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Elective Cancer Surgery in COVID-19–Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study

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PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks.
American Society of Clinical Oncology (ASCO)
James C. Glasbey Dmitri Nepogodiev Joana F.F. Simoes Omar Omar Elizabeth Li Mary L. Venn PGDME Mohammad K. Abou Chaar Vita Capizzi Daoud Chaudhry Anant Desai Jonathan G. Edwards Jonathan P. Evans Marco Fiore Jose Flavio Videria Samuel J. Ford Ian Ganly Ewen A. Griffiths Rohan R. Gujjuri Angelos G. Kolias Haytham M.A. Kaafarani Ana Minaya-Bravo Siobhan C. McKay Helen M. Mohan Keith J. Roberts Carlos San Miguel-Méndez Peter Pockney Richard Shaw Neil J. Smart Grant D. Stewart Sudha Sundar, MRCOG Raghavan Vidya Aneel A. Bhangu James C Glasbey Dmitri Nepogodiev Joana FF Simoes Omar Omar Elizabeth Li Mary L Venn Mohammad Abou Chaar Vita Capizzi Daoud Chaudhry Anant Desai Jonathan G Edwards Jonathan P Evans Marco Fiore Jose Flavio Videria Samuel J Ford Ian Ganyli Ewen A Griffiths Rohan R Gujjuri Angelos G Kolias Haytham MA Kaafarani Ana Minaya-Bravo Siobhan C McKay Helen M Mohan Keith Roberts Carlos San Miguel-Méndez Peter Pockney Richard Shaw Neil J Smart Grant D Stewart Sudha Sundar Raghavan Vidya Aneel A Bhangu James C Glasbey Omar Omar Aneel A Bhangu Kwabena Siaw-Acheampong Ruth A Benson Edward Bywater Daoud Chaudhry Brett E Dawson Jonathan P Evans James C Glasbey Rohan R Gujjuri Emily Heritage Conor S Jones Sivesh K Kamarajah Chetan Khatri Rachel A Khaw James M Keatley Andrew Knight Samuel Lawday Elizabeth Li Harvinder S Mann Ella J Marson Kenneth A McLean Siobhan C McKay Emily C Mills Dmitri Nepogodiev Gianluca Pellino Maria Picciochi Elliott H Taylor Abhinav Tiwari Joana FF Simoes Isobel M Trout Mary L Venn Richard JW Wilkin Aneel A Bhangu James C Glasbey Neil J Smart Ana Minaya-Bravo Jonathan P Evans Gaetano Gallo Susan Moug Francesco Pata Peter Pockney Salomone Di Saverio Abigail Vallance Dale Vimalchandran Ewen A Griffiths Sivesh K Kamarajah Richard PT Evans Philip Townend Keith Roberts Siobhan McKay John Isaac Sohei Satoi John Edwards Aman S Coonar Adrian Marchbank Edward J Caruana Georgia R Layton Akshay Patel Alessandro Brunelli Samuel Ford Anant Desai Alessandro Gronchi Marco Fiore Max Almond Fabio Tirotta Sinziana Dumitra Angelos Kolias Stephen J Price Daniel M Fountain Michael D Jenkinson Peter Hutchinson Hani J Marcus Rory J Piper Laura Lippa Franco Servadei Ignatius Esene Christian Freyschlag Iuri Neville Gail Rosseau Karl Schaller Andreas K Demetriades Faith Robertson Alex Alamri Richard Shaw Andrew G Schache Stuart C Winter Michael Ho Paul Nankivell Juan Rey Biel Martin Batstone Ian Ganly Raghavan Vidya Alex Wilkins Jagdeep K Singh Dinesh Thekinkattil Sudha Sundar Christina Fotopoulou Elaine Leung Tabassum Khan Luis Chiva Jalid Sehouli Anna Fagotti Paul Cohen Murat Gutelkin Rahel Ghebre Thomas Konney Rene Pareja Rob Bristow Sean Dowdy TS Shylasree R Kottayasamy Seenivasagam Joe Ng Keiiji Fujiwara Grant D Stewart Benjamin Lamb Krishna Narahari Alan McNeill Alexandra Colquhoun John McGrath Steve Bromage Ravi Barod Veeru Kasivisvanathan Tobias Klatte Joana FF Simoes Tom EF Abbott Sadi Abukhalaf Michel Adamina Adesoji O Ademuyiwa Arnav Agarwal Murat Akkulak Ehab Alameer Derek Alderson Felix Alakaloko Markus Albertsmeiers Osaid Alser Muhammad Alshaar Sattar Alshryda Alexis P Arnaud Knut Magne Augestad Faris Ayasra José Azevedo Brittany K Bankhead-Kendall Emma Barlow David Beard Ruth A Benson Ruth Blanco-Colino Amanpreet Brar Ana Minaya-Bravo Kerry A Breen Chris Bretherton Igor Lima Buarque Joshua Burke Edward J Caruana Mohammad Chaar Sohini Chakrabortee Peter Christensen Daniel Cox Moises Cukier Miguel F Cunha Giana H Davidson Anant Desai Salomone Di Saverio Thomas M Drake John G Edwards Muhammed Elhadi Sameh Emile Shebani Farik Marco Fiore J Edward Fitzgerald Samuel Ford Tatiana Garmanova Gaetano Gallo Dhruv Ghosh Gustavo Mendonça Ataíde Gomes Gustavo Grecinos Ewen A Griffiths Madalegna Gründl Constantine Halkias Ewen M Harrison Intisar Hisham Peter J Hutchinson Shelley Hwang Arda Isik Michael D Jenkinson Pascal Jonker Haytham MA Kaafarani Debby Keller Angelos Kolias Schelto Kruijff Ismail Lawani Hans Lederhuber Sezai Leventoglu Andrey Litvin Andrew Loehrer Markus W Löffler Maria Aguilera Lorena Maria Marta Modolo Piotr Major Janet Martin Hassan N Mashbari Dennis Mazingi Symeon Metallidis Ana Minaya-Bravo Helen M Mohan Rachel Moore David Moszkowicz Susan Moug Joshua S Ng-Kamstra Mayaba Maimbo Ionut Negoi Milagros Niquen Faustin Ntirenganya Maricarmen Olivos Kacimi Oussama Oumaima Outani Marie Dione Parreno-Sacdalanm Francesco Pata Carlos Jose Perez Rivera Thomas D Pinkney Willemijn van der Plas Peter Pockney Ahmad Qureshi Dejan Radenkovic Antonio Ramos-De la Medina Keith Roberts April C Roslani Martin Rutegård Juan José Segura-Sampedro Irène Santos Sohei Satoi Raza Sayyed Andrew Schache Andreas A Schnitzbauer Justina O. Seyi-Olajide Neil Sharma Richard Shaw Sebastian Shu Kjetil Soreide Antonino Spinelli Grant D Stewart Malin Sund Sudha Sundar Stephen Tabiri Philip Townend Georgios Tsoulfas Gabrielle H van Ramshorst Raghavan Vidya Dale Vimalachandran Oliver J Warren Duane Wedderburn Naomi Wright C Allemand L Boccalatte M Figari M Lamm J Larrañaga C Marchitelli F Noll D Odetto M Perrotta J Saadi L Zamora C Alurralde EL Caram D Eskinazi JP Mendoza M Usandivaras R Badra A Esteban JS García PM García JI Gerchunoff SM Lucchini MA NIgra L Vargas T Hovhannisyan A Stepanyan T Gould R Gourlay B Griffiths S Gananadha M McLaren J Cecire N Joshi S Salindera A Sutherland JH Ahn G Charlton S Chen N Gauri R Hayhurst S Jang F Jia C Mulligan W Yang G Ye H Zhang M Ballal D Gibson D Hayne J Moss T Richards P Viswambaram UG Vo J Bennetts T Bright M Brooke-Smith R Fong B Gricks YH Lam BS Ong M Szpytma D Watson K Bagraith S Caird E Chan C Dawson D Ho E Jeyarajan S Jordan A Lim GJ Nolan A Oar D Parker H Puhalla A Quennell L 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Title: Elective Cancer Surgery in COVID-19–Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study
Description:
PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed.
This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway.
PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2.
Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020.
At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19).
The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation).
RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways.
Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery.
After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.
2% v 4.
9%; adjusted odds ratio [aOR], 0.
62; 95% CI, 0.
44 to 0.
86).
This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests.
The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.
1% v 3.
6%; aOR, 0.
53; 95% CI, 0.
36 to 0.
76).
CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks.

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