Effects of COVID-19 Pandemic on the Treatment of Pancreatic Cancer: A Perspective from Central Europe
| Autor: | Robert D. Rosenberg, Klaus Emmanuel, I. Ekin Demir, Alexander Novotny, Ilaria Pergolini, Helmut Friess, Christian Stöss |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Attitude of Health Personnel medicine.medical_treatment Pancreatic surgery Psychological intervention Aftercare Health Services Accessibility Perioperative Care Time-to-Treatment Pancreatectomy Ambulatory care Pancreatic cancer Pandemic Humans Medicine Infection control Practice Patterns Physicians' Stage (cooking) Pandemics Neoplasm Staging Cancer Infection Control SARS-CoV-2 business.industry Gastroenterology COVID-19 Patient Acceptance of Health Care medicine.disease Europe Pancreatic Neoplasms Health Care Surveys Practice Guidelines as Topic Emergency medicine Surgery business Research Article |
| Zdroj: | Digestive Surgery |
| ISSN: | 1421-9883 0253-4886 |
| DOI: | 10.1159/000513157 |
| Popis: | Background: This survey aimed to register changes determined by the COVID-19 pandemic on pancreatic surgery in a specific geographic area (Germany, Austria, and Switzerland) to evaluate the impact of the pandemic and obtain interesting cues for the future. Methods: An online survey was designed using Google Forms focusing on the local impact of the pandemic on pancreatic surgery. The survey was conducted at 2 different time points, during and after the lockdown. Results: Twenty-five respondents (25/56) completed the survey. Many aspects of oncological care have been affected with restrictions and delays: staging, tumor board, treatment selection, postoperative course, adjuvant treatments, outpatient care, and follow-up. Overall, 60% of respondents have prioritized pancreatic cancer patients according to stage, age, and comorbidities, and 40% opted not to operate high-risk patients. However, for 96% of participants, the standards of care were guaranteed. Discussion/Conclusions: The first wave of the COVID-19 pandemic had an important impact on pancreatic cancer surgery in central Europe. Guidelines for prompt interventions and prevention of the spread of viral infections in the surgical environment are needed to avoid a deterioration of care in cancer patients in the event of a second wave or a new pandemic. High-volume centers for pancreatic surgery should be preferred and their activity maintained. Virtual conferences have proven to be efficient during this pandemic and should be implemented in the near future. |
| Databáze: | OpenAIRE |
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