2020
DOI: 10.1016/j.hpb.2020.05.012
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Delivery of hepato-pancreato-biliary surgery during the COVID-19 pandemic: an European-African Hepato-Pancreato-Biliary Association (E-AHPBA) cross-sectional survey

Abstract: Background: The extent of the COVID-19 pandemic and the resulting response has varied globally. The European and African Hepato-Pancreato-Biliary Association (E-AHPBA), the premier representative body for practicing HPB surgeons in Europe and Africa, conducted this survey to assess the impact of COVID-19 on HPB surgery. Methods: An online survey was disseminated to all E-AHPBA members to assess the effects of the pandemic on unit capacity, management of HPB cancers, use of COVID-19 screening and other aspects … Show more

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Cited by 36 publications
(48 citation statements)
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“…For surveys, the methodological quality was considered moderate for 17 39 , 40 , 44 , 50 , 57 , 59 , 65 - 67 , 72 , 79 , 81 , 83 , 85 , 87 , 90 , 95 and low for the remaining eight. 42 , 60 , 62 , 76 , 77 , 84 , 86 , 94 …”
Section: Resultsmentioning
confidence: 99%
“…For surveys, the methodological quality was considered moderate for 17 39 , 40 , 44 , 50 , 57 , 59 , 65 - 67 , 72 , 79 , 81 , 83 , 85 , 87 , 90 , 95 and low for the remaining eight. 42 , 60 , 62 , 76 , 77 , 84 , 86 , 94 …”
Section: Resultsmentioning
confidence: 99%
“…In particular, many survey-based studies reported that surgeons tend to delay cancer operations, and they tend to replace surgical procedures with chemotherapy and/or radiotherapy if possible. 8,9 However, patients diagnosed with cancer are more susceptible to infections because of the immunosuppressive state induced by the underlying disease and applied adjuvant therapies. 10 These issues should be balanced against the risk of inevitable disease progression in cancer patients.…”
Section: Discussionmentioning
confidence: 99%
“…However, the absolute number of radioembolizations, microwave and radiofrequency ablations was superior [3], contrary to the present report. In a cross-sectional survey conducted to assess the impact of Covid-19 on hepatopancreato-biliary surgery [4], it was shown that chemotherapy and ablation were more utilised for colorectal liver metastases whereas TACE and ablations were more utilised for HCC in Covid-High countries compared to Covid-Low countries.…”
Section: Discussionmentioning
confidence: 99%