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10.1097/SLA.0000000000004006

http://scihub22266oqcxt.onion/10.1097/SLA.0000000000004006
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32675507!7268883!32675507
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suck abstract from ncbi


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pmid32675507      Ann+Surg 2020 ; 272 (2): e87-e93
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  • Global Survey on Pancreatic Surgery During the COVID-19 Pandemic #MMPMID32675507
  • Oba A; Stoop TF; Lohr M; Hackert T; Zyromski N; Nealon WH; Unno M; Schulick RD; Al-Musawi MH; Wu W; Zhao Y; Satoi S; Wolfgang CL; Abu Hilal M; Besselink MG; Del Chiaro M
  • Ann Surg 2020[Aug]; 272 (2): e87-e93 PMID32675507show ga
  • OBJECTIVE: The aim of this study was to clarify the role of pancreatic surgery during the COVID-19 pandemic to optimize patients' and clinicians' safety and safeguard health care capacity. SUMMARY BACKGROUND DATA: The COVID-19 pandemic heavily impacts health care systems worldwide. Cancer patients appear to have an increased risk for adverse events when infected by COVID-19, but the inability to receive oncological care seems may be an even larger threat, particularly in case of pancreatic cancer. METHODS: An online survey was submitted to all members of seven international pancreatic associations and study groups, investigating the impact of the COVID-19 pandemic on pancreatic surgery using 21 statements (April, 2020). Consensus was defined as >80% agreement among respondents and moderate agreement as 60% to 80% agreement. RESULTS: A total of 337 respondents from 267 centers and 37 countries spanning 5 continents completed the survey. Most respondents were surgeons (n = 302, 89.6%) and working in an academic center (n = 286, 84.9%). The majority of centers (n = 166, 62.2%) performed less pancreatic surgery because of the COVID-19 pandemic, reducing the weekly pancreatic resection rate from 3 [interquartile range (IQR) 2-5] to 1 (IQR 0-2) (P < 0.001). Most centers screened for COVID-19 before pancreatic surgery (n = 233, 87.3%). Consensus was reached on 13 statements and 5 statements achieved moderate agreement. CONCLUSIONS: This global survey elucidates the role of pancreatic surgery during the COVID-19 pandemic, regarding patient selection for the surgical and oncological treatment of pancreatic diseases to support clinical decision-making and creating a starting point for further discussion.
  • |*Internationality[MESH]
  • |Adult[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Clinical Decision-Making[MESH]
  • |Consensus[MESH]
  • |Coronavirus Infections/*epidemiology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pancreatic Neoplasms/*surgery[MESH]
  • |Pandemics[MESH]
  • |Patient Safety[MESH]
  • |Pneumonia, Viral/*epidemiology[MESH]
  • |Practice Patterns, Physicians'/*statistics & numerical data[MESH]
  • |SARS-CoV-2[MESH]


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