Evidence map›Paper›PMID 35207376›Full record

ArticleJournal of clinical medicine2022

Major Pulmonary Resection for Non-Small Cell Lung Carcinoma during the COVID-19 Pandemic-Single Israeli Center Cross-Sectional Study.

Michael Peer, Sharbel Azzam, Marina Kolodii, Yaacov Abramov, Ruth Shaylor, Vladimir Verenkin, Nachum Nesher, Idit Matot

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Michael PeerDepartment of Thoracic Surgery, Tel Aviv Medical Center, Weizman Street 6, Tel Aviv 6423906, Israel.
Sharbel AzzamDepartment of Thoracic Surgery, Tel Aviv Medical Center, Weizman Street 6, Tel Aviv 6423906, Israel.
Marina KolodiiDepartment of Thoracic Surgery, Tel Aviv Medical Center, Weizman Street 6, Tel Aviv 6423906, Israel.
Yaacov AbramovDepartment of Thoracic Surgery, Tel Aviv Medical Center, Weizman Street 6, Tel Aviv 6423906, Israel.
Ruth ShaylorDepartment of Anesthesiology, Tel Aviv Medical Center, Weizman Street 6, Tel Aviv 6423906, Israel.
Vladimir VerenkinDepartment of Anesthesiology, Tel Aviv Medical Center, Weizman Street 6, Tel Aviv 6423906, Israel.
Nachum NesherDepartment of Thoracic Surgery, Tel Aviv Medical Center, Weizman Street 6, Tel Aviv 6423906, Israel.
Idit MatotDepartment of Anesthesiology, Tel Aviv Medical Center, Weizman Street 6, Tel Aviv 6423906, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe highly contagious COVID-19 has created unprecedented challenges in providing care to patients with resectable non-small cell lung carcinoma (NSCLC). Surgical management now needs to consider the risks of malignant disease progression by delaying surgery, and those of COVID-19 transmission to patients and operating room staff. The goal of our study was to describe our experience in providing both emergent and elective surgical procedures for patients with NSCLC during the COVID-19 pandemic in Israel, and to present our point of view regarding the safety of performing lung cancer surgery.

methodsThis observational cross-sectional study included all consecutive patients with NSCLC who operated at Tel Aviv Medical Center, a large university-affiliated hospital, from February 2020 through December 2020, during the COVID-19 pandemic in Israel. The patients' demographics, COVID-19 preoperative screening results, type and side of surgery, pathology results, morbidity and mortality rates, postoperative complications, including pulmonary complications management, and hospital stay were evaluated.

resultsIncluded in the study were 113 patients, 68 males (60.2%) and 45 females (39.8%), with a median age of 68.2 years (range, 41-89). Of these 113 patients, 83 (73.5%) underwent video-assisted thoracic surgeries (VATS), and 30 (26.5%) underwent thoracotomies. Fifty-five patients (48.7%) were preoperatively screened for COVID-19 and received negative results. Fifty-six postoperative complications were reported in 35 patients (30.9%). A prolonged air leak was detected in 11 patients (9.7%), atrial fibrillation in 11 patients (9.7%), empyema in 5 patients (4.4%), pneumonia in 9 patients (7.9%) and lobar atelectasis in 7 patients (6.2%). Three patients (2.7%) with postoperative pulmonary complications required mechanical ventilation, and two of them (1.6%) underwent tracheostomy. Two patients (1.6%) were postoperatively diagnosed as positive for COVID-19.

conclusionsOur data demonstrate the feasibility and efficacy of implementing precautionary strategies to ensure the safety of lung cancer patients undergoing pulmonary resection during the COVID-19 pandemic. The strategy was equally effective in protecting the surgical staff and healthcare providers, and we recommend performing lung cancer surgery during the pandemic era.

Indexed as

COVID-19major pulmonary resectionnon-small cell lung carcinoma

Identifiers

PMID35207376
PMCPMC8876835
OpenAlexW4214485970

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.