Management of penile cancer patients during the COVID-19 pandemic: An eUROGEN accelerated Delphi consensus study.
Urol Oncol
; 39(3): 197.e9-197.e17, 2021 03.
Article
in English
| MEDLINE | ID: covidwho-1003112
ABSTRACT
OBJECTIVES:
To develop an international consensus on managing penile cancer patients during the COVID-19 acute waves. A major concern for patients with penile cancer during the coronavirus disease 2019 (COVID-19) pandemic is how the enforced safety measures will affect their disease management. Delays in diagnosis and treatment initiation may have an impact on the extent of the primary lesion as well as the cancer-specific survival because of the development and progression of inguinal lymph node metastases. MATERIALS ANDMETHODS:
A review of the COVID-19 literature was conducted in conjunction with analysis of current international guidelines on the management of penile cancer. Results were presented to an international panel of experts on penile cancer and infection control by a virtual accelerated Delphi process using 4 survey rounds. Consensus opinion was defined as an agreement of ≥80%, which was used to reconfigure management pathways for penile cancer.RESULTS:
Limited evidence is available for delaying penile cancer management. The consensus rate of agreement was 100% that penile cancer pathways should be reconfigured, and measures should be developed to prevent perioperative nosocomial transmission of COVID-19. The panel also reached a consensus on several statements aimed at reconfiguring the management of penile cancer patients during the COVID-19 pandemic.CONCLUSIONS:
The international consensus panel proposed a framework for the diagnostic and invasive therapeutic procedures for penile cancer within a low-risk environment for COVID-19.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Penile Neoplasms
/
Delphi Technique
/
Practice Guidelines as Topic
/
SARS-CoV-2
/
COVID-19
Type of study:
Observational study
/
Prognostic study
/
Qualitative research
Topics:
Long Covid
Limits:
Humans
/
Male
Language:
English
Journal:
Urol Oncol
Journal subject:
Neoplasms
/
Urology
Year:
2021
Document Type:
Article
Affiliation country:
J.urolonc.2020.12.005
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