ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2021
Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.
Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 145 papers, 4 of them syntheses that pooled it.
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Who cites it
145 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Anastomotic Leak and Perioperative Outcomes of Esophagectomy for Esophageal Cancer during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.Medicina (Kaunas, Lithuania) · 2023Pooled it
- Use of Telemedicine for Postdischarge Assessment of the Surgical Wound: International Cohort Study, and Systematic Review With Meta-analysis.Annals of surgery · 2023Pooled it
- Epidemiological Pattern of Traumatic Brain Injury in the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.World neurosurgery · 2022Pooled it
- Thyroid surgery during the COVID-19 pandemic: results from a systematic review.Journal of endocrinological investigation · 2022Pooled it
- Interpreting Abdominal Surgical-Site Infection Trends Across the COVID-19 Shock: A Critical Narrative Review and the SSI Signal-Validity Framework.Life (Basel, Switzerland) · 2026Review
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- Article
- The effect of delays in cancer surgery due to the COVID-19 pandemic on cancer resectability and postoperative mortality in different tumor entities.Discover oncology · 2026Article
- 30-day postoperative mortality and the effects of hospital preparedness during the COVID-19 pandemic: a pooled analysis of prospective international cohort studies.The Lancet regional health. Europe · 2026Article
- Surgical Volume and Short-Term Outcomes After Advanced Hepatectomy in the Postpandemic Era: Analysis of the Japanese National Clinical Database (2018-2023).Annals of gastroenterological surgery · 2025Article
- Colorectal Cancer Surgery at a Regional Cold Site Centre During the SARS-CoV-2 Pandemic: A Comparison With Prepandemic Practices.Journal of surgical oncology · 2025Article
- Prevalence, trends and outcomes from smoking in elective surgical systems: a secondary analysis of a prospective observational cohort study across 442 hospitals from 29 countries across Europe.The Lancet regional health. Europe · 2025Article
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- Optimizing timing for elective surgery in cancer patients following COVID-19 infection; a post-pandemic analysis.Infectious agents and cancer · 2025Article
- Influence of SARS-CoV2 Pandemic on Colorectal Cancer Diagnosis, Presentation, and Surgical Management in a Tertiary Center: A Retrospective Study.Diagnostics (Basel, Switzerland) · 2025Article
- Examining the COVID-19 impact on cancer surgery in Ireland using three national data sources.Global epidemiology · 2024Article
- Early oncological outcomes of delayed radical prostatectomy: A prospective, international, follow-up analysis of the COVIDSurg-Cancer study.BJUI compass · 2024Article
- Health systems strengthening through surgical and perioperative care pathways: a changing paradigm.BMJ global health · 2024Review
- Strengthening health systems through surgery.BMJ global health · 2024Article
- Optimal surgical timing for lung cancer following SARS-CoV-2 infection: a prospective multicenter cohort study.BMC cancer · 2024Observational
85 more citing papers are in PubMed but not listed here.
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Authors and funding
34 authors.
Funding
Abstract
purposeAs cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND
methodsThis international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation).
resultsOf 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2%
conclusionWithin available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks.
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