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10.1002/jso.26475

http://scihub22266oqcxt.onion/10.1002/jso.26475
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33765341!8250700!33765341
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suck abstract from ncbi


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pmid33765341      J+Surg+Oncol 2021 ; 124 (1): 7-15
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  • Assessing the immediate impact of COVID-19 on surgical oncology practice: Experience from an NCI-designated Comprehensive Cancer Center in the Northeastern United States #MMPMID33765341
  • Gazivoda V; Greenbaum A; Roshal J; Lee J; Reddy L; Rehman S; Kangas-Dick A; Gregory S; Kowzun M; Stephenson R; Laird A; Alexander HR; Berger AC
  • J Surg Oncol 2021[Jul]; 124 (1): 7-15 PMID33765341show ga
  • BACKGROUND: The effects of the coronavirus disease 2019 (COVID-19) pandemic on surgical oncology practice are not yet quantified. The aim of this study was to measure the immediate impact of COVID-19 on surgical oncology practice volume. METHODS: A retrospective study of patients treated at an NCI-Comprehensive Cancer Center was performed. "Pre-COVID" era was defined as January-February 2020 and "COVID" as March-April 2020. Primary outcomes were clinic visits and operative volume by surgical oncology subspecialty. RESULTS: Abouyt 907 new patient visits, 3897 follow-up visits, and 644 operations occurred during the study period. All subspecialties experienced significant decreases in new patient visits during COVID, though soft tissue oncology (Mel/Sarc), gynecologic oncology (Gyn/Onc), and endocrine were disproportionately affected. Telehealth visits increased to 11.4% of all visits by April. Mel/Sarc, Gyn/Onc, and Breast experienced significant operative volume decreases during COVID (25.8%, p = 0.012, 43.6% p < 0.001, and 41.9%, p < 0.001, respectively), while endocrine had no change and gastrointestinal oncology had a slight increase (p = 0.823) in the number of cases performed. CONCLUSIONS: The effects of the COVID-19 pandemic are wide-ranging within surgical oncology subspecialties. The addition of telehealth is a viable avenue for cancer patient care and should be considered in surgical oncology practice.
  • |COVID-19/*complications/epidemiology/transmission[MESH]
  • |Cancer Care Facilities/*standards[MESH]
  • |Female[MESH]
  • |Follow-Up Studies[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |National Cancer Institute (U.S.)[MESH]
  • |Neoplasms/pathology/*surgery/virology[MESH]
  • |New England/epidemiology[MESH]
  • |Practice Patterns, Physicians'/*statistics & numerical data[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2/*isolation & purification[MESH]
  • |Surgical Oncology/*statistics & numerical data[MESH]
  • |Telemedicine/*statistics & numerical data[MESH]


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