Management of penile cancer patients during the COVID-19 pandemic: An eUROGEN accelerated Delphi consensus study
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.
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 recordAbstract
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-19Citation
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 OncologyDOI
10.1016/j.urolonc.2020.12.005PubMed ID
33397593Additional Links
https://dx.doi.org/10.1016/j.urolonc.2020.12.005Type
ArticleLanguage
enae974a485f413a2113503eed53cd6c53
10.1016/j.urolonc.2020.12.005
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