CovidStanfordV1, Main, Exploration, bibRecord, 000146

When to Operate, Hesitate and Reintegrate: Society of Gynecologic Oncology Surgical Considerations during the COVID-19 Pandemic.

Identifieur interne : 000146 ( Main/Exploration ); précédent : 000145; suivant : 000147

When to Operate, Hesitate and Reintegrate: Society of Gynecologic Oncology Surgical Considerations during the COVID-19 Pandemic.

Auteurs : Amanda N. Fader [États-Unis] ; Warner K. Huh [États-Unis] ; Joshua Kesterson [États-Unis] ; Bhavana Pothuri [États-Unis] ; Stephanie Wethington [États-Unis] ; Jason D. Wright [États-Unis] ; Jamie N. Bakkum-Gamez [États-Unis] ; Pamela T. Soliman [États-Unis] ; Abdulrahman K. Sinno [États-Unis] ; Mario Leitao [États-Unis] ; Martin A. Martino [États-Unis] ; Amer Karam [États-Unis] ; Emma Rossi [États-Unis] ; Jubilee Brown [États-Unis] ; Stephanie Blank [États-Unis] ; William Burke [États-Unis] ; Barbara Goff [États-Unis] ; S Diane Yamada [États-Unis] ; Shitanshu Uppal [États-Unis] ; Sean C. Dowdy [États-Unis]

Source :

Gynecologic oncology [ 1095-6859 ] ; 2020.

RBID : pubmed:32532460

Descripteurs français

English descriptors

KwdEn :
- Betacoronavirus (isolation & purification), COVID-19 (MeSH), COVID-19 Testing (MeSH), Clinical Laboratory Techniques (methods), Clinical Laboratory Techniques (standards), Coronavirus Infections (diagnosis), Coronavirus Infections (prevention & control), Coronavirus Infections (transmission), Decision Making (MeSH), Female (MeSH), Genital Neoplasms, Female (surgery), Genital Neoplasms, Female (virology), Gynecologic Surgical Procedures (methods), Gynecologic Surgical Procedures (standards), Humans (MeSH), Infection Control (methods), Infection Control (standards), Infectious Disease Transmission, Patient-to-Professional (prevention & control), Pandemics (prevention & control), Pneumonia, Viral (diagnosis), Pneumonia, Viral (prevention & control), Pneumonia, Viral (transmission), SARS-CoV-2 (MeSH), Surgical Oncology (methods), Surgical Oncology (standards).
MESH :
- diagnosis : Coronavirus Infections, Pneumonia, Viral.
- isolation & purification : Betacoronavirus.
- methods : Clinical Laboratory Techniques, Gynecologic Surgical Procedures, Infection Control, Surgical Oncology.
- prevention & control : Coronavirus Infections, Infectious Disease Transmission, Patient-to-Professional, Pandemics, Pneumonia, Viral.
- standards : Clinical Laboratory Techniques, Gynecologic Surgical Procedures, Infection Control, Surgical Oncology.
- surgery : Genital Neoplasms, Female.
- transmission : Coronavirus Infections, Pneumonia, Viral.
- virology : Genital Neoplasms, Female.
- COVID-19, COVID-19 Testing, Decision Making, Female, Humans, SARS-CoV-2.

Abstract

The COVID-19 pandemic has challenged our ability to provide timely surgical care for our patients. In response, the U.S. Surgeon General, the American College of Srugeons, and other surgical professional societies recommended postponing elective surgical procedures and proceeding cautiously with cancer procedures that may require significant hospital resources and expose vulnerable patients to the virus. These challenges have particularly distressing for women with a gynecologic cancer diagnosis and their providers. Currently, circumstances vary greatly by region and by hospital, depending on COVID-19 prevalence, case mix, hospital type, and available resources. Therefore, COVID-19-related modifications to surgical practice guidelines must be individualized. Special consideration is necessary to evaluate the appropriateness of procedural interventions, recognizing the significant resources and personnel they require. Additionally, the pandemic may occur in waves, with patient demand for surgery ebbing and flowing accordingly. Hospitals, cancer centers and providers must prepare themselves to meet this demand. The purpose of this white paper is to highlight all phases of gynecologic cancer surgical care during the COVID-19 pandemic and to illustrate when it is best to operate, to hestitate, and reintegrate surgery. Triage and prioritization of surgical cases, preoperative COVID-19 testing, peri-operative safety principles, and preparations for the post-COVID-19 peak and surgical reintegration are reviewed.

DOI: 10.1016/j.ygyno.2020.06.001
PubMed: 32532460
PubMed Central: PMC7275160

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000608
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Le document en format XML

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<author><name sortKey="Sinno, Abdulrahman K" sort="Sinno, Abdulrahman K" uniqKey="Sinno A" first="Abdulrahman K" last="Sinno">Abdulrahman K. Sinno</name>
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<author><name sortKey="Rossi, Emma" sort="Rossi, Emma" uniqKey="Rossi E" first="Emma" last="Rossi">Emma Rossi</name>
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<author><name sortKey="Brown, Jubilee" sort="Brown, Jubilee" uniqKey="Brown J" first="Jubilee" last="Brown">Jubilee Brown</name>
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<author><name sortKey="Blank, Stephanie" sort="Blank, Stephanie" uniqKey="Blank S" first="Stephanie" last="Blank">Stephanie Blank</name>
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<author><name sortKey="Burke, William" sort="Burke, William" uniqKey="Burke W" first="William" last="Burke">William Burke</name>
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<author><name sortKey="Goff, Barbara" sort="Goff, Barbara" uniqKey="Goff B" first="Barbara" last="Goff">Barbara Goff</name>
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<author><name sortKey="Yamada, S Diane" sort="Yamada, S Diane" uniqKey="Yamada S" first="S Diane" last="Yamada">S Diane Yamada</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN</wicri:regionArea>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">When to Operate, Hesitate and Reintegrate: Society of Gynecologic Oncology Surgical Considerations during the COVID-19 Pandemic.</title>
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<author><name sortKey="Huh, Warner K" sort="Huh, Warner K" uniqKey="Huh W" first="Warner K" last="Huh">Warner K. Huh</name>
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<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Bakkum Gamez, Jamie N" sort="Bakkum Gamez, Jamie N" uniqKey="Bakkum Gamez J" first="Jamie N" last="Bakkum-Gamez">Jamie N. Bakkum-Gamez</name>
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<author><name sortKey="Soliman, Pamela T" sort="Soliman, Pamela T" uniqKey="Soliman P" first="Pamela T" last="Soliman">Pamela T. Soliman</name>
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<wicri:regionArea>Department of Gynecologic Oncology and Reproductive Medicine, MD Anderson Cancer Center, Houston, TX</wicri:regionArea>
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<author><name sortKey="Sinno, Abdulrahman K" sort="Sinno, Abdulrahman K" uniqKey="Sinno A" first="Abdulrahman K" last="Sinno">Abdulrahman K. Sinno</name>
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<wicri:regionArea>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Miami Medical Center, Miami, FL</wicri:regionArea>
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<author><name sortKey="Leitao, Mario" sort="Leitao, Mario" uniqKey="Leitao M" first="Mario" last="Leitao">Mario Leitao</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Gynecologic Oncology, Memorial Sloan Kettering Cancer Center, New York City, NY</wicri:regionArea>
<placeName><region type="state">État de New York</region>
</placeName>
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<author><name sortKey="Martino, Martin A" sort="Martino, Martin A" uniqKey="Martino M" first="Martin A" last="Martino">Martin A. Martino</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Lehigh Valley Health Network, Lancaster, PA</wicri:regionArea>
<placeName><region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
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<author><name sortKey="Karam, Amer" sort="Karam, Amer" uniqKey="Karam A" first="Amer" last="Karam">Amer Karam</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Stanford University Medical Center, Palo Alto, CA</wicri:regionArea>
<placeName><region type="state">Californie</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Rossi, Emma" sort="Rossi, Emma" uniqKey="Rossi E" first="Emma" last="Rossi">Emma Rossi</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC</wicri:regionArea>
<placeName><region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Brown, Jubilee" sort="Brown, Jubilee" uniqKey="Brown J" first="Jubilee" last="Brown">Jubilee Brown</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Atrium Health, Levine Cancer Institute, Charlotte, NC, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Atrium Health, Levine Cancer Institute, Charlotte, NC</wicri:regionArea>
<placeName><region type="state">Caroline du Nord</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Blank, Stephanie" sort="Blank, Stephanie" uniqKey="Blank S" first="Stephanie" last="Blank">Stephanie Blank</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Mt Sinai University, NYC, NY, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Mt Sinai University, NYC, NY</wicri:regionArea>
<placeName><region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Burke, William" sort="Burke, William" uniqKey="Burke W" first="William" last="Burke">William Burke</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, StonyBrook, NY, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, StonyBrook, NY</wicri:regionArea>
<placeName><region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Goff, Barbara" sort="Goff, Barbara" uniqKey="Goff B" first="Barbara" last="Goff">Barbara Goff</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Washington Medical Center, Seattle, WA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Washington Medical Center, Seattle, WA</wicri:regionArea>
<placeName><region type="state">Washington (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Yamada, S Diane" sort="Yamada, S Diane" uniqKey="Yamada S" first="S Diane" last="Yamada">S Diane Yamada</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Michigan Ann Arbor, MI, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Michigan Ann Arbor, MI</wicri:regionArea>
<placeName><region type="state">Michigan</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Uppal, Shitanshu" sort="Uppal, Shitanshu" uniqKey="Uppal S" first="Shitanshu" last="Uppal">Shitanshu Uppal</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Chicago Medical Center, Chicago, IL, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Chicago Medical Center, Chicago, IL</wicri:regionArea>
<placeName><region type="state">Illinois</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Dowdy, Sean C" sort="Dowdy, Sean C" uniqKey="Dowdy S" first="Sean C" last="Dowdy">Sean C. Dowdy</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN</wicri:regionArea>
<placeName><region type="state">Minnesota</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">Gynecologic oncology</title>
<idno type="eISSN">1095-6859</idno>
<imprint><date when="2020" type="published">2020</date>
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<term>COVID-19 (MeSH)</term>
<term>COVID-19 Testing (MeSH)</term>
<term>Clinical Laboratory Techniques (methods)</term>
<term>Clinical Laboratory Techniques (standards)</term>
<term>Coronavirus Infections (diagnosis)</term>
<term>Coronavirus Infections (prevention & control)</term>
<term>Coronavirus Infections (transmission)</term>
<term>Decision Making (MeSH)</term>
<term>Female (MeSH)</term>
<term>Genital Neoplasms, Female (surgery)</term>
<term>Genital Neoplasms, Female (virology)</term>
<term>Gynecologic Surgical Procedures (methods)</term>
<term>Gynecologic Surgical Procedures (standards)</term>
<term>Humans (MeSH)</term>
<term>Infection Control (methods)</term>
<term>Infection Control (standards)</term>
<term>Infectious Disease Transmission, Patient-to-Professional (prevention & control)</term>
<term>Pandemics (prevention & control)</term>
<term>Pneumonia, Viral (diagnosis)</term>
<term>Pneumonia, Viral (prevention & control)</term>
<term>Pneumonia, Viral (transmission)</term>
<term>SARS-CoV-2 (MeSH)</term>
<term>Surgical Oncology (methods)</term>
<term>Surgical Oncology (standards)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Betacoronavirus (isolement et purification)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Infections à coronavirus (diagnostic)</term>
<term>Infections à coronavirus (prévention et contrôle)</term>
<term>Infections à coronavirus (transmission)</term>
<term>Oncologie chirurgicale (méthodes)</term>
<term>Oncologie chirurgicale (normes)</term>
<term>Pandémies (prévention et contrôle)</term>
<term>Pneumopathie virale (diagnostic)</term>
<term>Pneumopathie virale (prévention et contrôle)</term>
<term>Pneumopathie virale (transmission)</term>
<term>Prise de décision (MeSH)</term>
<term>Procédures de chirurgie gynécologique (méthodes)</term>
<term>Procédures de chirurgie gynécologique (normes)</term>
<term>Prévention des infections (méthodes)</term>
<term>Prévention des infections (normes)</term>
<term>Techniques de laboratoire clinique (méthodes)</term>
<term>Techniques de laboratoire clinique (normes)</term>
<term>Transmission de maladie infectieuse du patient au professionnel de santé (prévention et contrôle)</term>
<term>Tumeurs de l'appareil génital féminin (chirurgie)</term>
<term>Tumeurs de l'appareil génital féminin (virologie)</term>
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<keywords scheme="MESH" qualifier="chirurgie" xml:lang="fr"><term>Tumeurs de l'appareil génital féminin</term>
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<term>Pneumonia, Viral</term>
</keywords>
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<term>Pneumopathie virale</term>
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</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Clinical Laboratory Techniques</term>
<term>Gynecologic Surgical Procedures</term>
<term>Infection Control</term>
<term>Surgical Oncology</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Oncologie chirurgicale</term>
<term>Procédures de chirurgie gynécologique</term>
<term>Prévention des infections</term>
<term>Techniques de laboratoire clinique</term>
</keywords>
<keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Oncologie chirurgicale</term>
<term>Procédures de chirurgie gynécologique</term>
<term>Prévention des infections</term>
<term>Techniques de laboratoire clinique</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Coronavirus Infections</term>
<term>Infectious Disease Transmission, Patient-to-Professional</term>
<term>Pandemics</term>
<term>Pneumonia, Viral</term>
</keywords>
<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Infections à coronavirus</term>
<term>Pandémies</term>
<term>Pneumopathie virale</term>
<term>Transmission de maladie infectieuse du patient au professionnel de santé</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Clinical Laboratory Techniques</term>
<term>Gynecologic Surgical Procedures</term>
<term>Infection Control</term>
<term>Surgical Oncology</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Genital Neoplasms, Female</term>
</keywords>
<keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Coronavirus Infections</term>
<term>Pneumonia, Viral</term>
</keywords>
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</keywords>
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<term>Decision Making</term>
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<term>Humans</term>
<term>SARS-CoV-2</term>
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<keywords scheme="MESH" qualifier="transmission" xml:lang="fr"><term>Femelle</term>
<term>Humains</term>
<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
<term>Prise de décision</term>
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<front><div type="abstract" xml:lang="en">The COVID-19 pandemic has challenged our ability to provide timely surgical care for our patients. In response, the U.S. Surgeon General, the American College of Srugeons, and other surgical professional societies recommended postponing elective surgical procedures and proceeding cautiously with cancer procedures that may require significant hospital resources and expose vulnerable patients to the virus. These challenges have particularly distressing for women with a gynecologic cancer diagnosis and their providers. Currently, circumstances vary greatly by region and by hospital, depending on COVID-19 prevalence, case mix, hospital type, and available resources. Therefore, COVID-19-related modifications to surgical practice guidelines must be individualized. Special consideration is necessary to evaluate the appropriateness of procedural interventions, recognizing the significant resources and personnel they require. Additionally, the pandemic may occur in waves, with patient demand for surgery ebbing and flowing accordingly. Hospitals, cancer centers and providers must prepare themselves to meet this demand. The purpose of this white paper is to highlight all phases of gynecologic cancer surgical care during the COVID-19 pandemic and to illustrate when it is best to operate, to hestitate, and reintegrate surgery. Triage and prioritization of surgical cases, preoperative COVID-19 testing, peri-operative safety principles, and preparations for the post-COVID-19 peak and surgical reintegration are reviewed.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32532460</PMID>
<DateCompleted><Year>2020</Year>
<Month>08</Month>
<Day>26</Day>
</DateCompleted>
<DateRevised><Year>2021</Year>
<Month>01</Month>
<Day>10</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1095-6859</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>158</Volume>
<Issue>2</Issue>
<PubDate><Year>2020</Year>
<Month>08</Month>
</PubDate>
</JournalIssue>
<Title>Gynecologic oncology</Title>
<ISOAbbreviation>Gynecol Oncol</ISOAbbreviation>
</Journal>
<ArticleTitle>When to Operate, Hesitate and Reintegrate: Society of Gynecologic Oncology Surgical Considerations during the COVID-19 Pandemic.</ArticleTitle>
<Pagination><MedlinePgn>236-243</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S0090-8258(20)31766-2</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ygyno.2020.06.001</ELocationID>
<Abstract><AbstractText>The COVID-19 pandemic has challenged our ability to provide timely surgical care for our patients. In response, the U.S. Surgeon General, the American College of Srugeons, and other surgical professional societies recommended postponing elective surgical procedures and proceeding cautiously with cancer procedures that may require significant hospital resources and expose vulnerable patients to the virus. These challenges have particularly distressing for women with a gynecologic cancer diagnosis and their providers. Currently, circumstances vary greatly by region and by hospital, depending on COVID-19 prevalence, case mix, hospital type, and available resources. Therefore, COVID-19-related modifications to surgical practice guidelines must be individualized. Special consideration is necessary to evaluate the appropriateness of procedural interventions, recognizing the significant resources and personnel they require. Additionally, the pandemic may occur in waves, with patient demand for surgery ebbing and flowing accordingly. Hospitals, cancer centers and providers must prepare themselves to meet this demand. The purpose of this white paper is to highlight all phases of gynecologic cancer surgical care during the COVID-19 pandemic and to illustrate when it is best to operate, to hestitate, and reintegrate surgery. Triage and prioritization of surgical cases, preoperative COVID-19 testing, peri-operative safety principles, and preparations for the post-COVID-19 peak and surgical reintegration are reviewed.</AbstractText>
<CopyrightInformation>Copyright © 2020 Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Fader</LastName>
<ForeName>Amanda N</ForeName>
<Initials>AN</Initials>
<AffiliationInfo><Affiliation>Kelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, Johns Hopkins Hospital, Baltimore, MD, USA. Electronic address: afader1@jhmi.edu.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Huh</LastName>
<ForeName>Warner K</ForeName>
<Initials>WK</Initials>
<AffiliationInfo><Affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Alabama, Birmingham, AL, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kesterson</LastName>
<ForeName>Joshua</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Penn State Hershey Medical Center, Hershey, PA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pothuri</LastName>
<ForeName>Bhavana</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, New York University, New York City, NY, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wethington</LastName>
<ForeName>Stephanie</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Kelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, Johns Hopkins Hospital, Baltimore, MD, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wright</LastName>
<ForeName>Jason D</ForeName>
<Initials>JD</Initials>
<AffiliationInfo><Affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Columbia University, New York City, NY, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bakkum-Gamez</LastName>
<ForeName>Jamie N</ForeName>
<Initials>JN</Initials>
<AffiliationInfo><Affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Soliman</LastName>
<ForeName>Pamela T</ForeName>
<Initials>PT</Initials>
<AffiliationInfo><Affiliation>Department of Gynecologic Oncology and Reproductive Medicine, MD Anderson Cancer Center, Houston, TX, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sinno</LastName>
<ForeName>Abdulrahman K</ForeName>
<Initials>AK</Initials>
<AffiliationInfo><Affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Miami Medical Center, Miami, FL, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Leitao</LastName>
<ForeName>Mario</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Gynecologic Oncology, Memorial Sloan Kettering Cancer Center, New York City, NY, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Martino</LastName>
<ForeName>Martin A</ForeName>
<Initials>MA</Initials>
<AffiliationInfo><Affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Lehigh Valley Health Network, Lancaster, PA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Karam</LastName>
<ForeName>Amer</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Stanford University Medical Center, Palo Alto, CA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Rossi</LastName>
<ForeName>Emma</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Brown</LastName>
<ForeName>Jubilee</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Atrium Health, Levine Cancer Institute, Charlotte, NC, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Blank</LastName>
<ForeName>Stephanie</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Mt Sinai University, NYC, NY, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Burke</LastName>
<ForeName>William</ForeName>
<Initials>W</Initials>
<AffiliationInfo><Affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, StonyBrook, NY, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Goff</LastName>
<ForeName>Barbara</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Washington Medical Center, Seattle, WA, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Yamada</LastName>
<ForeName>S Diane</ForeName>
<Initials>SD</Initials>
<AffiliationInfo><Affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Michigan Ann Arbor, MI, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Uppal</LastName>
<ForeName>Shitanshu</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Chicago Medical Center, Chicago, IL, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Dowdy</LastName>
<ForeName>Sean C</ForeName>
<Initials>SC</Initials>
<AffiliationInfo><Affiliation>Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, USA.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016454">Review</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>06</Month>
<Day>06</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Gynecol Oncol</MedlineTA>
<NlmUniqueID>0365304</NlmUniqueID>
<ISSNLinking>0090-8258</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000073640" MajorTopicYN="N">Betacoronavirus</DescriptorName>
<QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName>
</MeshHeading>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D000086742" MajorTopicYN="N">COVID-19 Testing</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019411" MajorTopicYN="N">Clinical Laboratory Techniques</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
<QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName>
<QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003657" MajorTopicYN="N">Decision Making</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005833" MajorTopicYN="N">Genital Neoplasms, Female</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="Y">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013509" MajorTopicYN="N">Gynecologic Surgical Procedures</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
<QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017053" MajorTopicYN="N">Infection Control</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
<QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017758" MajorTopicYN="N">Infectious Disease Transmission, Patient-to-Professional</DescriptorName>
<QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName>
</MeshHeading>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName>
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<MeshHeading><DescriptorName UI="D000071077" MajorTopicYN="N">Surgical Oncology</DescriptorName>
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<QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName>
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<CoiStatement>Declaration of competing interest Dr. Warner Huh reports personal fees from LICOR, outside the submitted work and Expert Witness: Skadden (on behalf of Intuitive Surgical). Dr. Bhavana Pothuri reports grants, personal fees and non-financial support outside the submitted work; institutional PI for industry sponsored trials from Tesaro/GSK, AstraZeneca, Merck, Genentech/Roche, and Clovis Oncology. Compensated advisory boards include Tesaro/GSK, AstraZeneca, and Eisai. Dr. Mario Leitao reports personal fees from JnJ/Ethicon, outside the submitted work and Dr. Leitao is an ad hoc speaker for Intuitive Surgical, Inc. Dr. Joshua Kesterson reports personal fees from GSK/Tesaro, personal fees from Clovis Oncology, outside the submitted work. Dr. Jason Wright reports grants from Merck, personal fees from Clovis Oncology, outside the submitted work. Dr. Amer Karam reports personal fees from Clovis Oncology, personal fees from GSK, personal fees from Astra Zeneca, personal fees from UpToDate, outside the submitted work. Dr. S. Diane Yamada reports other from LEAP Therapeutics, outside the submitted work. All other authors have nothing to disclose.</CoiStatement>
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When to Operate, Hesitate and Reintegrate: Society of Gynecologic Oncology Surgical Considerations during the COVID-19 Pandemic.

When to Operate, Hesitate and Reintegrate: Society of Gynecologic Oncology Surgical Considerations during the COVID-19 Pandemic.

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