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Impact of COVID-19 in gynecologic oncology: a Nationwide Italian Survey of the SIGO and MITO groups

Journal of Gynecologic Oncology 2020년 31권 6호 p.92 ~ 92
Bogani Giorgio, Apolone Giovanni, Ditto Antonino, Scambia Giovanni, Panici PierLuigi Benedetti, Angioli Roberto, Pignata Sandro, Greggi Stefano, Scollo Paolo, Delia Mezzanzanica,
소속 상세정보
 ( Bogani Giorgio ) - Fondazione IRCCS Istituto Nazionale dei Tumori di Milano
 ( Apolone Giovanni ) - Fondazione IRCCS Istituto Nazionale dei Tumori di Milano
 ( Ditto Antonino ) - Fondazione IRCCS Istituto Nazionale dei Tumori di Milano
 ( Scambia Giovanni ) - IRCCS Fondazione Policlinico Universitario Agostino Gemelli UOC Ginecologia Oncologica
 ( Panici PierLuigi Benedetti ) - Sapienza University of Rome Department of Maternal and Child Health and Urological Sciences
 ( Angioli Roberto ) - Universita Campus Bio-Medico Department of Gynecology
 ( Pignata Sandro ) - IRCCS Istituto Nazionale Tumori Urogynaecological Medical Oncology Unit
 ( Greggi Stefano ) - IRCCS Istituto Nazionale Tumori Urogynaecological Medical Oncology Unit
 ( Scollo Paolo ) - Cannizzaro Hospital Department of Gynecology
 ( Delia Mezzanzanica ) - Fondazione IRCCS Istituto Nazionale dei Tumori di Milano

Abstract


Objective: Coronavirus disease 2019 (COVID-19) has caused rapid and drastic changes in cancer management. The Italian Society of Gynecology and Obstetrics (SIGO), and the Multicenter Italian Trials in Ovarian cancer and gynecologic malignancies (MITO) promoted a national survey aiming to evaluate the impact of COVID-19 on clinical activity of gynecologist oncologists and to assess the implementation of containment measures against COVID-19 diffusion.

Methods: The survey consisted of a self-administered, anonymous, online questionnaire. The survey was sent via email to all the members of the SIGO, and MITO groups on April 7, 2020, and was closed on April 20, 2020.

Results: Overall, 604 participants completed the questionnaire with a response-rate of 70%. The results of this survey suggest that gynecologic oncology units had set a proactive approach to COVID-19 outbreak. Triage methods were adopted in order to minimize in-hospital diffusion of COVID-19. Only 38% of gynecologic surgeons were concerned about COVID-19 outbreak. Although 73% of the participants stated that COVID-19 has not significantly modified their everyday practice, 21% declared a decrease of the use of laparoscopy in favor of open surgery (19%). However, less than 50% of surgeons adopted specific protection against COVID-19. Additionally, responders suggested to delay cancer treatment (10%?15%), and to perform less radical surgical procedures (20%?25%) during COVID-19 pandemic.

Conclusions: National guidelines should be implemented to further promote the safety of patients and health care providers. International cooperation is of paramount importance, as heavily affected nations can serve as an example to find out ways to safely preserve clinical activity during the COVID-19 outbreak.

키워드

Surgical Oncology; Health Care Surveys; COVID-19; SARS-CoV-2 Infection

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