Evidence map›Paper›PMID 33684245›Full record

ArticleJournal of surgical oncology2021

Informed consent and a risk-based approach to oncologic surgery in a cancer center during the COVID-19 pandemic.

Stênio de Cássio Zequi, Ivan Leonardo Avelino Franca Silva, João Pedreira Duprat, Felipe José Fernandez Coimbra, Jefferson L Gross, Jose Guilherme Vartanian, Fabiana Baroni Alves Makdissi, Fernanda Perez M Leite, Walter Henriques da Costa, Guilherme Yazbek and 9 more

Abstract 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Safe Surgery During the COVID-19 Pandemic.Current obesity reports · 2022
    Review
  3. Prioritization of Surgery in Cancer Patients During the COVID-19 Pandemic: Lessons From a Failed Balancing Act.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2021
    Article
  4. Article
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

19 authors.

Stênio de Cássio ZequiDepartment of Urology, AC Camargo Cancer Center, São Paulo, São Paulo, Brazil.
Ivan Leonardo Avelino Franca SilvaDepartment of Infectious Diseases, AC Camargo Cancer Center, São Paulo, São Paulo, Brazil.
João Pedreira DupratDepartment of Skin Cancer, AC Camargo Cancer Center, São Paulo, São Paulo, Brazil.
Felipe José Fernandez CoimbraDepartment of Upper GI, AC Camargo Cancer Center, São Paulo, São Paulo, Brazil.
Jefferson L GrossDepartment of Thoracic Surgery, AC Camargo Cancer Center, São Paulo, São Paulo, Brazil.
Jose Guilherme VartanianDepartment of Head and Neck, AC Camargo Cancer Center, São Paulo, São Paulo, Brazil.
Fabiana Baroni Alves MakdissiDepartment of Mastology, AC Camargo Cancer Center, São Paulo, São Paulo, Brazil.
Fernanda Perez M LeiteAC Camargo Cancer Center, São Paulo, São Paulo, Brazil.
Walter Henriques da CostaDepartment of Urology, AC Camargo Cancer Center, São Paulo, São Paulo, Brazil.
Guilherme YazbekDepartment of Vascular Surgery, AC Camargo Cancer Center, São Paulo, São Paulo, Brazil.
Eduardo Henrique Giroud JoaquimDepartment of Anesthesiology, AC Camargo Cancer Center, São Paulo, São Paulo, Brazil.
Raquel Marcondes BussolottiDepartment of Anesthesiology, AC Camargo Cancer Center, São Paulo, São Paulo, Brazil.
Pedro CarusoDepartment of Intensive Care Unit, AC Camargo Cancer Center, São Paulo, São Paulo, Brazil.
Marcon Censoni de Ávila LimaDepartment of Emergency and Hospital Medicine, AC Camargo Cancer Center, São Paulo, São Paulo, Brazil.
Suely Akiko NakagawaDepartment of Bone Tumors, AC Camargo Cancer Center, São Paulo, São Paulo, Brazil.
Samuel AguiarDepartment of Pelvic Surgery, AC Camargo Cancer Center, São Paulo, São Paulo, Brazil.
Glauco BaiocchiDepartment of Gynecology Oncology, AC Camargo Cancer Center, São Paulo, São Paulo, Brazil.
Ademar LopesDepartment of Sarcoma, AC Camargo Cancer Center, São Paulo, São Paulo, Brazil.
Luiz Paulo KowalskiDepartment of Head and Neck, AC Camargo Cancer Center, São Paulo, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCancer patients configure a risk group for complications or death by COVID-19. For many of them, postponing or replacing their surgical treatments is not recommended. During this pandemic, surgeons must discuss the risks and benefits of treatment, and patients should sign a specific comprehensive Informed consent (IC).

objectivesTo report an IC and an algorithm developed for oncologic surgery during the COVID-19 outbreak.

methodsWe developed an IC and a process flowchart containing a preoperative symptoms questionnaire and a PCR SARS-CoV-2 test and described all perioperative steps of this program.

resultsPatients with negative questionnaires and tests go to surgery, those with positive ones must wait 21 days and undergo a second test before surgery is scheduled. The IC focused both on risks and benefits inherent each surgery and on the risks of perioperative SARS-CoV-2 infections or related complications. Also, the IC discusses the possibility of sudden replacement of medical staff member(s) due to the pandemic; the possibility of unexpected complications demanding emergency procedures that cannot be specifically discussed in advance is addressed.

conclusionsDuring the pandemic, specific tools must be developed to ensure safe experiences for surgical patients and prevent them from having misunderstandings concerning their care.

Indexed as

Informed ConsentSARS-CoV-2AlgorithmsCOVID-19HumansNeoplasmsSurgical Oncologyalgorithmcancer surgeryCOVID-19informed consentoncologic surgerySARS-CoV-2

Identifiers

PMID33684245
PMCPMC8251048

What OpenQuestion holds

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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.