Priorities, actions and risks in the COVID-19 pandemic: a flash SoMe survey among surgical oncologists

Objectives: Corona virus-induced disease 19 (COVID-19) pandemic has globally affected the surgical treatment of cancer patients and has challenged the ethical principles of surgical oncologists around the world. Not only treatment but also diagnosis and follow-up have been disrupted. Methods: An online survey was sent through Twitter and by the surgical societies worldwide. The survey consisted of 29 closed-ended questions and was conducted over a period of 24 days beginning in March 26, 2020. Results: Overall, 394 surgical oncologists from 41 different countries answered the questionnaire. The predominant guiding principle was saving lives 240 (62%), and the different aspects of lock-down found hence large support (mean 7.1-9.3 out of 10). Shut-down of elective surgery and modification of cancer care found a mean support of 7.0 +/- 3.0 and 5.8 +/- 3.1, respectively. Modification of cancer care longer than two weeks was considered unacceptable to 114 (29%) responders. Hundred and fifty six (40%) and 138 (36%) expect return to normal beyond six months for surgical practice and cancer care, respectively. Conclusions: Surgical oncologists show strong and longlasting support for lock-down measures aiming to save lives. The impact of the pandemic on surgical oncology is perceived controversially, but the majority was forced already now to accept what is inacceptable for many of their colleagues.

Automated summary

The COVID-19 pandemic has disrupted surgical treatment for cancer patients worldwide, leading surgical oncologists to prioritize saving lives and support lockdown measures. Some modifications in cancer care are considered unacceptable if longer than two weeks.