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CC BY-NC-ND 4.0 · South Asian J Cancer 2024; 13(01): 038-044
DOI: 10.1055/s-0043-1776289
Original Article
COVID and cancer

Do Uro-Oncology Day Care Procedures Need to Be Differed during COVID-19 Pandemic?—An Experience from Tertiary Cancer Care Center

Nishit Srivastava
5   Department of Urology Surgical Oncology, Homi Bhabha Cancer Hospital & Research Centre, Mullanpur, Punjab, India
,
Mahnedra Pal
1   Department of Urology Surgical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Gagan Prakash
1   Department of Urology Surgical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Amandeep Arora
1   Department of Urology Surgical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Vedang Murthy
2   Department of Radiation Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Amit Joshi
3   Department of Medical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Ganesh Bakshi
4   Department of Urology Surgical Oncology, P.D. Hinduja Hospital, Mumbai, Maharashtra, India
,
Dhanapal Baskaran
1   Department of Urology Surgical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
,
Uday Chandkhede
6   Department of Urology Surgical Oncology, Wockhardt Super Speciality Hospital, Nagpur, Maharashtra, India
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Abstract

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Mahendra Pal

Background The SARS-CoV-2 virus pandemic has affected millions all over the world in very short span and changed the way how health care system work across the globe. It is essential to continue cancer treatment in spite of such pandemics. Various recommendations were proposed for cancer management based on risk stratification, however, in urological malignancies, day care procedures (DCPs) are a part of complete spectrum of cancer care and standard operating procedures (SOPs) for day care procedures (DCPs)in oncology is lacking at present.

Materials and Methods This is an institutional review board approved retrospective observational analytical study performed in tertiary cancer care center, with aim to assess the impact of COVID-19 on Uro-oncology day care procedures (U-DCPs)in terms of changes in appointments and actual U-DCPs performed, demographic changes such as sex ratio and age wise attendance in pre and post lockdown period and to provide a SOPs to accomplishU-DCPsefficiently in pandemics.

Results There was 67.89% and 68.16% reduction in total numbers of appointment and performed U-DCPs. A statistically significant difference was found in cystoscopy, intravesicalinstallation and miscellaneous UDCPs. Overall, 4.45% reduction and 4.52% increase in male and female patients underwent UDCPs respectively, M:F ratio reduced from 3.58:1 to 2.79:1 and 30% to 50% reduction in overall patient statistics in post lockdown compare to pre lockdown procedures.

For various age groups there was a statistically significant change in the number for males underwent cystoscopy in (p<0.001), Intravesical therapies (p<0.001) and miscellaneous procedures(p< 0.004).

Conclusion We are now coming up to the fact that effective management of healthcare system during pandemics require establishment and effective implementation of standard protocols. Routine major urological surgical care is continued using a tiered standard of protocols (SOPs) and adequate precautions. This study may provide an insight into impact of COVID-19 on UDCPs and what precautions and strategies can be institutionalized so that the patients and the health care workers remain protected from contracting infection while in performing DCPs during pandemic or similar circumstances.

Keywords

COVID-19 - Pandemic - Health resources - Uro-oncology - Day care procedures


Publication History

Article published online:
12 February 2024

© 2024. MedIntel Services Pvt Ltd. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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