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

Omer Onur Cakir; Fabio Castiglione; Zafer Tandogdu; Justin Collins; Hussain M Alnajjar; Clare Akers; Maarten Albersen; Constantine Alifrangis; Benjamin Ayres; Oscar Brouwer; Ivor Cullen; Peter Hawkey; Jakob Kristian Jakobsen; Truls Erik Bjerklund Johansen; Odunayo Kalejaiye; Asheesh Kaul; Bela Köves; Vivekanandan Kumar; Mariangela Mancini; Anita Vanessa Mitra; Arie Parnham; Edoardo Pozzi; Chris Protzel; Vijay K Sangar; Florian Wagenlehner; Asif Muneer

doi:10.1016/j.urolonc.2020.12.005

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

Omer Onur Cakir, Fabio Castiglione, Zafer Tandogdu, Justin Collins, Hussain M Alnajjar, Clare Akers, Maarten Albersen, Constantine Alifrangis, Benjamin Ayres, Oscar Brouwer, Ivor Cullen, Peter Hawkey, Jakob Kristian Jakobsen, Truls Erik Bjerklund Johansen, Odunayo Kalejaiye, Asheesh Kaul, Bela Köves, Vivekanandan Kumar, Mariangela Mancini, Anita Vanessa MitraArie Parnham, Edoardo Pozzi, Chris Protzel, Vijay K Sangar, Florian Wagenlehner, Asif Muneer

Institut for Klinisk Medicin - Urinvejskirurgi

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

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.

Originalsprog	Engelsk
Tidsskrift	Urologic Oncology: Seminars and Original Investigations
Vol/bind	39
Nummer	3
Sider (fra-til)	197.e9-197.e17
Antal sider	9
ISSN	1078-1439
DOI	https://doi.org/10.1016/j.urolonc.2020.12.005
Status	Udgivet - mar. 2021

Adgang til dokumentet

10.1016/j.urolonc.2020.12.005

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7831701/pdf/main.pdf

Citationsformater

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., ... Muneer, A. (2021). Management of penile cancer patients during the COVID-19 pandemic: An eUROGEN accelerated Delphi consensus study. Urologic Oncology: Seminars and Original Investigations, 39(3), 197.e9-197.e17. https://doi.org/10.1016/j.urolonc.2020.12.005

@article{158031b42a1246e7a1537fb34f55fa4f,

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

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.",

keywords = "COVID-19, Delphi study, Pandemic, Penile cancer, RECONSTRUCTION, RECURRENCE, OUTCOMES, EPIDEMIOLOGY, HISTORY",

author = "Cakir, {Omer Onur} and Fabio Castiglione and Zafer Tandogdu and Justin Collins and Alnajjar, {Hussain M} and Clare Akers and Maarten Albersen and Constantine Alifrangis and Benjamin Ayres and Oscar Brouwer and Ivor Cullen and Peter Hawkey and Jakobsen, {Jakob Kristian} and Johansen, {Truls Erik Bjerklund} and Odunayo Kalejaiye and Asheesh Kaul and Bela K{\"o}ves and Vivekanandan Kumar and Mariangela Mancini and Mitra, {Anita Vanessa} and Arie Parnham and Edoardo Pozzi and Chris Protzel and Sangar, {Vijay K} and Florian Wagenlehner and Asif Muneer",

note = "Copyright {\textcopyright} 2020. Published by Elsevier Inc.",

year = "2021",

month = mar,

doi = "10.1016/j.urolonc.2020.12.005",

language = "English",

volume = "39",

pages = "197.e9--197.e17",

journal = "Urologic Oncology: Seminars and Original Investigations",

issn = "1078-1439",

publisher = "Elsevier",

number = "3",

}

Cakir, OO, Castiglione, F, Tandogdu, Z, Collins, J, Alnajjar, HM, Akers, C, Albersen, M, Alifrangis, C, Ayres, B, Brouwer, O, Cullen, I, Hawkey, P, Jakobsen, JK, Johansen, TEB, Kalejaiye, O, Kaul, A, Köves, B, Kumar, V, Mancini, M, Mitra, AV, Parnham, A, Pozzi, E, Protzel, C, Sangar, VK, Wagenlehner, F & Muneer, A 2021, 'Management of penile cancer patients during the COVID-19 pandemic: An eUROGEN accelerated Delphi consensus study', Urologic Oncology: Seminars and Original Investigations, bind 39, nr. 3, s. 197.e9-197.e17. https://doi.org/10.1016/j.urolonc.2020.12.005

Management of penile cancer patients during the COVID-19 pandemic: An eUROGEN accelerated Delphi consensus study. / Cakir, Omer Onur; Castiglione, Fabio; Tandogdu, Zafer et al.
I: Urologic Oncology: Seminars and Original Investigations, Bind 39, Nr. 3, 03.2021, s. 197.e9-197.e17.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

TY - JOUR

T1 - Management of penile cancer patients during the COVID-19 pandemic

T2 - An eUROGEN accelerated Delphi consensus study

AU - Cakir, Omer Onur

AU - Castiglione, Fabio

AU - Tandogdu, Zafer

AU - Collins, Justin

AU - Alnajjar, Hussain M

AU - Akers, Clare

AU - Albersen, Maarten

AU - Alifrangis, Constantine

AU - Ayres, Benjamin

AU - Brouwer, Oscar

AU - Cullen, Ivor

AU - Hawkey, Peter

AU - Jakobsen, Jakob Kristian

AU - Johansen, Truls Erik Bjerklund

AU - Kalejaiye, Odunayo

AU - Kaul, Asheesh

AU - Köves, Bela

AU - Kumar, Vivekanandan

AU - Mancini, Mariangela

AU - Mitra, Anita Vanessa

AU - Parnham, Arie

AU - Pozzi, Edoardo

AU - Protzel, Chris

AU - Sangar, Vijay K

AU - Wagenlehner, Florian

AU - Muneer, Asif

PY - 2021/3

Y1 - 2021/3

N2 - 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.

AB - 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.

KW - COVID-19

KW - Delphi study

KW - Pandemic

KW - Penile cancer

KW - RECONSTRUCTION

KW - RECURRENCE

KW - OUTCOMES

KW - EPIDEMIOLOGY

KW - HISTORY

U2 - 10.1016/j.urolonc.2020.12.005

DO - 10.1016/j.urolonc.2020.12.005

M3 - Journal article

C2 - 33397593

SN - 1078-1439

VL - 39

SP - 197.e9-197.e17

JO - Urologic Oncology: Seminars and Original Investigations

JF - Urologic Oncology: Seminars and Original Investigations

IS - 3

ER -

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

Abstract

Adgang til dokumentet

Fingeraftryk

Citationsformater