Major urological cancer surgery for patients is safe and surgical training should be encouraged during the covid-19 pandemic: a multicentre analysis of 30-day outcomes

Tan, Wei Shen, Arianayagam, Rajan, Khetrapal, Pramit, Rowe, Edward, Kearley, Samantha, Mahrous, Ahmed, Pal, Raj, Fowler, William, Heer, Rakesh, Elajnaf, Mohamed, Douglas-Moore, Jayne, Leyshon Griffiths, T.R., Voss, James, Wilby, Daniel, Al Kadhi, Omar, Noel, Jonathan, Vasdev, Nikhil, McKay, Alastair, Ahmad, Imran, Abu-Nayla, Islam, Lamb, Benjamin, Hill, George T., Narahari, Krishna ORCID: https://orcid.org/0000-0003-0257-7033, Kynaston, Howard ORCID: https://orcid.org/0000-0003-1902-9930, Yousuf, Arzu, Kusuma, Venkata R.M., Cresswell, Jo, Cooke, Pete, Chakravarti, Aniruddha, Barod, Ravi, Bex, Axel and Kelly, John D. 2021. Major urological cancer surgery for patients is safe and surgical training should be encouraged during the covid-19 pandemic: a multicentre analysis of 30-day outcomes. European Urology Open Science 25 , pp. 39-43. 10.1016/j.euros.2021.01.005

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Abstract

COVID-19 has resulted in the deferral of major surgery for genitourinary (GU) cancers with the exception of cancers with a high risk of progression. We report outcomes for major GU cancer operations, namely radical prostatectomy (RP), radical cystectomy (RC), radical nephrectomy (RN), partial nephrectomy (PN), and nephroureterectomy performed at 13 major GU cancer centres across the UK between March 1 and May 5, 2020. A total of 598 such operations were performed. Four patients (0.7%) developed COVID-19 postoperatively. There was no COVID-19–related mortality at 30 d. A minimally invasive approach was used in 499 cases (83.4%). A total of 228 cases (38.1%) were described as training procedures. Training case status was not associated with a higher American Society of Anesthesiologists (ASA) score (p =  0.194) or hospital length of stay (LOS; p >  0.05 for all operation types). The risk of contracting COVID-19 was not associated with longer hospital LOS (p =  0.146), training case status (p =  0.588), higher ASA score (p =  0.295), or type of hospital site (p =  0.303). Our results suggest that major surgery for urological cancers remains safe and training should be encouraged during the ongoing COVID-19 pandemic provided appropriate countermeasures are taken. These real-life data are important for policy-makers and clinicians when counselling patients during the current pandemic.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Publisher:	Elsevier
ISSN:	2666-1691
Date of First Compliant Deposit:	29 November 2024
Date of Acceptance:	5 January 2021
Last Modified:	29 Nov 2024 16:31
URI:	https://orca.cardiff.ac.uk/id/eprint/173956

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