CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2020; 41(05): 634-639
DOI: 10.4103/ijmpo.ijmpo_327_20
Original Article

Continuing Cancer Treatment in a “COVID HOTSPOT” in India: Are We Overestimating the Risks?

Amit Surendra Parasnis
Department of Oncosurgery, Medical Oncology and Radiation Oncology, Deenanath Mangeshkar Hospital and Research Centre, Erandwane, Pune, Maharashtra, India
,
Dhananjay S Kelkar
Department of Oncosurgery, Medical Oncology and Radiation Oncology, Deenanath Mangeshkar Hospital and Research Centre, Erandwane, Pune, Maharashtra, India
,
Bhagyashree Suparn Khaladkar
Department of Oncosurgery, Medical Oncology and Radiation Oncology, Deenanath Mangeshkar Hospital and Research Centre, Erandwane, Pune, Maharashtra, India
,
Utkrant A Kurlekar
Department of Oncosurgery, Medical Oncology and Radiation Oncology, Deenanath Mangeshkar Hospital and Research Centre, Erandwane, Pune, Maharashtra, India
,
Chetan D Deshmukh
Department of Oncosurgery, Medical Oncology and Radiation Oncology, Deenanath Mangeshkar Hospital and Research Centre, Erandwane, Pune, Maharashtra, India
,
Sonali Pingle
Department of Oncosurgery, Medical Oncology and Radiation Oncology, Deenanath Mangeshkar Hospital and Research Centre, Erandwane, Pune, Maharashtra, India
,
Sachin S Hingmire
Department of Oncosurgery, Medical Oncology and Radiation Oncology, Deenanath Mangeshkar Hospital and Research Centre, Erandwane, Pune, Maharashtra, India
,
Padmaj S Kulkarni
Department of Oncosurgery, Medical Oncology and Radiation Oncology, Deenanath Mangeshkar Hospital and Research Centre, Erandwane, Pune, Maharashtra, India
,
Shailesh S Shende
Department of Oncosurgery, Medical Oncology and Radiation Oncology, Deenanath Mangeshkar Hospital and Research Centre, Erandwane, Pune, Maharashtra, India
,
Girish K Phadke
Department of Oncosurgery, Medical Oncology and Radiation Oncology, Deenanath Mangeshkar Hospital and Research Centre, Erandwane, Pune, Maharashtra, India
,
Mahesh B Sambhus
Department of Oncosurgery, Medical Oncology and Radiation Oncology, Deenanath Mangeshkar Hospital and Research Centre, Erandwane, Pune, Maharashtra, India
,
Sameer R Melinkeri
Department of Oncosurgery, Medical Oncology and Radiation Oncology, Deenanath Mangeshkar Hospital and Research Centre, Erandwane, Pune, Maharashtra, India
,
Shailesh A Kanvinde
Department of Oncosurgery, Medical Oncology and Radiation Oncology, Deenanath Mangeshkar Hospital and Research Centre, Erandwane, Pune, Maharashtra, India
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

Context: We describe the treatment of cancer patients carried out in a Government of India-designated, dedicated coronavirus disease (COVID) hospital (DCH) in a COVID hotspot in India. Aims: The aim was to study the change and delay in the management of cancer patients during the pandemic and its complications. Settings and Design: This was an observational cohort study conducted at a tertiary care center, which was also a DCH. Subjects and Methods: Cancer patients receiving cancer surgery, chemotherapy, and radiotherapy in our DCH, during the lockdown, were studied. Results: A total of 864 patients received treatment for cancer in our hospital during the period of March 20, 2020 – May 31, 2020. There were no COVID-related complications. The treatment of 109/864 patients (12.61%) was delayed due to the pandemic and lockdown situation and the treatment plan was changed for 84/864 (9.72%) patients. There were 21 deaths in these 864 patients (2.43%), but only two deaths were COVID related. Symptomatic patients were tested for COVID, and 3/864 patients (0.34%) were detected to be COVID positive. Conclusions: We successfully delivered cancer treatment to patients in our DCH. The percentage of adverse effects, symptomatic COVID infection, and related mortality has been very low in our study. Cancer care can be continued with due diligence even during this pandemic.



Publication History

Received: 09 July 2020

Accepted: 24 August 2020

Article published online:
17 May 2021

© 2020. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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