Adjusting to the new reality: Evaluation of early practice pattern adaptations to the COVID-19 pandemic
Adjusting to the new reality: Evaluation of early practice pattern adaptations to the COVID-19 pandemic
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DOI：
10.1016/j.ygyno.2020.05.028
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发表时间：
2020-08-01
影响因子：
4.7
通讯作者：
Kesterson, Joshua
中科院分区：
文献类型：
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作者：
Nakayama, John;El-Nashar, Sherif A.;Kesterson, Joshua
客观的。我们的目标是定义国家实践模式，以评估当前的临床实践、预期的延误和可能导致偏离正常护理标准的关注领域。方法。匿名调查已通过电子邮件发送给妇科肿瘤学会 (SGO) 的成员。评估了 COVID-19 的传播及其对妇科肿瘤护理在正常治疗模式改变和预期挑战方面的影响。进行 Wilcoxon 秩和检验以确定 COVID-19 感染的危险因素。结果。我们分析了 331 名妇科肿瘤提供者的回答。 99.1% 的受访社区中存在 COVID-19，其中 99.7% 的社区报告缓解措施已取得成效。地区之间的感染率存在显着差异（p 94% 的应答者正在进行妇科癌症手术，1 级子宫内膜样子宫内膜腺癌除外（36.3%）。手术积压（58.6%）、延迟癌症诊断（43.2%）和延迟患者重新建立正常护理（37.8%）被确定为 COVID-19 减弱后的三大挑战。结论。尽管与 COVID-19 相关的问题已广泛存在，但大多数妇科肿瘤护理仍在进行中，但临床数量的急剧下降表明仍有大量患者未得到诊断或正在推迟护理。 (C) 2020 Elsevier Inc. 保留所有权利。
Objective. We aim to define national practice patterns to assess current clinical practice, anticipated delays and areas of concern that potentially could lead to deviations from the normal standard of care.Methods. Anonymous surveys were emailed to members of the Society of Gynecologic Oncology (SGO). The spread of COVID-19 and its impact on gynecologic oncology care in terms of alterations to normal treatment patterns and anticipated challenges were assessed. The Wilcoxon rank sum test was performed to determine risk factors for COVID-19 infection.Results. We analyzed the responses of 331 gynecologic oncology providers. COVID-19 is present in 99.1% of surveyed communities with 99.7% reporting mitigation efforts in effect. The infection rate differs significantly between regions (p 94% of responders are proceeding with gynecologic cancer surgeries with exception of grade 1, endometrioid endometrial adenocarcinoma (36.3%). Surgical backlog (58.6%), delayed cancer diagnosis (43.2%) and re-establishing normal care with delayed patient (37.8%) were identified as the top 3 challenges after COVID-19 has abated.Conclusions. COVID-19 is widespread and has radically altered normal practice patterns. Despite COVID-19 related concerns, most gynecologic oncology care is proceeding. However, the steep decline in clinical volume shows there is a large group of patients who are not being diagnosed or are deferring care. (C) 2020 Elsevier Inc. All rights reserved.