Outcomes of Elective Major Cancer Surgery During COVID 19 at Tata Memorial Centre: Implications for Cancer Care Policy.

Annals of Surgery
Shailesh V Shrikhandeall collaborators from Department of Surgical Oncology

Abstract

Overburdened systems and concerns of adverse outcomes have resulted in deferred cancer surgeries with devastating consequences. In this COVID pandemic, the decision to continue elective cancer surgeries, and their subsequent outcomes, are sparsely reported from hotspots. A prospective database of the Department of Surgical Oncology was analysed from March 23rd to April 30th, 2020. Four hundred ninety-four elective surgeries were performed (377 untested and 117 tested for Covid 19 before surgery). Median age was 48 years with 13% (n = 64) above the age of 60 years. Sixty-eight percent patients were American Society of Anaesthesiology (ASA) grade I. As per surgical complexity grading, 71 (14·4%) cases were lower grade (I-III) and 423 (85.6%) were higher grade complex surgeries (IV - VI).Clavien-Dindo ≥ grade III complications were 5.6% (n = 28) and there were no postoperative deaths. Patients >60 years documented 9.3% major complications compared to 5.2% in <60 years (P = 0.169). The median hospital stay was 1 to 9 days across specialties.Postoperatively, 26 patients were tested for COVID 19 and 6 tested positive. They all had higher grade surgeries but none required escalated or intensive care treatment related to COVID infectio...Continue Reading

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Citations

Aug 26, 2020·Journal of Surgical Oncology·Sri Siddhartha NekkantiSudeep Gupta
Sep 15, 2020·Journal of Surgical Oncology·Pratik GautamSanjay Deshmukh
Jan 7, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·N G PatelUNKNOWN ReconSurg Collaborative
Nov 2, 2020·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Emre YekedüzYüksel Ürün
Sep 27, 2020·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·B H MirandaUNKNOWN St Andrew's Collaborative
Feb 10, 2021·Annals of the Royal College of Surgeons of England·B H MirandaUNKNOWN St Andrew's Collaborative
Jan 19, 2021·Clinical Epidemiology and Global Health·Shiv RajanMranalini Verma
Oct 27, 2020·Indian Journal of Surgical Oncology·C RamachandraK S Sabitha
Oct 29, 2020·The Indian Journal of Surgery·Deeksha KapoorAdarsh Chaudhary
Jan 26, 2021·Indian Journal of Surgical Oncology·Sohan Lal SolankiAvanish P Saklani
Feb 10, 2021·Journal of the American College of Surgeons·Pankaj Kumar, Chiranjeevi H
Feb 17, 2021·Journal of Surgical Oncology·Shiv RajanMohit Singh
Feb 20, 2021·Journal of Plastic Surgery and Hand Surgery·B H MirandaUNKNOWN St Andrew’s Collaborative
Apr 1, 2021·Indian Journal of Gynecologic Oncology·Rekha DasPramod C Pathy
Apr 9, 2021·Annals of Surgical Oncology·Alexander B J BorgsteinMark I van Berge Henegouwen
May 1, 2021·Clinical Journal of Gastroenterology·Rahul GuptaHoussem Ammar
Jul 23, 2021·Journal of Surgical Oncology·Joshua P KronenfeldNeha Goel
Aug 16, 2021·The Lancet. Gastroenterology & Hepatology·Arulraj RamakrishnanNalla G Palanisami
Aug 28, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Benjamin BabicHans F Fuchs
Aug 24, 2021·Indian Journal of Surgical Oncology·Raj NagarkarYasam Venkata Ramesh
Oct 27, 2020·Journal of Anaesthesiology, Clinical Pharmacology·Sheila N MyatraPrathamesh S Pai

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