Impact of COVID-19 Pandemic on Gynecological Oncology Care: Glimpse into Association of Gynecological Oncologists of Ind

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ORIGINAL ARTICLE

Impact of COVID-19 Pandemic on Gynecological Oncology Care: Glimpse into Association of Gynecological Oncologists of India (AGOI) Perspective Geetu Bhandoria1 • T. S. Shylasree2 • Prashant Bhandarkar3 • Vijay Ahuja4 • Amita Maheshwari2 Rupinder Sekhon5 • S. P. Somashekhar4



Received: 18 April 2020 / Revised: 26 May 2020 / Accepted: 30 May 2020 Ó Association of Gynecologic Oncologists of India 2020

Abstract Purpose The notorious COVID 19 pandemic has caused rapid and drastic changes in cancer care worldwide in 2020. This online survey aims to assess the extent to which the pandemic has affected cancer care in gynecological oncology amongst members of the Association of Gynecological Oncologists of India (AGOI), a registered professional society founded in 1991. Methods We developed and administered a cross-sectional, flash survey to members of AGOI in the first week of April 2020. Data were analyzed using Microsoft Office Excel 2016. Results were expressed as percentages of total responses excluding blank or unattended response. Overall theme-specific responses were described as a spectrum of findings, and related inferences were drawn. Results Among approached practitioners, 90 responded to the survey, more than 80% were practicing consultants, and more than 50% from academic institutions. The results of the study showed that the ongoing pandemic had severely affected gynecological oncology practice and care amongst all respondents. There were modifications in diagnostic pathways, interventions, and follow-ups across all organ sites. There was a near-unanimous opinion on the use of general safety measures to combat the virus and to use complete PPEs in a high-risk situation. There were mixed responses to alternative educational activities, especially using electronic technology and distant learning methods. There was optimism among respondents with regards to the current situation normalizing in 3–6 months. Conclusion This study documents the pandemic affected scenario of gynecological cancer care and perceptions of Gynecological Oncologists in India. A significant effect on all aspects of cancer care was observed. Technological learning methods, both for patient care and educational activities, were being adopted by many respondents. Keywords COVID-19  Pandemic  Gynecological oncology care  Survey  AGOI

Introduction Electronic supplementary material The online version of this article (https://doi.org/10.1007/s40944-020-00421-8) contains supplementary material, which is available to authorized users. & Geetu Bhandoria [email protected] 1

Department of Obstetrics and Gynecology, Command Hospital, Pune, Maharashtra, India

2

Tata Memorial Hospital, Mumbai, Maharashtra, India

3

Bhabha Atomic Research Centre Hospital, Mumbai, Maharashtra, India

On 31 December 2019, the World Health Organization (WHO) China Country Office was informed of cases of pneumonia of unknown etiology (unknown cause) detected 4

Manipal Comprehensive Cancer Centre, Bangalore, Karnataka, India

5

Rajiv Gan