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Alternative management for gynecological cancer care during the COVID-2019 pandemic: A Latin American survey #MMPMID32526044
Rodriguez J; Fletcher A; Heredia F; Fernandez R; Ramirez Salazar H; Sanabria D; Burbano Luna J; Guerrero E; Pierre ME; Rendon GJ; Rosero I; Trujillo LM; Ribeiro R; Baiocchi G; Lopez Blanco A; Malca M; Hoegl J; Borges Garnica A; Lasso de la Vega J; Scasso S; Laufer J; Estrada EE; Gutierrez Criado A; Herbert Nunez GS; Cantu-de Leon D; Medina G; Pendola Gomez L; Saadi J; Noll F; Arevalo Sandoval D; Ferreira Oliveira A; Pareja R
Int J Gynaecol Obstet 2020[Sep]; 150 (3): 368-378 PMID32526044show ga
OBJECTIVE: To determine the acceptance rate of treatment alternatives for women with either preinvasive conditions or gynecologic cancers during the COVID-19 pandemic among Latin American gynecological cancer specialists. METHODS: Twelve experts in gynecological cancer designed an electronic survey, according to recommendations from international societies, using an online platform. The survey included 22 questions on five topics: consultation care, preinvasive cervical pathology, and cervical, ovarian, and endometrial cancer. The questionnaire was distributed to 1052 specialists in 14 Latin American countries. A descriptive analysis was carried out using statistical software. RESULTS: A total of 610 responses were received, for an overall response rate of 58.0%. Respondents favored offering teleconsultation as triage for post-cancer treatment follow-up (94.6%), neoadjuvant chemotherapy in advanced stage epithelial ovarian cancer (95.6%), and total hysterectomy with bilateral salpingo-oophorectomy and defining adjuvant treatment with histopathological features in early stage endometrial cancer (85.4%). Other questions showed agreement rates of over 64%, except for review of pathology results in person and use of upfront concurrent chemoradiation for early stage cervical cancer (disagreement 56.4% and 58.9%, respectively). CONCLUSION: Latin American specialists accepted some alternative management strategies for gynecological cancer care during the COVID-19 pandemic, which may reflect the region's particularities. The COVID-19 pandemic led Latin American specialists to accept alternative management strategies for gynecological cancer care, especially regarding surgical decisions.