About: Patient safety associated with the surgical treatment of bone and soft tissue tumours during the COVID-19 pandemic—results from an observational study at the Oxford Sarcoma Service

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About: Patient safety associated with the surgical treatment of bone and soft tissue tumours during the COVID-19 pandemic—results from an observational study at the Oxford Sarcoma Service Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Patient safety associated with the surgical treatment of bone and soft tissue tumours during the COVID-19 pandemic—results from an observational study at the Oxford Sarcoma Service
Creator	Pigott, David Critchley, Paul Whitwell, Duncan Carr, Andrew Cosker, Thomas Fries, Charles Gibbons, Christopher Kotecha, Sanjeev Rajasekaran, Bhaskara
Source	Medline; PMC
abstract	PURPOSE: Deferring cancer surgery can have profound adverse effects including patient mortality. During the COVID-19 pandemic, departmental reorganisation and adherence to evolving guidelines enabled provision of uninterrupted surgical care to patients with bone and soft tissue tumours (BST) in need of surgery. We reviewed the outcomes of surgeries on BST during the first two months of the pandemic at one of the tertiary BST centres in the UK. MATERIALS AND METHODS: Between 12 March 2020 and 12 May 2020, 56 patients of a median age of 57 years (18–87) underwent surgery across two sites: index hospital (n = 27) and COVID-free facility (n = 29). Twenty-five (44.6%) patients were above the age of 60 years and 20 (35.7%) patients were in ASA III and ASA IV category. The decision to offer surgery was made in adherence with the guidelines issued by the NHS, BOOS and BSG. RESULTS: At a minimum follow-up of 30 days post-surgery, 54 (96.4%) patients were recovering well. Thirteen patients (23.2%) had post-operative complications which included four (7.1%) patients developing pulmonary embolism. The majority of complications (12/13 = 92.7%) occurred in ASA III and IV category patients. Four (7.1%) patients contracted COVID-19, of which three required escalation of care due to pulmonary complications and two (3.6%) died. Patients < 60 years of age had significantly less complications than those > 60 years (p < 0.001). Patients operated on in the COVID-free facility had fewer complications compared with those operated on at the index hospital (p < 0.027). CONCLUSION: In spite of the favourable results in majority of our patients, our study shows that patients with sarcoma operated at the height of the pandemic are at a risk of contracting COVID-19 and also having associated with mortality. The use of a COVID-free facility, surgery in patients < 60 60 years and in ASA I & II category are associated with better outcomes. If a second wave occurs, a serious consideration should be given to ways of minimising the risk of contracting COVID-19 in these vulnerable patients either by using COVID-free facilities or delaying treatment until peak of infection has passed.
has issue date	2020-07-29(xsd:dateTime)
bibo:doi	10.1007/s00264-020-04736-1
bibo:pmid	32728926
has license	cc-by
sha1sum (hex)	7270d1edf2f31f3eefd3130ff8a97ff6840e3248
schema:url	https://doi.org/10.1007/s00264-020-04736-1
resource representing a document's title	Patient safety associated with the surgical treatment of bone and soft tissue tumours during the COVID-19 pandemic—results from an observational study at the Oxford Sarcoma Service
has PubMed Central identifier	PMC7387417
has PubMed identifier	32728926
schema:publication	Int Orthop
resource representing a document's body	covid:7270d1edf2f31f3eefd3130ff8a97ff6840e3248#body_text
is schema:about of	named entity 'majority' named entity 'tumours' named entity 'bone' named entity 'Patients' named entity 'Thirteen' named entity 'tumours' named entity 'observational study' covid:arg/7270d1edf2f31f3eefd3130ff8a97ff6840e3248 named entity 'surgeries' named entity 'Purpose' named entity 'developing' named entity 'During' named entity 'patients' named entity 'BST' named entity 'hospital' named entity 'patients' named entity 'NHS' named entity 'March' named entity 'decision' named entity 'contracting' named entity 'ASA' named entity 'complications' named entity 'patients' named entity 'adherence' named entity 'surgery' named entity 'complications' named entity 'bone' named entity 'soft tissue' named entity 'adverse effects' named entity 'cancer surgery' named entity 'ASA III' named entity 'COVID-19 pandemic' named entity 'post-operative' named entity 'pulmonary embolism' named entity 'observational study' named entity 'COVID-19 pandemic' named entity 'China' named entity 'Open Access' named entity 'virus' named entity 'COVID-19 pandemic' named entity 'Italy' named entity 'COVID' named entity 'elective surgery' named entity 'World Health Organization' named entity 'sarcomas' named entity 'disease transmission' named entity 'BST' named entity 'BST' named entity 'Tata Memorial Hospital' named entity 'Creative Commons licence' named entity 'COVID-19' named entity 'infection' named entity 'COVID-19' named entity 'immunocompromised' named entity 'surgical theatre' named entity 'BST' named entity 'nasopharyngeal' named entity 'intensive care' named entity 'COVID-19' named entity 'asymptomatic carriers' named entity 'COVID' named entity 'COVID-19 pandemic' named entity 'cancer surgeries' named entity 'prevent disease' named entity 'mortality rate' named entity 'pulmonary complications' named entity 'England' named entity 'healthcare systems' named entity 'NICE guidelines' named entity '3.2%' named entity 'sarcoma' named entity 'pulmonary complications' named entity 'COVID'

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