ArticleAnnals of surgery2020
Outcomes of Elective Major Cancer Surgery During COVID 19 at Tata Memorial Centre: Implications for Cancer Care Policy.
Article in Annals of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact of Strategies for Mitigating Delays and Disruptions in Cancer Care Due to COVID-19: Systematic Review.JCO global oncology · 2021Pooled it
- A systematic review and meta-analysis: the effect of active cancer treatment on severity of COVID-19.European journal of cancer (Oxford, England : 1990) · 2020Pooled it
- Differential Effects of the COVID-19 Pandemic on Surgical Utilization by Procedure Type: Analysis of Korean National Health Insurance Data [2017-2021].Journal of clinical medicine · 2026Article
- Article
- Outcomes of Cancer Surgery During the COVID-19 Pandemic: Preparedness to Practising Continuous Cancer Care.Indian journal of surgical oncology · 2023Article
- Patients' characteristics and 30-day mortality for those undergoing elective surgeries during the COVID-19 pandemic in Bangladesh.PloS one · 2023Article
- Impact of the First Wave of COVID-19 Pandemic on Radiotherapy Practice at Tata Memorial Centre, Mumbai: A Longitudinal Cohort Study.JCO global oncology · 2022Article
- Surgical safety in the COVID-19 era: present and future considerations.Annals of surgical treatment and research · 2022Review
- Impact of preoperative COVID infection on the outcomes of planned curative-intent cancer surgeries in the second wave of the pandemic from a tertiary care center in India.Journal of surgical oncology · 2022Article
- History of COVID-19 Was Not Associated With Length of Stay or In-Hospital Complications After Elective Lower Extremity Joint Replacement.Arthroplasty today · 2022Article
- The COVID-19 Pandemic and Cancer Surgery.Indian journal of surgical oncology · 2021Article
- Surgical oncology operative experience at a high-volume safety-net hospital during the COVID-19 pandemic.Journal of surgical oncology · 2021Article
- Gastrointestinal services in India during COVID-19: does governance matter? - Authors' reply.The lancet. Gastroenterology & hepatology · 2021Article
- Safety of Esophageal Cancer Surgery During the First Wave of the COVID-19 Pandemic in Europe: A Multicenter Study.Annals of surgical oncology · 2021Article
- Impact of COVID-19 on the outcomes of gastrointestinal surgery.Clinical journal of gastroenterology · 2021Review
- Continuing cancer surgery through the first six months of the COVID-19 pandemic at an academic university hospital in India: A lower-middle-income country experience.Journal of surgical oncology · 2021Article
- Impact of COVID-19 pandemic on cancer surgery: Patient's perspective.Journal of surgical oncology · 2021Article
- St Andrew's COVID-19 surgery safety study: hand trauma.Annals of the Royal College of Surgeons of England · 2021Article
- Optimising Cancer Surgery During COVID-19: Experience of Tertiary Cancer Centre in Eastern India.Indian journal of gynecologic oncology · 2021Article
- St Andrew's COVID-19 surgery safety (StACS) study: Elective plastic surgery, trauma & burns.Journal of plastic, reconstructive & aesthetic surgery : JPRAS · 2021Article
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Authors and funding
22 authors.
Funding
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Abstract
backgroundOverburdened 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.
methodsA prospective database of the Department of Surgical Oncology was analysed from March 23rd to April 30th, 2020.
findingsFour 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.
interpretationA 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.
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