• Gynecol Obstet Fertil Senol · Nov 2020

    Multicenter Study

    [Impact of the COVID-19 Outbreak on the management of patients with gynecological cancers].

    • G Lamblin, F Golfier, J Peron, S Moret, G Chene, E Nohuz, M Lebon, G Dubernard, and M Cortet.
    • Service de chirurgie gynécologique, hôpital Femme Mère-Enfant, hospices civils de Lyon, 59, boulevard Pinel, 69677 Bron, France; Université Claude-Bernard Lyon 1, Lyon, France. Electronic address: gery.lamblin@chu-lyon.fr.
    • Gynecol Obstet Fertil Senol. 2020 Nov 1; 48 (11): 777-783.

    ObjectiveThe exceptional health situation related to the SARS-Cov2 coronavirus pandemic (COVID-19) required a deep and very quickly adaptation of management practices in gynecological cancer. The main objective is to estimate the proportion of patients with treatment modifications.MethodThis is a multicenter prospective study conducted in 3 university gynecological cancer departments (HCLyon, France) during the period of confinement (March 16 to May 11, 2020). All patients with non-metastatic breast cancer or gynecological cancer were included. The planned treatment, postponement, delay and organizational modifications (RCP, teleconsultations) were studied.ResultsTwo hundred and five consecutive patients were included, average age 60.5±1.0. 7 patients (3.4%) had SARS-Cov-2 infection, 2 patients died. One hundred and twenty-two patients (59.5%) had a treatment maintained, 72 patients (35.1%) postponed, 11 patients (5.4%) cancelled. Of the 115 (56.1%) planned surgeries, 40 (34.8%) postponed, 7 cancelled (6.1%). 9 patients (7.8%) had a surgical modification. Of the 59 (28.8%) radiotherapy treatments scheduled, 24 (40.7%) postponed and 2 (3.4%) cancelled. Of the 56 (27.3%) chemotherapy treatment planned, 8 (14.3%) postponed and 2 (3.6%) cancelled. One hundred and forty-five patients (70.7%) have been discussed in multidisciplinary meeting. One hundred and fifty-eight patients (77%) had a teleconsultation system.ConclusionOur study assessed the impact of the COVID-19 pandemic on therapeutic management of patients with gynecological cancer during the period of confinement. This will probably improve our management of an eventual epidemic rebound or future health crisis.Copyright © 2020 Elsevier Masson SAS. All rights reserved.

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