Evidence map›Paper›PMID 33964109›Full record

ArticleBJU international2021

Impact of the first surge of the COVID-19 pandemic on a tertiary referral centre for kidney cancer.

Teele Kuusk, David Cullen, Joana Briosa Neves, Nicholas Campain, Ravi Barod, Ekaterini Boleti, Soha El-Sheihk, Lee Grant, John Kelly, Marta Marchetti and 9 more

Open access · hybridAbstract read
In one paragraph

Article in BJU international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. 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 at 2 institutions in 1 country.

Teele KuuskDepartment of Urology, Dartford and Gravesham NHS Trust, Darent Valley Hospital, Dartford, UK.ORCID 0000-0003-4643-4878
David CullenSpecialist Centre for Kidney Cancer, Royal Free London NHS Foundation Trust, London, UK.
Joana Briosa NevesSpecialist Centre for Kidney Cancer, Royal Free London NHS Foundation Trust, London, UK.ORCID 0000-0002-8578-9893
Nicholas CampainSpecialist Centre for Kidney Cancer, Royal Free London NHS Foundation Trust, London, UK.
Ravi BarodSpecialist Centre for Kidney Cancer, Royal Free London NHS Foundation Trust, London, UK.
Ekaterini BoletiSpecialist Centre for Kidney Cancer, Royal Free London NHS Foundation Trust, London, UK.
Soha El-SheihkDepartment of Pathology, Royal Free London NHS Foundation Trust, London, UK.
Lee GrantDepartment of Radiology, Royal Free London NHS Foundation Trust, London, UK.
John KellyDepartment of Urology, University College London Hospitals NHS Foundation Trust, London, UK.
Marta MarchettiSpecialist Centre for Kidney Cancer, Royal Free London NHS Foundation Trust, London, UK.
Faiz MumtazSpecialist Centre for Kidney Cancer, Royal Free London NHS Foundation Trust, London, UK.
Prasad PatkiSpecialist Centre for Kidney Cancer, Royal Free London NHS Foundation Trust, London, UK.
Navin RamachandranDepartment of Imaging, University College London Hospitals NHS Foundation Trust, London, UK.
Pedro SilvaSpecialist Centre for Kidney Cancer, Royal Free London NHS Foundation Trust, London, UK.
My-Anh Tran-DangDepartment of Pathology, Royal Free London NHS Foundation Trust, London, UK.
Miles WalkdenDepartment of Imaging, University College London Hospitals NHS Foundation Trust, London, UK.
Maxine G B TranSpecialist Centre for Kidney Cancer, Royal Free London NHS Foundation Trust, London, UK.
Thomas PowlesSpecialist Centre for Kidney Cancer, Royal Free London NHS Foundation Trust, London, UK.
Axel BexSpecialist Centre for Kidney Cancer, Royal Free London NHS Foundation Trust, London, UK.
Royal Free London NHS Foundation Trust · GBUniversity College London Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyse the impact of the COVID-19 pandemic on a centralized specialist kidney cancer care pathway. MATERIALS AND

methodsWe conducted a retrospective analysis of patient and pathway characteristics including prioritization strategies at the Specialist Centre for Kidney Cancer located at the Royal Free London NHS Foundation Trust (RFH) before and during the surge of COVID-19.

resultsOn 18 March 2020 all elective surgery was halted at RFH to redeploy resources and staff for the COVID-19 surge. Prioritizing of patients according to European Association of Urology guidance was introduced. Clinics and the specialist multidisciplinary team (SMDT) meetings were maintained with physical distancing, kidney surgery was moved to a COVID-protected site, and infection prevention measurements were enforced. During the 7 weeks of lockdown (23 March to 10 May 2020), 234 cases were discussed at the SMDT meetings, 53% compared to the 446 cases discussed in the 7 weeks pre-lockdown. The reduction in referrals was more pronounced for small and asymptomatic renal masses. Of 62 low-priority cancer patients, 27 (43.5%) were deferred. Only one (4%) COVID-19 infection occurred postoperatively, and the patient made a full recovery. No increase in clinical or pathological upstaging could be detected in patients who underwent deferred surgery compared to pre-COVID practice.

conclusionThe first surge of the COVID-19 pandemic severely impacted diagnosis, referral and treatment of kidney cancer at a tertiary referral centre. With a policy of prioritization and COVID-protected pathways, capacity for time-sensitive oncological interventions was maintained and no immediate clinical harm was observed.

Indexed as

Cancer Care FacilitiesCarcinoma, Renal CellCOVID-19Disease ProgressionHospitals, High-VolumeHumansKidney NeoplasmsNeoplasm StagingNephrectomyPatient Care TeamPatient SelectionReferral and ConsultationRetrospective StudiesTertiary Care CentersTime-to-TreatmentWatchful Waitingcentralization of careCOVID-19prioritizationrenal cell carcinoma

Identifiers

PMID33964109
PMCPMC8239749
OpenAlexW3157952189

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.