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Providing an acute oncology service during the COVID-19 pandemic

Shanthini M Crusz, Peter E Hall, Kate Earwicker, Sue Dexter, Gemma Patel-Walker, Thomas Powles and Nikolaos Diamantis
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DOI: https://doi.org/10.7861/clinmed.2020-0693
Clin Med September 2021
Shanthini M Crusz
ABarts Health NHS Trust, London, UK
*joint first authors
Roles: consultant medical oncologist
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  • For correspondence: shanthini.crusz@nhs.net
Peter E Hall
ABarts Health NHS Trust, London, UK
*joint first authors
Roles: consultant medical oncologist
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Kate Earwicker
BBarts Health NHS Trust, London, UK
Roles: acute oncology nurse
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Sue Dexter
BBarts Health NHS Trust, London, UK
Roles: acute oncology nurse
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Gemma Patel-Walker
BBarts Health NHS Trust, London, UK
Roles: acute oncology nurse
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Thomas Powles
ABarts Health NHS Trust, London, UK
Roles: consultant medical oncologist
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Nikolaos Diamantis
ABarts Health NHS Trust, London, UK
Roles: consultant medical oncologist
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    Fig 1.

    Primary tumour type. CRC = colorectal cancer; CNS = central nervous system; H&N = head and neck; HPB = hepatobiliary; MUO = malignancy of unknown origin; UGI = upper gastrointestinal.

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    Fig 2.

    Types of AOS admissions in April 2019 compared to April 2020.

Tables

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    Table 1.

    Patient demographics

    April 2019April 2020
    Patient reviews, n209141
    Median age, years (range)65 (25–100)73 (32–98)
    Male sex, n (%)90 (43)82 (58)
    Ethnicity
    Non-white, n (%)
    Not stated, n (%)

    78 (37)
    5 (2)

    55 (39)
    2 (1)
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    Table 2.

    Demographics and characteristics of patients with a positive test for SARS-CoV-2 compared with those with a negative test or were not tested

    Negative/not tested (n=109)Positive (n=32)
    Median age, years (range)72.8 (32–93)76.1 (52–98)
    Male, n (%)57 (52.3)25 (78.1)
    Non-white ethnicity, n (%)40 (36.7)19 (59.4)
    SACT within 30 days of admission, n (%)26 (23.9)8 (25.0)
    Died, n (%)16 (14.7)15 (46.9)
    • SACT = systemic anti-cancer therapy.

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    Table 3.

    The recommended review location for patients after contacting the chemotherapy telephone hotline (mean number of patients per day)

    Telephone advice onlyAdvised to attend EDAdvised to attend GPAdvised to attend CAAUAdmission to oncology ward
    April 20195.73.81.40.40.0
    April 20207.81.50.91.40.5
    % change from April 2019+36.8–60.5–35.7+250N/A
    • CAAU = cancer acute assessment unit; ED = emergency department; N/A = not applicable.

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Providing an acute oncology service during the COVID-19 pandemic
Shanthini M Crusz, Peter E Hall, Kate Earwicker, Sue Dexter, Gemma Patel-Walker, Thomas Powles, Nikolaos Diamantis
Clinical Medicine Sep 2021, 21 (5) e548-e551; DOI: 10.7861/clinmed.2020-0693

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Providing an acute oncology service during the COVID-19 pandemic
Shanthini M Crusz, Peter E Hall, Kate Earwicker, Sue Dexter, Gemma Patel-Walker, Thomas Powles, Nikolaos Diamantis
Clinical Medicine Sep 2021, 21 (5) e548-e551; DOI: 10.7861/clinmed.2020-0693
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