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Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Arch+Esp+Urol 2020 ; 73 (5): 360-366 Nephropedia Template TP
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Pandemia Covid-19 y cancer renal: implicaciones y adaptacion para un manejo optimo de la enfermedad #MMPMID32538805
Hevia V; Linares-Espinos E; Alonso-Gordoa T; Fernandez-Pello S; Guerrero-Ramos F; Mir C; Molina-Cerrillo J; Musquera-Felip M; Rodriguez-Faba O; de Velasco G; Gomez-Dos Santos V
Arch Esp Urol 2020[Jun]; 73 (5): 360-366 PMID32538805show ga
The COVID-19 pandemic caused by SARS-CoV-2 virus has caused an important health impact that has affected renal cell carcinoma management, among other urology areas. The high cancellation rate of surgeries, including those related to renal cancer, will cause an inevitable healthcare overload and probably a potential negative impact on its oncological outcomes, especially in locally advanced and metastatic renal cancer. Kidney cancer scenarios are quite different depending on their stage, distinguishing mainly between low priority of localized disease or high priority of locally advanced and metastatic under active treatment. The unknown pandemic duration and possibly fluctuating prevalence of the virus are likely to force an adaptation in the management of renal cell carcinoma among urology and oncology departments, ideally individualized ona case-by-case basis within multidisciplinary units. To this end, we present algorithms and tables regarding renal cell carcinoma management adapted to the COVID-19 period and stratified according to oncological stage, which might be useful for specialists dedicated to this uro-oncology area.