Article ; Online: Assessing the immediate impact of COVID-19 on surgical oncology practice: Experience from an NCI-designated Comprehensive Cancer Center in the Northeastern United States.
2021 Volume 124, Issue 1, Page(s) 7–15
Abstract: ... practice are not yet quantified. The aim of this study was to measure the immediate impact of COVID-19 ... Background: The effects of the coronavirus disease 2019 (COVID-19) pandemic on surgical oncology ... on surgical oncology practice volume.: Methods: A retrospective study of patients treated at an NCI ...
| Abstract | Background: The effects of the coronavirus disease 2019 (COVID-19) pandemic on surgical oncology practice are not yet quantified. The aim of this study was to measure the immediate impact of COVID-19 on surgical oncology practice volume. Methods: A retrospective study of patients treated at an NCI-Comprehensive Cancer Center was performed. "Pre-COVID" era was defined as January-February 2020 and "COVID" as March-April 2020. Primary outcomes were clinic visits and operative volume by surgical oncology subspecialty. Results: Abouyt 907 new patient visits, 3897 follow-up visits, and 644 operations occurred during the study period. All subspecialties experienced significant decreases in new patient visits during COVID, though soft tissue oncology (Mel/Sarc), gynecologic oncology (Gyn/Onc), and endocrine were disproportionately affected. Telehealth visits increased to 11.4% of all visits by April. Mel/Sarc, Gyn/Onc, and Breast experienced significant operative volume decreases during COVID (25.8%, p = 0.012, 43.6% p < 0.001, and 41.9%, p < 0.001, respectively), while endocrine had no change and gastrointestinal oncology had a slight increase (p = 0.823) in the number of cases performed. Conclusions: The effects of the COVID-19 pandemic are wide-ranging within surgical oncology subspecialties. The addition of telehealth is a viable avenue for cancer patient care and should be considered in surgical oncology practice. |
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| MeSH term(s) | COVID-19/complications ; COVID-19/epidemiology ; COVID-19/transmission ; Cancer Care Facilities/standards ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; National Cancer Institute (U.S.) ; Neoplasms/pathology ; Neoplasms/surgery ; Neoplasms/virology ; New England/epidemiology ; Practice Patterns, Physicians'/statistics & numerical data ; Retrospective Studies ; SARS-CoV-2/isolation & purification ; Surgical Oncology/statistics & numerical data ; Telemedicine/statistics & numerical data ; United States | |||||
| Language | English | |||||
| Publishing date | 2021-03-25 | |||||
| Publishing country | United States | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 82063-5 | |||||
| ISSN | 1096-9098 ; 0022-4790 | |||||
| ISSN (online) | 1096-9098 | |||||
| ISSN | 0022-4790 | |||||
| DOI | 10.1002/jso.26475 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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