Evidence map›Paper›PMID 33567139›Full record

ArticleJournal of surgical oncology2021

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.

Naseem Akhtar, Shiv Rajan, Deep Chakrabarti, Vijay Kumar, Sameer Gupta, Sanjeev Misra, Arun Chaturvedi, Tashbihul Azhar, Shirin Parveen, Sumaira Qayoom and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of surgical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Counting the social, psychological, and economic costs of COVID-19 for cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Naseem AkhtarDepartment of Surgical Oncology, King George's Medical University, Lucknow, Uttar Pradesh, India.ORCID https://orcid.org/0000-0001-8724-3248
Shiv RajanDepartment of Surgical Oncology, King George's Medical University, Lucknow, Uttar Pradesh, India.ORCID https://orcid.org/0000-0003-2513-6281
Deep ChakrabartiDepartment of Radiation Oncology, King George's Medical University, Lucknow, Uttar Pradesh, India.ORCID https://orcid.org/0000-0002-9511-6844
Vijay KumarDepartment of Surgical Oncology, King George's Medical University, Lucknow, Uttar Pradesh, India.ORCID https://orcid.org/0000-0001-6477-8274
Sameer GuptaDepartment of Surgical Oncology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Sanjeev MisraDirector, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Arun ChaturvediDepartment of Surgical Oncology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Tashbihul AzharDepartment of Surgical Oncology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Shirin ParveenDepartment of Anaesthesiology, Era's Lucknow Medical College, Lucknow, Uttar Pradesh, India.
Sumaira QayoomDepartment of Pathology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Palavalasa NiranjanDepartment of Surgical Oncology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Shashwat TiwariDepartment of Surgical Oncology, King George's Medical University, Lucknow, Uttar Pradesh, India.
King George's Medical University · INAll India Institute of Medical Sciences Jodhpur · INEra's Lucknow Medical College and Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe novel coronavirus pandemic (COVID-19) hinders the treatment of non-COVID illnesses like cancer, which may be pronounced in lower-middle-income countries.

methodsThis retrospective cohort study audited the performance of a tertiary care surgical oncology department at an academic hospital in India during the first six months of the pandemic. Difficulties faced by patients, COVID-19-related incidents (preventable cases of hospital transmission), and modifications in practice were recorded.

resultsFrom April to September 2020, outpatient consultations, inpatient admissions, and chemotherapy unit functioning reduced by 62%, 58%, and 56%, respectively, compared to the same period the previous year. Major surgeries dropped by 31% with a decrease across all sites, but an increase in head and neck cancers (p = .012, absolute difference 8%, 95% confidence interval [CI]: 1.75% - 14.12%). Postoperative complications were similar (p = .593, 95% CI: -2.61% - 4.87%). Inability to keep a surgical appointment was primarily due to apprehension of infection (52%) or arranging finances (49%). Two COVID-19-related incidents resulted in infecting 27 persons. Fifteen instances of possible COVID-19-related mishaps were averted.

conclusionsWe observed a decrease in the operations of the department without any adverse impact in postoperative outcomes. While challenging, treating cancer adequately during COVID-19 can be accomplished by adequate screening and testing, and religiously following the prevention guidelines.

Indexed as

Cohort StudiesCOVID-19Hospitals, UniversityHumansIndiaInfection ControlInfectious Disease Transmission, Patient-to-ProfessionalNeoplasmsPandemicsPovertyRetrospective StudiesSurgical Oncologycancer surgerycoronavirusCOVID-19developing countrieslow-income countrieslow-middle-income countriessurgerysurgical oncology

Identifiers

PMID33567139
PMCPMC8014154
OpenAlexW3127187681

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.