Impact of 2 years of COVID‐19 pandemic on ovarian cancer treatment in IRCCS‐AUSL of Reggio Emilia

Author:

Mandato Vincenzo Dario1ORCID,Torricelli Federica2,Mastrofilippo Valentina3,Pellegri Carlotta4,Cerullo Loredana4,Annunziata Gianluca1,Ciarlini Gino3,Pirillo Debora1,Generali Matteo1,D'Ippolito Giovanni1,Leone Chiara1,Bologna Alessandra5,Gasparini Elisa5,Palicelli Andrea6,Gelli Maria Carolina6,Silvotti Monica7,Aguzzoli Lorenzo3

Affiliation:

1. Obstetrics and Gynecology Unit Azienda USL‐IRCCS di Reggio Emilia Reggio Emilia Italy

2. Translational Research Laboratory Azienda USL‐IRCCS di Reggio Emilia Reggio Emilia Italy

3. Gynecological Oncology Surgical Unit Azienda USL‐IRCCS di Reggio Emilia Reggio Emilia Italy

4. Quality Office Azienda USL‐IRCCS di Reggio Emilia Reggio Emilia Italy

5. Oncology Unit Azienda USL‐IRCCS di Reggio Emilia Reggio Emilia Italy

6. Pathology Unit Azienda USL‐IRCCS di Reggio Emilia Reggio Emilia Italy

7. Radiology Unit Azienda USL‐IRCCS di Reggio Emilia Reggio Emilia Italy

Abstract

AbstractObjectiveTo assess compliance with the 2019 regional recommendation to centralize epithelial ovarian cancer (EOC) patients and to assess whether the COVID‐19 pandemic has affected the quality of care for EOC patients.MethodsWe compared data from EOC patients treated before the introduction of the 2019 regional recommendation (2018‐2019) with data obtained from EOC patients treated after the regional recommendation was adopted during the first 2 years of the COVID‐19 pandemic (2020‐2021). Data were retrieved from the Optimal Ovarian Cancer Pathway records. R software version 4.1.2 (the R Foundation for Statistical Computing, Vienna, Austria) was used for the statistical analysis.Results251 EOC patients were centralized. The number of EOC patients centralized increased from 2% to 49% despite the COVID‐19 pandemic. During the COVID‐19 pandemic, there was an increase in the use of neoadjuvant chemotherapy and interval debulking surgery. There was an improvement in the percentage of Stage III patients without gross residual disease following both primary and interval debulking surgery. The percentage of EOC cases discussed by the multidisciplinary tumor board (MTB) increased from 66% to 89% of cases.ConclusionDespite the COVID‐19 pandemic, centralization has increased and the quality of care has been preserved thanks to the MTB.

Publisher

Wiley

Subject

Obstetrics and Gynecology,General Medicine

Reference28 articles.

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