Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Practical Recommendations for the Preoperative Screening and Protective Protocols in Cancer Surgeries During Covid-19: A Systematic Review Publisher



Dorri S1 ; Sari F2 ; Seyedhasani SN3 ; Atashi A4 ; Hashemi E2 ; Olfatbakhsh A2
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Management and Health Information Technology, School of Management and Medical Information Sciences, Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Clinical Research Department, Breast Cancer Research Center, Motamed Cancer Institute, ACECR, Tehran, Iran
  3. 3. Department of Health Information Technology, School of Paramedical Sciences, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
  4. 4. E-Health Department, Virtual School, Tehran University of Medical Sciences, Tehran, Iran

Source: Frontiers in Surgery Published:2021


Abstract

Introduction: The new coronavirus (COVID-19) has posed many new challenges to the health care and the timing of surgical care. At the beginning of the pandemic many guidelines recommended postponing elective surgical procedures to reallocate resources. As regards, delay in cancer treatment could be effective on cancer progression. The aim of this systematic review was to outline a guideline for preoperative screening before cancer surgeries and protecting health care workers during the pandemic. Materials and Methods: This study was conducted through a search in electronic databases up to August 2020. PubMed, EMBASE, Web of Science, Scopus, Science Direct, and Google Scholar databases were searched without time limitation. The keywords were a combination of preoperative, cancer surgery, COVID-19, and their synonyms. Results: The most commonly used ways to triage preoperatively were telephone pre-assessment for suspicious symptoms and history of contact or travel, 14-day self-isolation, in- hospital queries at admission, temperature monitoring, and isolation in a single room COVID-free ward or physical distancing. Reverse transcription-polymerase chain reaction (RT-PCR) test 24–72 h before operation was recommended commonly, except in inaccessible centers, but non-contrast chest-CT scan is not routinely advised for elective surgeries to salvage medical resources. Recommended personal protective equipment (PPE) for staffs were wearing N95 mask in addition to gown, gloves, eye protection in aerosol-generating procedures (AGPs), and wearing gloves, hats, and disposable surgical masks, practice distancing, and hand hygiene for all staffs. Meanwhile team separation of hospital staffs caring for COVID-19 patients, segregated areas for COVID-19 clean and contact, restriction of visitors and family members, and personal distancing are mostly recommended. Conclusion: We hope this review would be a guidance for triage, preoperative testing, and summarizing safety principles during COVID-19 pandemic alongside with surgical reintegration. Copyright © 2021 Dorri, Sari, Seyedhasani, Atashi, Hashemi and Olfatbakhsh.
Related Docs
View other Related Docs
1. Cancer Patients’ Challenges During Covid-19 Pandemic: An Approach to Decision-Making in Management and Policy-Making, Archives of Clinical Infectious Diseases (2021)
2. Important Guidelines for Surgery in Covid-19 Pandemic; a Review Study, Journal of Isfahan Medical School (2021)
3. Covid19 Prevention & Care; a Cancer Specific Guideline, Archives of Iranian Medicine (2020)
4. Covid-19 Management in the Emergency Ward, Journal of Research in Medical Sciences (2021)
5. Covid-19 Infection Risk Following Elective Arthroplasty and Surgical Complications in Covid-19-Vaccinated Patients: A Multicenter Comparative Cohort Study, Arthroplasty Today (2022)
6. Incidence of Symptomatic Covid-19 in Unvaccinated Patients Within One Month After Elective Total Joint Arthroplasty: A Multicenter Study, Arthroplasty Today (2022)
7. Examining the Care of Noncommunicable Diseases at the First Level of Providing Services During the Covid-19 Pandemic, Journal of Public Health (Germany) (2024)
8. Implementation of the Hospital Incident Command System During Covid-19 Pandemic; Experience From an Iranian Reference Hospital, Hospital Topics (2024)
Experts (# of related papers)
View all Related Experts
Shaghayegh Haghjooy Javanmard (7)
Ramin Sami (5)
Other Related Docs
9. Delivering Primary Health Care (Phc) Services for Controlling Ncds During the Covid-19 Pandemic: A Scoping Review, Journal of Prevention (2023)
10. Asymptomatic Carriers of Coronavirus Disease 2019 Among Healthcare Workers in Isfahan, Iran, Future Virology (2021)
11. Covid-19 Breakthrough Infections Among Patients With Cancer Receiving Sinopharm Bibp Vaccine, International Journal of Cancer Management (2022)
12. Iranian Society of Cardiac Surgeons Covid-19 Task Force Version Ii, Restarting Elective Surgeries, Journal of Cardiovascular and Thoracic Research (2020)
13. Favipiravir in the Treatment of Outpatient Covid-19: A Multicenter, Randomized, Triple-Blind, Placebo-Controlled Clinical Trial, Advances in Respiratory Medicine (2023)
14. Rehabilitation, a Necessity in Hospitalized and Discharged People Infected With Covid-19: A Narrative Review, Physical Therapy Reviews (2021)
15. Management of St-Segment-Elevation Myocardial Infarction During the Coronavirus Disease 2019 (Covid-19) Outbreak: Iranian“247” National Committee's Position Paper on Primary Percutaneous Coronary Intervention, Catheterization and Cardiovascular Interventions (2021)
16. Futurology of Covid-19 in Nursing and Cardiovascular Complications; [Futurologia Del Covid-19 En Enfermeria Y Complicaciones Cardiovasculares], Revista Latinoamericana de Hipertension (2023)
17. Epidemiological Study of Covid-19 in Iran and the World: A Review Study, Infectious Disorders - Drug Targets (2022)
18. Differential Diagnostic Utility of Clinical Laboratory Data in Patients With Severe and Non-Severe Covid-19, Shiraz E Medical Journal (2022)
19. Radiation Therapy for Breast Cancer During the Covid-19 Pandemic in Low Resource Countries: Consensus Statement From the Iranian Society of Radiation Oncology, International Journal of Cancer Management (2022)
20. Electrolyte Abnormalities in Hospitalized Covid-19 Patients at Tertiary Referral Centers in Tehran: Hypermagnesemia As a Marker of Fatality: A Retrospective Cross-Sectional Study, Health Science Reports (2023)
21. Age-Dependent Clinical Features and Prognosis of Covid-19 Patients, Tanaffos (2021)
22. The Covid-19 Pandemic: A Systematic Review of the Current Evidence; [Пандемия Covid-19: Систематический Обзор Современных Данных], Russian Journal of Infection and Immunity (2020)
23. The Value of Thoracic Computed Tomography Scan Comparing to Reverse Transcription-Polymerase Chain Reaction for the Diagnosis of Covid-19, Journal of Research in Medical Sciences (2021)
24. Prevention of Covid-19: Preventive Strategies for General Population, Healthcare Setting, and Various Professions, Advances in Experimental Medicine and Biology (2021)
25. Dental Team and Infection Control for the Covid-19: (A Short Review of the Current Guidelines), Dental Research Journal (2020)
26. Baseline Socioeconomic Status Predicting Post-Covid-19 Symptoms: Results From Isfahan Covid Cohort (Icc) Study, Preventive Medicine Reports (2024)
27. Efficacy of Hydroxychloroquine in Pre-Exposure Severe Acute Respiratory Syndrome Coronavirus 2 Prophylaxis Among High-Risk Healthcare Workers: A Multicenter Study, Advanced Biomedical Research (2023)
28. Efficacy of Plasmapheresis in Neutropenic Patients Suffering From Cytokine Storm Because of Severe Covid-19 Infection, Blood Research (2023)
29. Myocardial Perfusion Imaging in the Era of Covid-19: A Systematic Review, Clinical and Translational Imaging (2023)
30. Automatic Classification Between Covid-19 and Non-Covid-19 Pneumonia Using Symptoms, Comorbidities, and Laboratory Findings: The Khorshid Covid Cohort Study, Frontiers in Medicine (2021)
31. The Impact of Covid-19 Pandemic on Genitourinary Cancers Stage and Grade, Clinical Genitourinary Cancer (2023)
32. Intravenous Methylprednisolone Pulse As a Treatment for Hospitalised Severe Covid-19 Patients: Results From a Randomised Controlled Clinical Trial, European Respiratory Journal (2020)
33. Prediabetes and Covid-19 Severity, an Underestimated Risk Factor: A Systematic Review and Meta-Analysis, Diabetes and Metabolic Syndrome: Clinical Research and Reviews (2021)
34. Different Approaches to Confronting the Biological Epidemic; Prevention Tools With an Emphasis on Covid-19: A Systematized Study, International Journal of Preventive Medicine (2021)
35. Clinical Characteristics of Covid-19-Infected Cancer Patients, Isfahan, Iran, Journal of Research in Medical Sciences (2022)
36. Investigating Methods for Coronavirus Disease 2019 Control: A Systematic Review, Polish Annals of Medicine (2021)
37. Cancer Care Management During the Covid-19 Pandemic, Risk Management and Healthcare Policy (2020)
38. Physiologic Scoring Systems in Predicting the Covid-19 Patients’ One-Month Mortality; a Prognostic Accuracy Study, Archives of Academic Emergency Medicine (2022)
39. Different Prognosis Among Pregnant Patients With Covid-19 Infection, Journal of Isfahan Medical School (2020)
40. Investigation of Plasma Exchange and Hemoperfusion Effects and Complications for the Treatment of Patients With Severe Covid-19 (Sars-Cov-2) Disease: A Systematic Scoping Review, Journal of Medical Virology (2021)
41. Severity of Disease and Covid-19 Complications During Hospital Stay: A Prospective Cohort Study, Archives of Iranian Medicine (2022)
42. Hemoperfusion in Patients With Severe Covid-19 Respiratory Failure, Lifesaving or Not?, Journal of Research in Medical Sciences (2021)
43. The Impact of Covid-19 Pandemic on Neuromyelitis Optica Disorder Patients, After One Year, Caspian Journal of Neurological Sciences (2022)
44. Oral and Maxillofacial Radiology in the Era of Covid-19: What Needs to Be Done?, Oral Radiology (2021)
45. Challenges of Routine Diabetes Care During Covid-19 Era: A Systematic Search and Narrative Review, Primary Care Diabetes (2021)
46. Covid-19 Infection Rate After Urgent Versus Elective Total Hip Replacement Among Unvaccinated Individuals: A Multicenter Prospective Cohort Amid the Covid-19 Pandemic, Annals of Medicine and Surgery (2022)
47. Epidemiological Status and Health System Screening of Covid 19 Hospitalized Patients in Isfahan, Iran, Medical Journal of the Islamic Republic of Iran (2022)
48. Comparison of Clinical Outcomes, Demographic, and Laboratory Characteristics of Hospitalized Covid-19 Patients During Major Three Waves Driven by Alpha, Delta, and Omicron Variants in Tehran, Iran, Influenza and other Respiratory Viruses (2023)
49. Is Non-Invasive Ventilation a Good Choice in All Patients With Severe Covid-19? a Cohort Retrospective Study, Tanaffos (2024)