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Safety of patients and providers in lung cancer surgery during the COVID-19 pandemic.
Chang, Stephanie H; Zervos, Michael; Kent, Amie; Chachoua, Abraham; Bizekis, Costas; Pass, Harvey; Cerfolio, Robert J.
  • Chang SH; Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY, USA.
  • Zervos M; Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY, USA.
  • Kent A; Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY, USA.
  • Chachoua A; Division of Medical Oncology, Department of Medicine, New York University Langone Health, New York, NY, USA.
  • Bizekis C; Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY, USA.
  • Pass H; Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY, USA.
  • Cerfolio RJ; Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY, USA.
Eur J Cardiothorac Surg ; 58(6): 1222-1227, 2020 12 01.
Article in English | MEDLINE | ID: covidwho-910370
Semantic information from SemMedBD (by NLM)
1. Reluctance PROCESS_OF Patients
Subject
Reluctance
Predicate
PROCESS_OF
Object
Patients
2. Lung excision TREATS Malignant neoplasm of lung
Subject
Lung excision
Predicate
TREATS
Object
Malignant neoplasm of lung
3. Lung excision TREATS Patients
Subject
Lung excision
Predicate
TREATS
Object
Patients
4. Lung LOCATION_OF Suspected malignancy
Subject
Lung
Predicate
LOCATION_OF
Object
Suspected malignancy
5. removal technique TREATS Suspected malignancy
Subject
removal technique
Predicate
TREATS
Object
Suspected malignancy
6. removal technique TREATS Confirmation
Subject
removal technique
Predicate
TREATS
Object
Confirmation
7. Suspected malignancy PROCESS_OF Patients
Subject
Suspected malignancy
Predicate
PROCESS_OF
Object
Patients
8. Confirmation PROCESS_OF Patients
Subject
Confirmation
Predicate
PROCESS_OF
Object
Patients
9. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
10. Segmental Mastectomy TREATS Patients
Subject
Segmental Mastectomy
Predicate
TREATS
Object
Patients
11. Pneumonectomy TREATS Patients
Subject
Pneumonectomy
Predicate
TREATS
Object
Patients
12. Lobectomy of lung TREATS Patients
Subject
Lobectomy of lung
Predicate
TREATS
Object
Patients
13. Complication PROCESS_OF Patients
Subject
Complication
Predicate
PROCESS_OF
Object
Patients
14. Symptoms PROCESS_OF Health Personnel
Subject
Symptoms
Predicate
PROCESS_OF
Object
Health Personnel
15. Symptoms PROCESS_OF Patients
Subject
Symptoms
Predicate
PROCESS_OF
Object
Patients
16. Reluctance PROCESS_OF Patients
Subject
Reluctance
Predicate
PROCESS_OF
Object
Patients
17. Lung excision TREATS Malignant neoplasm of lung
Subject
Lung excision
Predicate
TREATS
Object
Malignant neoplasm of lung
18. Lung excision TREATS Patients
Subject
Lung excision
Predicate
TREATS
Object
Patients
19. Lung LOCATION_OF Suspected malignancy
Subject
Lung
Predicate
LOCATION_OF
Object
Suspected malignancy
20. removal technique TREATS Suspected malignancy
Subject
removal technique
Predicate
TREATS
Object
Suspected malignancy
21. removal technique TREATS Confirmation
Subject
removal technique
Predicate
TREATS
Object
Confirmation
22. Suspected malignancy PROCESS_OF Patients
Subject
Suspected malignancy
Predicate
PROCESS_OF
Object
Patients
23. Confirmation PROCESS_OF Patients
Subject
Confirmation
Predicate
PROCESS_OF
Object
Patients
24. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
25. Segmental Mastectomy TREATS Patients
Subject
Segmental Mastectomy
Predicate
TREATS
Object
Patients
26. Pneumonectomy TREATS Patients
Subject
Pneumonectomy
Predicate
TREATS
Object
Patients
27. Lobectomy of lung TREATS Patients
Subject
Lobectomy of lung
Predicate
TREATS
Object
Patients
28. Complication PROCESS_OF Patients
Subject
Complication
Predicate
PROCESS_OF
Object
Patients
29. Symptoms PROCESS_OF Health Personnel
Subject
Symptoms
Predicate
PROCESS_OF
Object
Health Personnel
30. Symptoms PROCESS_OF Patients
Subject
Symptoms
Predicate
PROCESS_OF
Object
Patients
ABSTRACT

OBJECTIVES:

The coronavirus disease 2019 (COVID-19) pandemic has resulted in patient reluctance to seek care due to fear of contracting the virus, especially in New York City which was the epicentre during the surge. The primary objectives of this study are to evaluate the safety of patients who have undergone pulmonary resection for lung cancer as well as provider safety, using COVID-19 testing, symptoms and early patient outcomes.

METHODS:

Patients with confirmed or suspected pulmonary malignancy who underwent resection from 13 March to 4 May 2020 were retrospectively reviewed.

RESULTS:

Between 13 March and 4 May 2020, 2087 COVID-19 patients were admitted, with a median daily census of 299, to one of our Manhattan campuses (80% of hospital capacity). During this time, 21 patients (median age 72 years) out of 45 eligible surgical candidates underwent pulmonary resection-13 lobectomies, 6 segmentectomies and 2 pneumonectomies were performed by the same providers who were caring for COVID-19 patients. None of the patients developed major complications, 5 had minor complications, and the median length of hospital stay was 2 days. No previously COVID-19-negative patient (n = 20/21) or healthcare provider (n = 9 3 surgeons, 3 surgical assistants, 3 anaesthesiologists) developed symptoms of or tested positive for COVID-19.

CONCLUSIONS:

Pulmonary resection for lung cancer is safe in selected patients, even when performed by providers who care for COVID-19 patients in a hospital with a large COVID-19 census. None of our patients or providers developed symptoms of COVID-19 and no patient experienced major morbidity or mortality.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonectomy / Postoperative Complications / Infection Control / Infectious Disease Transmission, Patient-to-Professional / Carcinoma, Non-Small-Cell Lung / COVID-19 / Lung Neoplasms Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: Eur J Cardiothorac Surg Journal subject: Cardiology Year: 2020 Document Type: Article Affiliation country: Ejcts

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonectomy / Postoperative Complications / Infection Control / Infectious Disease Transmission, Patient-to-Professional / Carcinoma, Non-Small-Cell Lung / COVID-19 / Lung Neoplasms Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Aged / Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: Eur J Cardiothorac Surg Journal subject: Cardiology Year: 2020 Document Type: Article Affiliation country: Ejcts