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- W3092547647 abstract "Background: COVID-19 has been a challenge for health systems worldwide Many hospitals were converted intoCOVID-19 centers, including our center Diagnostic studies, ambulatory procedures, and elective surgeries werecanceled, and emergency care and inpatient services were closed for patients without COVID-19 Lack of access tohospital services represents a problem in the care of cancer, especially in low- and middle-income countries(LMICs) Our aim was to analyze the impact of hospital conversion to a COVID-19 center on the follow-up andmanagement of patients in our urologic oncology clinic Methods: We analyzed data of all patients in our urologic oncology clinic with appointments scheduled from March16th to May 31st A fellow reviewed all cases to evaluate if appointments were eligible for regular visit, telemedicine, or postponement and patients were contacted Demographic, disease, and treatment characteristics were obtained Population was analyzed according to type of visit (standard of care vs clinical trial) We examined univariateassociations between groups A p-value ≤0 05 indicated statistical significance Results: A total of 336 patients were included;the median age was 65 (18-94) years, and 306 (91 1%) were men The main neoplasms were prostate (49 4%), kidney (20 2%), germ cell tumors (21 4%), urothelial (8 6%), and penile(0 3%) cancer 46 7% of patients were in active treatment, and 11 9% were enrolled in a clinical trial Remotecommunication was established with 184/224 (82 1%) patients We planned to reschedule the visits of 224/336(66 7%) patients Medical appointments were rescheduled to a median of 91 days (IQR 65-105 days) All patientsenrolled in clinical trials visited the clinic as scheduled Among patients eligible for telemedicine, 105 (46 9%) wereon surveillance, 68 (30 4%) on hormone therapy, 45 (20 1%) on no active treatment, and 6 (2 7%) on other therapy The majority of the 111 patients who had an in-person appointment were receiving chemotherapy (24 3%), followedby immunotherapy (15 3%), targeted therapy (15 3%), and hormone therapy (13 5%) 13 5% had no activetreatment and 9 0% were on surveillance Comparing non-protocol versus protocol patients, we found a significantdifference in loss of follow-up (12 2% vs 0% p = 0 012) During the study period, two (0 6%) confirmed cases andone (0 3%) death due to COVID-19 were recorded Conclusions: In our initial experience, rescheduling of visits and remote follow-up was possible in most patientsduring hospital conversion to a COVID-19 center Despite the constrained resources and communication barriers ofLMICs, the rate of patients lost to follow-up was not increased during the pandemic in our center Telemedicine waspossible, particularly for those on surveillance and hormone therapy Comparing standard clinical care versusclinical trial patients, we found a significant difference in terms of loss to follow-up" @default.
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- W3092547647 date "2020-01-01" @default.
- W3092547647 modified "2023-09-26" @default.
- W3092547647 title "Impact of a hospital conversion to COVID-19 center on cancer care of patients in a urologic oncology clinic in Mexico" @default.
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