International Journal of Clinical Obstetrics and Gynaecology
2020, Vol. 4, Issue 4, Part B
Impact of COVID-19 on gynecological cancer management
Author(s): Dr. Anju Kumari Rani, Dr. Sushma Agarwal, Dr. Rahul and Shobhit Kumar
Abstract: The coronavirus disease 2019 (COVID-19) pandemic has affected every aspect of health care, including the delivery of standard care to patients afflicted with cancer. Patients with cancer may be at higher risk for COVID 19 morbidity or mortality than general population. Whether one can delay cancer procedures remains an ethical issue and there is not much clarity on management in these critical situation. Currently available literature on impact of COVID-19 on gynecological cancer management was reviewed. COVID-19 poses more risks to cancer patients especially who are older and have medical co-morbidities. On the other hand, gynecological malignancies require radical surgical procedures, complex prolonged radiation techniques, and myelosuppressive chemotherapy which make these patients more susceptible for COVID-19. A virtual multidisciplinary tumour board should conducted to plan their management. To limit the hospital visit, teleconsultation should be used to advise patients for pretherapy evaluation and post therapy follow up. Surgical decision making may be categories into three categories: patients with low, intermediate, or high acuity. Assessment of the severity of disease, co-morbidites, and logistic challenges along with COVID-19 burden in their area are important variables for individualized decision making. Safety of healthcare personnel needs to be ensured at the same time. Currently available evidence is limited by small sample size and unfamiliarity with the full impact of this pandemic on cancer. However, the ongoing crisis will strain resources needed to deliver cancer care in the future.
Dr. Anju Kumari Rani, Dr. Sushma Agarwal, Dr. Rahul, Shobhit Kumar. Impact of COVID-19 on gynecological cancer management. Int J Clin Obstet Gynaecol 2020;4(4):94-98. DOI: 10.33545/gynae.2020.v4.i4b.630