Mch, Karimundackal Mch, Nair Mch, Shankhadhar Md, Maheshwari Ms, Ms, Chaturvedi Ms, Parmar Ms, Puri Nair, Deepa Nayak, Prakash Niyogi, Devayani Pai, Prathamesh Pal, Mahendra Pantvaidya, Gouri Poddar, Pabashi Prakash, Gagan Ps, Pai Ra, Badwe Rohila, Jitender Ss, Qureshi Sv, Shrikhande Thakkar, Purvi Tiwari, Virendra Ts, Shylasree Tuljapurkar, Vidisha
Source	Medline; PMC
abstract	BACKGROUND: Overburdened systems and concerns of adverse outcomes have resulted in deferred cancer surgeries with devastating consequences. In this COVID pandemic, the decision to continue elective cancer surgeries, and their subsequent outcomes, are sparsely reported from hotspots. METHODS: A prospective database of the Department of Surgical Oncology was analysed from March 23rd to April 30th, 2020. FINDINGS: Four hundred ninety-four elective surgeries were performed (377 untested and 117 tested for Covid 19 before surgery). Median age was 48 years with 13% (n = 64) above the age of 60 years. Sixty-eight percent patients were American Society of Anaesthesiology (ASA) grade I. As per surgical complexity grading, 71 (14·4%) cases were lower grade (I-III) and 423 (85.6%) were higher grade complex surgeries (IV – VI). Clavien-Dindo ≥ grade III complications were 5.6% (n = 28) and there were no postoperative deaths. Patients >60 years documented 9.3% major complications compared to 5.2% in <60 years (P = 0.169). The median hospital stay was 1 to 9 days across specialties. Postoperatively, 26 patients were tested for COVID 19 and 6 tested positive. They all had higher grade surgeries but none required escalated or intensive care treatment related to COVID infection. INTERPRETATION: A combination of scientific and administrative rationale contributed to favorable outcomes after major elective cancer surgeries. These results support the continuation of elective major cancer surgery in regions with Covid 19 trends similar to India.
has issue date	2020-06-08(xsd:dateTime)
bibo:doi	10.1097/sla.0000000000004116
bibo:pmid	32520743
has license	no-cc
sha1sum (hex)	57024f614dda33eb20c0bc9770e7dae0f6f4bb01
schema:url	https://doi.org/10.1097/sla.0000000000004116
resource representing a document's title	Outcomes of Elective Major Cancer Surgery During COVID 19 at Tata Memorial Centre: Implications for Cancer Care Policy
has PubMed Central identifier	PMC7299113
has PubMed identifier	32520743
schema:publication	Ann Surg
resource representing a document's body	covid:57024f614dda33eb20c0bc9770e7dae0f6f4bb01#body_text
is schema:about of	named entity 'Major' named entity 'THEIR' named entity 'continuation' named entity 'Memorial' named entity 'COVID 19' named entity 'Anaesthesiology' named entity 'COVID' named entity 'cancer surgeries' named entity 'operating room' named entity 'cancer surgeries' named entity 'India' named entity 'mortality rate' named entity 'cancer surgeries'

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