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10.1002/cncr.33366

http://scihub22266oqcxt.onion/10.1002/cncr.33366
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33270908!7753308!33270908
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suck abstract from ncbi


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pmid33270908      Cancer 2021 ; 127 (7): 1091-1101
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  • Triage process for the assessment of coronavirus disease 2019-positive patients with cancer: The ONCOVID prospective study #MMPMID33270908
  • Indini A; Cattaneo M; Ghidini M; Rijavec E; Bareggi C; Galassi B; Gambini D; Ceriani R; Ceriotti F; Berti E; Grossi F
  • Cancer 2021[Apr]; 127 (7): 1091-1101 PMID33270908show ga
  • BACKGROUND: Patients with cancer are considered at high risk for the novel respiratory illness coronavirus disease 2019 (COVID-19). General measures to keep COVID-19-free cancer divisions have been adopted worldwide. The objective of this study was to evaluate the efficacy of triage to identify COVID-19 among patients with cancer. METHODS: From March 20 to April 17, 2020, data were collected from patients who were treated or followed at the authors' institution in a prospective clinical trial. The primary endpoint was to estimate the cumulative incidence of COVID-19-positive patients who were identified using a triage process through the aid of medical and patient questionnaires. Based on a diagnostic algorithm, patients with suspect symptoms underwent an infectious disease specialist's evaluation and a COVID-19 swab. Serologic tests were proposed for patients who had symptoms or altered laboratory tests that did not fall into the diagnostic algorithm but were suspicious for COVID-19. RESULTS: Overall, 562 patients were enrolled. Six patients (1%) were diagnosed with COVID-19, of whom 4 (67%) had the disease detected through telehealth triage, and 2 patients (33%) without suspect symptoms at triage had the disease detected later. Seventy-one patients (13%) had suspect symptoms and/or altered laboratory tests that were not included in the diagnostic algorithm and, of these, 47 patients (73%) underwent testing for severe acute respiratory syndrome coronavirus 2 antibody: 6 (13%) were positive for IgG (n = 5) or for both IgM and IgG (n = 1), and antibody tests were negative in the remaining 41 patients. CONCLUSIONS: The triage process had a positive effect on the detection of COVID-19 in patients with cancer. Telehealth triage was helpful in detecting suspect patients and to keep a COVID-19-free cancer center. The overall incidence of COVID-19 diagnosis (1%) and antibody positivity (13%) in patients with suspect symptoms was similar to that observed in the general population.
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19 Testing/methods/*statistics & numerical data[MESH]
  • |COVID-19/complications/*diagnosis/virology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Neoplasms/complications/diagnosis/*therapy[MESH]
  • |Prospective Studies[MESH]
  • |Reproducibility of Results[MESH]
  • |SARS-CoV-2/physiology[MESH]
  • |Sensitivity and Specificity[MESH]


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