{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,10]],"date-time":"2025-05-10T18:22:00Z","timestamp":1746901320037,"version":"3.37.3"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T00:00:00Z","timestamp":1663286400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>Guidelines recommend deferral of elective surgery after COVID\u201019. Delays in cancer surgeries may affect outcomes. We examined perioperative outcomes of elective cancer surgery in COVID\u201019 survivors. The primary objective was 30\u2010day all\u2010cause postoperative mortality. The secondary objectives were 30\u2010day morbidity, and its association with COVID\u201019 severity, and duration between COVID\u201019 and surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We collected data on age, gender, comorbidities, COVID\u201019 severity, preoperative investigations, surgery performed, and intra and postoperative outcomes in COVID\u201019 survivors who underwent elective cancer surgery at a tertiary\u2010referral cancer center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three hundred and forty\u2010eight COVID\u201019 survivors presented for elective cancer surgery. Of these, 332\/348 (95%) patients had mild COVID\u201019 and 311 (89%) patients underwent surgery. Among patients with repeat investigations, computerized tomography scan of the thorax showed the maximum new abnormalities (30\/157, 19%). The 30\u2010day all\u2010cause mortality was 0.03% (1\/311) and 30\u2010day morbidity was 17% (54\/311). On multivariable analysis, moderate versus mild COVID\u201019 (odds ratio [OR]: 1.95; 95% confidence interval\u00a0 [CI]: 0.52\u20137.30; <jats:italic>p<\/jats:italic>\u2009=\u20090.32) and surgery within 7 weeks of COVID\u201019 (OR: 0.61; 95% CI: 0.33\u20131.11; <jats:italic>p<\/jats:italic>\u2009=\u20090.10) were not associated with postoperative morbidity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In patients who recover from mild to moderate COVID\u201019, elective cancer surgery can proceed safely even within 7 weeks. Additional preoperative tests may not be indicated in these patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.27095","type":"journal-article","created":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T15:10:12Z","timestamp":1663341012000},"page":"11-17","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Outcomes of elective cancer surgery in COVID\u201019 survivors: An observational study"],"prefix":"10.1002","volume":"127","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1004-5264","authenticated-orcid":false,"given":"Priya","family":"Ranganathan","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Center Homi Bhabha National Institute  Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bindiya","family":"Salunke","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Center Homi Bhabha National Institute  Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anjana","family":"Wajekar","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Center Homi Bhabha National Institute  Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aafreen","family":"Siddique","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Center Homi Bhabha National Institute  Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaizeen","family":"Daruwalla","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Center Homi Bhabha National Institute  Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shreyas","family":"Chawathey","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Center Homi Bhabha National Institute  Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9767-3046","authenticated-orcid":false,"given":"Devayani","family":"Niyogi","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Tata Memorial Centre Homi Bhabha National Institute  Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8385-2836","authenticated-orcid":false,"given":"Prakash","family":"Nayak","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, Tata Memorial Centre Homi Bhabha National Institute  Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jigeeshu","family":"Divatia","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Critical Care and Pain, Tata Memorial Center Homi Bhabha National Institute  Mumbai Maharashtra India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,9,16]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"WHO COVID\u201019 Dashboard. Geneva: World Health Organization 2020. Available onlinehttps:\/\/covid19.who.int\/(last accessed: 8thJuly 2022)."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/jncics\/pkaa102"},{"key":"e_1_2_8_4_1","unstructured":"ASA and APSF Joint Statement on Elective Surgery and Anesthesia for Patients after COVID\u201019 Infection. American Society of Anesthesiologists 2020. Available onlinehttps:\/\/www.asahq.org\/about-asa\/newsroom\/news-releases\/2020\/12\/asa-and-apsf-joint-statement-on-elective-surgery-and-anesthesia-for-patients-after-covid-19-infection(last accessed: 8thJuly 2022)."},{"key":"e_1_2_8_5_1","unstructured":"Delaying surgery for patients recovering from COVID\u201019. Royal Australasian College of Surgeons 2021. 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