Impact of COVID-19 on thyroid cancer surgery and adjunct therapy

Updates in Surgery
Sohail BakkarPaolo Miccoli

Abstract

COVID-19 has profoundly modified the way healthcare is delivered. Jordan imposed lockdown and restrictive policies between March 17 and May 20, 2020. We aimed to assess the impact of such measures on thyroid cancer treatment plans. In the specified period, 12 patients were scheduled for surgery. Since papillary carcinoma was the preoperative diagnosis in all cases, radioactive iodine ablation (RIA) therapy was also planned 3-4 weeks following surgery after withdrawing thyroxine and achieving a thyroid stimulating hormone (TSH) level > 30 mU/L. Thyroxine withdrawal is the routine method applied for RIA in Jordan as it is less costly compared to the rapid method of exogenous stimulation using recombinant TSH. All surgical procedures were performed without delay since all patients were asymptomatic per flu-like illness and came from a region of low COVID-19 prevalence. These included total thyroidectomy (n = 11), bilateral therapeutic central compartment neck dissection (n = 7), lateral compartment neck dissection (n = 5). However, the RIA treatment plan was altered considerably according to the period in which they were operated. 6 out of the 7 patients operated in March changed to the stimulated method of RIA at a considerable a...Continue Reading

References

Jan 1, 1959·The British Journal of Medical Psychology·M HAMILTON
Apr 14, 2017·Updates in Surgery·Paolo Miccoli, Sohail Bakkar
Apr 15, 2020·Patient Safety in Surgery·Philip F Stahel
Jun 5, 2020·Updates in Surgery·Khaled Al-OmarPaolo Miccoli

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Citations

Nov 27, 2020·Reviews in Endocrine & Metabolic Disorders·Lorenzo ScappaticcioPierpaolo Trimboli
Mar 20, 2021·Critical Reviews in Oncology/hematology·Marc BoutrosHampig Raphael Kourie
Jun 2, 2021·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Melanie PowisMonika K Krzyzanowska
Jul 21, 2021·Journal of Endocrinological Investigation·L ScappaticcioP Trimboli

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Methods Mentioned

BETA
dissection
biopsy
nucleic acid amplification

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