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    Management of penile cancer patients during the COVID-19 pandemic: An eUROGEN accelerated Delphi consensus study

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    Authors
    Cakir, O. O.
    Castiglione, F.
    Tandogdu, Z.
    Collins, J.
    Alnajjar, H. M.
    Akers, C.
    Albersen, M.
    Alifrangis, C.
    Ayres, B.
    Brouwer, O.
    Cullen, I.
    Hawkey, P.
    Jakobsen, J. K.
    Johansen, T. E. B.
    Kalejaiye, O.
    Kaul, A.
    Köves, B.
    Kumar, V.
    Mancini, M.
    Mitra, A. V.
    Parnham, Arie S
    Pozzi, E.
    Protzel, C.
    Sangar, Vijay K
    Wagenlehner, F.
    Muneer, A.
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    Affiliation
    Department of Urology, University College London Hospital, London, United Kingdom; Division of Surgery and Interventional Science, University College London, United Kingdom.
    Issue Date
    2021
    
    Metadata
    Show full item record
    Abstract
    Objectives: To develop an international consensus on managing penile cancer patients during the COVID-19 acute waves. A major concern for patients with penile cancer during the coronavirus disease 2019 (COVID-19) pandemic is how the enforced safety measures will affect their disease management. Delays in diagnosis and treatment initiation may have an impact on the extent of the primary lesion as well as the cancer-specific survival because of the development and progression of inguinal lymph node metastases. Materials and methods: A review of the COVID-19 literature was conducted in conjunction with analysis of current international guidelines on the management of penile cancer. Results were presented to an international panel of experts on penile cancer and infection control by a virtual accelerated Delphi process using 4 survey rounds. Consensus opinion was defined as an agreement of ≥80%, which was used to reconfigure management pathways for penile cancer. Results: Limited evidence is available for delaying penile cancer management. The consensus rate of agreement was 100% that penile cancer pathways should be reconfigured, and measures should be developed to prevent perioperative nosocomial transmission of COVID-19. The panel also reached a consensus on several statements aimed at reconfiguring the management of penile cancer patients during the COVID-19 pandemic. Conclusions: The international consensus panel proposed a framework for the diagnostic and invasive therapeutic procedures for penile cancer within a low-risk environment for COVID-19
    Citation
    Cakir OO, Castiglione F, Tandogdu Z, Collins J, Alnajjar HM, Akers C, et al. Management of penile cancer patients during the COVID-19 pandemic: An eUROGEN accelerated Delphi consensus study. Urol Oncol. 2021.
    Journal
    Urologic Oncology
    URI
    http://hdl.handle.net/10541/623713
    DOI
    10.1016/j.urolonc.2020.12.005
    PubMed ID
    33397593
    Additional Links
    https://dx.doi.org/10.1016/j.urolonc.2020.12.005
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.urolonc.2020.12.005
    Scopus Count
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