{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:14:50Z","timestamp":1791810890733,"version":"4.3.4"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,5,25]],"date-time":"2021-05-25T00:00:00Z","timestamp":1621900800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To analyse the impact of the COVID\u201019 pandemic on a centralized specialist kidney cancer care pathway.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective analysis of patient and pathway characteristics including prioritization strategies at the Specialist Centre for Kidney Cancer located at the Royal Free London NHS Foundation Trust (RFH) before and during the surge of COVID\u201019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>On 18 March 2020 all elective surgery was halted at RFH to redeploy resources and staff for the COVID\u201019 surge. Prioritizing of patients according to European Association of Urology guidance was introduced. Clinics and the specialist multidisciplinary team (SMDT) meetings were maintained with physical distancing, kidney surgery was moved to a COVID\u2010protected site, and infection prevention measurements were enforced. During the 7\u00a0weeks of lockdown (23 March to 10 May 2020), 234 cases were discussed at the SMDT meetings, 53% compared to the 446 cases discussed in the 7\u00a0weeks pre\u2010lockdown. The reduction in referrals was more pronounced for small and asymptomatic renal masses. Of 62 low\u2010priority cancer patients, 27 (43.5%) were deferred. Only one (4%) COVID\u201019 infection occurred postoperatively, and the patient made a full recovery. No increase in clinical or pathological upstaging could be detected in patients who underwent deferred surgery compared to pre\u2010COVID practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The first surge of the COVID\u201019 pandemic severely impacted diagnosis, referral and treatment of kidney cancer at a tertiary referral centre. With a policy of prioritization and COVID\u2010protected pathways, capacity for time\u2010sensitive oncological interventions was maintained and no immediate clinical harm was observed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.15441","type":"journal-article","created":{"date-parts":[[2021,5,9]],"date-time":"2021-05-09T03:27:41Z","timestamp":1620530861000},"page":"752-758","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Impact of the first surge of the COVID\u201019 pandemic on a tertiary referral centre for kidney cancer"],"prefix":"10.1111","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4643-4878","authenticated-orcid":false,"given":"Teele","family":"Kuusk","sequence":"first","affiliation":[{"name":"Department of Urology Dartford and Gravesham NHS Trust Darent Valley Hospital Dartford UK"},{"name":"Specialist Centre for Kidney Cancer Royal Free London NHS Foundation Trust 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Kidney Cancer Royal Free London NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ekaterini","family":"Boleti","sequence":"additional","affiliation":[{"name":"Specialist Centre for Kidney Cancer Royal Free London NHS Foundation Trust London UK"},{"name":"Department of Oncology Royal Free London NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soha","family":"El\u2010Sheihk","sequence":"additional","affiliation":[{"name":"Department of Pathology Royal Free London NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee","family":"Grant","sequence":"additional","affiliation":[{"name":"Department of Radiology Royal Free London NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Kelly","sequence":"additional","affiliation":[{"name":"Department of Urology University College London Hospitals NHS 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UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Powles","sequence":"additional","affiliation":[{"name":"Specialist Centre for Kidney Cancer Royal Free London NHS Foundation Trust London UK"},{"name":"Barts Cancer Institute London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Axel","family":"Bex","sequence":"additional","affiliation":[{"name":"Specialist Centre for Kidney Cancer Royal Free London NHS Foundation Trust London UK"},{"name":"UCL Division of Surgery and Interventional Science London 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