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COVID-19 free oncologic surgical hub: The experience of reallocation of a gynecologic oncology unit during pandemic outbreak.
Perrone, Anna M; Dondi, Giulia; Giunchi, Susanna; De Crescenzo, Eugenia; Boussedra, Safia; Tesei, Marco; D'Andrea, Rocco; De Leo, Antonio; Zamagni, Claudio; Morganti, Alessio G; De Palma, Alessandra; De Iaco, Pierandrea.
  • Perrone AM; Gynecologic Oncology Unit, Azienda Ospedaliero-Universitaria di Bologna, via Albertoni 15, Bologna, Italy; Centro di Studio e Ricerca delle Neoplasie Ginecologiche (CSR), University of Bologna, Bologna, Italy. Electronic address: myriam.perrone@aosp.bo.it.
  • Dondi G; Gynecologic Oncology Unit, Azienda Ospedaliero-Universitaria di Bologna, via Albertoni 15, Bologna, Italy; Centro di Studio e Ricerca delle Neoplasie Ginecologiche (CSR), University of Bologna, Bologna, Italy.
  • Giunchi S; Gynecologic Oncology Unit, Azienda Ospedaliero-Universitaria di Bologna, via Albertoni 15, Bologna, Italy.
  • De Crescenzo E; Gynecologic Oncology Unit, Azienda Ospedaliero-Universitaria di Bologna, via Albertoni 15, Bologna, Italy.
  • Boussedra S; Gynecologic Oncology Unit, Azienda Ospedaliero-Universitaria di Bologna, via Albertoni 15, Bologna, Italy.
  • Tesei M; Gynecologic Oncology Unit, Azienda Ospedaliero-Universitaria di Bologna, via Albertoni 15, Bologna, Italy; Centro di Studio e Ricerca delle Neoplasie Ginecologiche (CSR), University of Bologna, Bologna, Italy.
  • D'Andrea R; Anestesiology and Intensive Care Unit, Azienda Ospedaliero-Universitaria di Bologna, via Albertoni 15, Bologna, Italy.
  • De Leo A; Centro di Studio e Ricerca delle Neoplasie Ginecologiche (CSR), University of Bologna, Bologna, Italy; Molecular Diagnostic Unit, Azienda USL, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy.
  • Zamagni C; Centro di Studio e Ricerca delle Neoplasie Ginecologiche (CSR), University of Bologna, Bologna, Italy; Oncologia Medica Addarii, Azienda Ospedaliero-Universitaria di Bologna, via Albertoni 15, Bologna, Italy.
  • Morganti AG; Centro di Studio e Ricerca delle Neoplasie Ginecologiche (CSR), University of Bologna, Bologna, Italy; Radiotherapy Unit, Azienda Ospedaliero-Universitaria di Bologna, via Albertoni 15, Bologna, Italy.
  • De Palma A; Forensic Medicine and Integrated Risk Management Unit, Azienda Ospedaliero-Universitaria di Bologna, via Albertoni 15, Bologna, Italy.
  • De Iaco P; Gynecologic Oncology Unit, Azienda Ospedaliero-Universitaria di Bologna, via Albertoni 15, Bologna, Italy; Centro di Studio e Ricerca delle Neoplasie Ginecologiche (CSR), University of Bologna, Bologna, Italy.
Gynecol Oncol ; 161(1): 89-96, 2021 04.
Article in English | MEDLINE | ID: covidwho-933534
ABSTRACT

INTRODUCTION:

During the SARS-CoV-2 pandemic, the majority of healthcare resources of the affected Italian regions were allocated to COVID-19 patients. Due to lack of resources and high risk of death, most cancer patients have been shifted to non-surgical treatments. The following reports our experience of a Gynaecologic Oncology Unit's reallocation of resources in a COVID-19 free surgical oncologic hub in order to guarantee standard quality of surgical activities. MATERIALS AND

METHODS:

This is a prospective observational study performed in the Gynaecologic Oncology Unit, on the outcomes of the reallocation of surgical activities outside the University Hospital of Bologna, Italy, during the Italian lockdown period. Here, we described our COVID-19 free surgical oncologic pathway, in terms of lifestyle restrictions, COVID-19 screening measures, and patient clinical, surgical and follow up outcomes.

RESULTS:

During the lockdown period (March 9th - May 4th, 2020), 83 patients were scheduled for oncological surgery, 51 patients underwent surgery. Compared to pre-COVID period, we performed the same activities number of cases scheduled for surgery, type of surgery and surgical and oncological results. No cases of COVID-19 infection were recorded in operated patients and in medical staff. Patients were compliant and well accepted the lifestyle restrictions and reorganization of the care. CONCLUSIONSONCLUSIONS Our experience showed that the prioritization of oncological surgical care and the allocation of resources during a pandemic in COVID-19 free surgical hubs is an appropriate choice to guarantee oncological protocols.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Health Care Rationing / Infection Control / COVID-19 / Genital Neoplasms, Female / Health Services Accessibility Type of study: Cohort study / Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Middle aged Country/Region as subject: Europa Language: English Journal: Gynecol Oncol Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Health Care Rationing / Infection Control / COVID-19 / Genital Neoplasms, Female / Health Services Accessibility Type of study: Cohort study / Observational study / Prognostic study Limits: Adult / Aged / Female / Humans / Middle aged Country/Region as subject: Europa Language: English Journal: Gynecol Oncol Year: 2021 Document Type: Article