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COVID-19 and the impact on gynecologic cancer care

Manchanda, R; Oxley, S; Ghaem-Maghami, S; Sundar, S; (2021) COVID-19 and the impact on gynecologic cancer care. International Journal of Gynecology & Obstetrics , 155 (S1) pp. 94-101. 10.1002/ijgo.13868. Green open access

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Abstract

The COVID-19 pandemic resulted in significant reconfiguration of gynecologic cancer services and care pathways across the globe, with a transformation of working practices. Services had to adapt to protect their vulnerable patients from infection, whilst providing care despite reduced resources/capacity and staffing. The international gynecologic cancer community introduced modified clinical care guidelines. Remote working, reduced hospital visiting, routine COVID-testing, and use of COVID-free surgical areas/hubs enabled the ongoing and safe delivery of complex cancer care, with priority levels for cancer treatments established to guide decision-making by multidisciplinary tumor boards. Some 2.3 million cancer surgeries were delayed or cancelled during the first peak, with many patients reporting significant anxiety/concern for cancer progression and COVID infection. Although COVID trials were prioritized, recruitment to other cancer trials/research activity was significantly reduced. The impact of resultant protocol deviations on outcomes remains to be established. During the recovery healthcare services must maintain capacity and flexibility to manage future surges of infection, address the large backlog of patients with altered or delayed treatments, along with salvaging screening and prevention services. Training needs/mental well-being of trainees need addressing and staff burnout prevented. Future research needs to fully evaluate the impact of COVID-19 on long-term patient outcomes.

Type: Article
Title: COVID-19 and the impact on gynecologic cancer care
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/ijgo.13868
Publisher version: https://doi.org/10.1002/ijgo.13868
Language: English
Additional information: © 2021 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics. This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/).
Keywords: COVID-19, FIGO Cancer Report, cancer care, gynecology, oncology, COVID-19, Female, Genital Neoplasms, Female, Humans, Mental Health, Pandemics, SARS-CoV-2
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Inst of Clinical Trials and Methodology
URI: https://discovery.ucl.ac.uk/id/eprint/10138202
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