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10.1016/j.ygyno.2020.09.005

http://scihub22266oqcxt.onion/10.1016/j.ygyno.2020.09.005
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32981694!7516937!32981694
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suck abstract from ncbi


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pmid32981694      Gynecol+Oncol 2020 ; 159 (2): 470-475
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  • Gynecologic oncology care during the COVID-19 pandemic at three affiliated New York City hospitals #MMPMID32981694
  • Frey MK; Fowlkes RK; Badiner NM; Fishman D; Kanis M; Thomas C; Christos PJ; Martin P; Gamble C; Balogun OD; Cardenes H; Gorelick C; Pua T; Nguyen L; Holcomb K; Chapman-Davis E
  • Gynecol Oncol 2020[Nov]; 159 (2): 470-475 PMID32981694show ga
  • BACKGROUND: New York City was among the epicenters during the COVID-19 pandemic. Oncologists must balance plausible risks of COVID-19 infection with the recognized consequences of delaying cancer treatment, keeping in mind the capacity of the health care system. We sought to investigate treatment patterns in gynecologic cancer care during the first two months of the COVID-19 pandemic at three affiliated New York City hospitals located in Brooklyn, Manhattan and Queens. METHODS: A prospective registry of patients with active or presumed gynecologic cancers receiving inpatient and/or outpatient care at three affiliated New York City hospitals was maintained between March 1 and April 30, 2020. Clinical and demographic data were abstracted from the electronic medical record with a focus on oncologic treatment. Multivariable logistic regression analysis was explored to evaluate the independent effect of hospital location, race, age, medical comorbidities, cancer status and COVID-19 status on treatment modifications. RESULTS: Among 302 patients with gynecologic cancer, 117 (38.7%) experienced a COVID-19-related treatment modification (delay, change or cancellation) during the first two months of the pandemic in New York. Sixty-four patients (67.4% of those scheduled for surgery) had a COVID-19-related modification in their surgical plan, 45 (21.5% of those scheduled for systemic treatment) a modification in systemic treatment and 12 (18.8% of those scheduled for radiation) a modification in radiation. Nineteen patients (6.3%) had positive COVID-19 testing. On univariate analysis, hospital location in Queens or Brooklyn, age
  • |*Appointments and Schedules[MESH]
  • |*Pandemics[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/diagnosis/*epidemiology[MESH]
  • |Electronic Health Records[MESH]
  • |Female[MESH]
  • |Genital Neoplasms, Female/*therapy[MESH]
  • |Hospitals/*statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Middle Aged[MESH]
  • |New York City/epidemiology[MESH]
  • |Pneumonia, Viral/diagnosis/*epidemiology[MESH]
  • |Registries[MESH]
  • |SARS-CoV-2[MESH]


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