Non-melanoma skin cancer activity during the COVID-19 pandemic- A single UK tertiary centre experience
| Autor: | A J K Patel, J Roszpopa, O Abbassi, A J Durrani, S Waseem, M Nizamoglu, S Murphy |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Histology Coronavirus disease 2019 (COVID-19) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) 030230 surgery Excision Article 03 medical and health sciences 0302 clinical medicine Pandemic medicine Basal cell carcinoma Non-Melanoma Skin Cancer BCC business.industry General surgery COVID-19 Workload medicine.disease Triage SCC Plastic surgery 030220 oncology & carcinogenesis Surgery Skin cancer business |
| Zdroj: | JPRAS Open |
| ISSN: | 2352-5878 |
| Popis: | The pandemic caused by SARS-CoV-2 virus, also known as COVID-19, has generated shockwaves in medical and surgical practice. It has necessitated re-deployment of staff and resources to cater for the unpredictable increase in footfall and demand on healthcare systems. This study aimed to investigate how the restructuring of our service altered the triage and management of non-melanoma skin cancer (NMSC) during the pandemic's first wave rise and peak. We retrospectively analysed all patients who underwent a skin excision under local anaesthetic which revealed the presence of a basal cell carcinoma (BCC) or squamous cell carcinoma (SCC) on histopathological analysis between 1st February 2020 - 31st May 2020 compared with the same period in 2019. There was a 158% increase in patients with excision of lesions confirmed on histopathological analysis as a NMSC during the COVID-19 period (168â¯vs. 65). In 2020, more excisions were performed by consultants (42.9% v 21.5%, pâ¯=â¯0.002) with a lower proportion of excisions with a close margin (27.7% v 17.8%, pâ¯=â¯0.096) and an involved margin (3.1% v 1.8%, pâ¯=â¯0.62). Five of these patients had their further management altered due to service constraints at this time The resource constraints secondary to the pandemic have yielded beneficial service adaptations with the incorporation of a more efficient model for the NMSC service. The sustainability of this model and its impact on training will require further examination when non-urgent and benign elective workload is slowly reinstated and plastic surgery trainees return to their original posts. |
| Databáze: | OpenAIRE |
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