Your browser doesn't support javascript.
Gynecologic oncology care during the COVID-19 pandemic at three affiliated New York City hospitals.
Frey, Melissa K; Fowlkes, Rana K; Badiner, Nora M; Fishman, David; Kanis, Margaux; Thomas, Charlene; Christos, Paul J; Martin, Peter; Gamble, Charlotte; Balogun, Onyinye D; Cardenes, Higinia; Gorelick, Constantine; Pua, Tara; Nguyen, Long; Holcomb, Kevin; Chapman-Davis, Eloise.
  • Frey MK; NewYork-Presbyterian Weill Cornell Medicine, USA. Electronic address: mkf2002@med.cornell.edu.
  • Fowlkes RK; NewYork-Presbyterian Weill Cornell Medicine, USA.
  • Badiner NM; NewYork-Presbyterian Weill Cornell Medicine, USA.
  • Fishman D; NewYork-Presbyterian Queens, USA.
  • Kanis M; NewYork-Presbyterian Brooklyn Methodist, USA.
  • Thomas C; NewYork-Presbyterian Weill Cornell Medicine, USA.
  • Christos PJ; NewYork-Presbyterian Weill Cornell Medicine, USA.
  • Martin P; NewYork-Presbyterian Weill Cornell Medicine, USA.
  • Gamble C; NewYork-Presbyterian Weill Cornell Medicine, USA.
  • Balogun OD; NewYork-Presbyterian Weill Cornell Medicine, USA.
  • Cardenes H; NewYork-Presbyterian Weill Cornell Medicine, USA.
  • Gorelick C; NewYork-Presbyterian Brooklyn Methodist, USA.
  • Pua T; NewYork-Presbyterian Queens, USA.
  • Nguyen L; NewYork-Presbyterian Queens, USA.
  • Holcomb K; NewYork-Presbyterian Weill Cornell Medicine, USA.
  • Chapman-Davis E; NewYork-Presbyterian Weill Cornell Medicine, USA.
Gynecol Oncol ; 159(2): 470-475, 2020 11.
Article in English | MEDLINE | ID: covidwho-801306
ABSTRACT

BACKGROUND:

New York City was among the epicenters during the COVID-19 pandemic. Oncologists must balance plausible risks of COVID-19 infection with the recognized consequences of delaying cancer treatment, keeping in mind the capacity of the health care system. We sought to investigate treatment patterns in gynecologic cancer care during the first two months of the COVID-19 pandemic at three affiliated New York City hospitals located in Brooklyn, Manhattan and Queens.

METHODS:

A prospective registry of patients with active or presumed gynecologic cancers receiving inpatient and/or outpatient care at three affiliated New York City hospitals was maintained between March 1 and April 30, 2020. Clinical and demographic data were abstracted from the electronic medical record with a focus on oncologic treatment. Multivariable logistic regression analysis was explored to evaluate the independent effect of hospital location, race, age, medical comorbidities, cancer status and COVID-19 status on treatment modifications.

RESULTS:

Among 302 patients with gynecologic cancer, 117 (38.7%) experienced a COVID-19-related treatment modification (delay, change or cancellation) during the first two months of the pandemic in New York. Sixty-four patients (67.4% of those scheduled for surgery) had a COVID-19-related modification in their surgical plan, 45 (21.5% of those scheduled for systemic treatment) a modification in systemic treatment and 12 (18.8% of those scheduled for radiation) a modification in radiation. Nineteen patients (6.3%) had positive COVID-19 testing. On univariate analysis, hospital location in Queens or Brooklyn, age ≤65 years, treatment for a new cancer diagnosis versus recurrence and COVID-19 positivity were associated with treatment modifications. On multivariable logistic regression analysis, hospital location in Queens and COVID-19 positive testing were independently associated with treatment modifications.

CONCLUSIONS:

More than one third of patients with gynecologic cancer at three affiliated New York City hospitals experienced a treatment delay, change or cancellation during the first two months of the COVID-19 pandemic. Among the three New York City boroughs represented in this study, likelihood of gynecologic oncology treatment modifications correlated with the case burden of COVID-19.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Appointments and Schedules / Pneumonia, Viral / Coronavirus Infections / Pandemics / Genital Neoplasms, Female / Hospitals Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Middle aged Country/Region as subject: North America Language: English Journal: Gynecol Oncol Year: 2020 Document Type: Article

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Appointments and Schedules / Pneumonia, Viral / Coronavirus Infections / Pandemics / Genital Neoplasms, Female / Hospitals Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Middle aged Country/Region as subject: North America Language: English Journal: Gynecol Oncol Year: 2020 Document Type: Article