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        Major urological cancer surgery for patients is safe and surgical training should be encouraged during the COVID-19 pandemic : A multi-centre analysis of 30-day outcomes

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        1_s2.0_S2666168321000057_main.pdf (PDF, 235Kb)
        Author
        Tan, Wei Shen
        Arianayagam, Ranjan
        Khetrapal, Pramit
        Rowe, Edward
        Kearley, Samantha
        Mahrous, Ahmed
        Pal, Raj
        Fowler, William
        Heer, Rakesh
        Elajnaf, Mohamed
        Douglas-Moore, Jayne
        Griffiths, TR Leyshon
        Voss, James
        Wilby, Daniel
        Al Kadhi, Omar
        Noel, Jonathan
        Vasdev, Nikhil
        McKay, Alastair
        Ahmad, Imran
        Abu-Nayla, Islam
        Lamb, Benjamin
        Hill, George T
        Narahari, Krishna
        Kynaston, Howard
        Yousuf, Arzu
        Kusuma, Venkata RM
        Cresswell, Joanne
        Cooke, Pete
        Chakravarti, Aniruddha
        Barod, Ravi
        Bex, Axel
        Kelly, John D
        Attention
        2299/24155
        Abstract
        COVID-19 has resulted in the deferral of major surgery for genitourinary (GU) cancers with the exception of cancers with a high risk of progression. We report outcomes for major GU cancer operations, namely radical prostatectomy (RP), radical cystectomy (RC), radical nephrectomy (RN), partial nephrectomy (PN), and nephroureterectomy performed at 13 major GU cancer centres across the UK between March 1 and May 5, 2020. A total of 598 such operations were performed. Four patients (0.7%) developed COVID-19 postoperatively. There was no COVID-19–related mortality at 30 d. A minimally invasive approach was used in 499 cases (83.4%). A total of 228 cases (38.1%) were described as training procedures. Training case status was not associated with a higher American Society of Anesthesiologists (ASA) score (p = 0.194) or hospital length of stay (LOS; p > 0.05 for all operation types). The risk of contracting COVID-19 was not associated with longer hospital LOS (p = 0.146), training case status (p = 0.588), higher ASA score (p = 0.295), or type of hospital site (p = 0.303). Our results suggest that major surgery for urological cancers remains safe and training should be encouraged during the ongoing COVID-19 pandemic provided appropriate countermeasures are taken. These real-life data are important for policy-makers and clinicians when counselling patients during the current pandemic. Patient summary: We collected outcome data for major operations for prostate, bladder, and kidney cancers during the COVID-19 pandemic. These surgeries remain safe and training should be encouraged during the ongoing pandemic provided appropriate countermeasures are taken. Our real-life results are important for policy-makers and clinicians when counselling patients during the COVID-19 pandemic.
        Publication date
        2021-03
        Published in
        European Urology Open Science
        Published version
        https://doi.org/10.1016/j.euros.2021.01.005
        Other links
        http://hdl.handle.net/2299/24155
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