دورية أكاديمية
Feasibility and Predictive Performance of a Triage System for Patients with Cancer During the COVID-19 Pandemic
| العنوان: | Feasibility and Predictive Performance of a Triage System for Patients with Cancer During the COVID-19 Pandemic |
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| المؤلفون: | Fasola G., Pelizzari G., Zara D., Targato G., Petruzzellis G., Minisini A. M., Bin A., Donato R., Mansutti M., Comuzzi C., Candoni A., Sperotto A., Fanin R. |
| المساهمون: | Fasola, G., Pelizzari, G., Zara, D., Targato, G., Petruzzellis, G., Minisini, A. M., Bin, A., Donato, R., Mansutti, M., Comuzzi, C., Candoni, A., Sperotto, A., Fanin, R. |
| سنة النشر: | 2021 |
| المجموعة: | Archivio della ricerca dell'Università di Modena e Reggio Emilia (Unimore: IRIS) |
| مصطلحات موضوعية: | Cancer, Containment measure, COVID-19, SARS-CoV-2, Triage |
| الوصف: | Background: Triage procedures have been implemented to limit hospital access and minimize infection risk among patients with cancer during the coronavirus disease (COVID-19) outbreak. In the absence of prospective evidence, we aimed to evaluate the predictive performance of a triage system in the oncological setting. Materials and Methods: This retrospective cohort study analyzes hospital admissions to the oncology and hematology department of Udine, Italy, during the COVID-19 pandemic (March 30 to April 30, 2020). A total of 3,923 triage procedures were performed, and data of 1,363 individual patients were reviewed. Results: A self-report triage questionnaire identified 6% of triage-positive procedures, with a sensitivity of 66.7% (95% confidence interval [CI], 43.0%–85.4%), a specificity of 94.3% (95% CI, 93.5%–95.0%), and a positive predictive value of 5.9% (95% CI, 4.3%–8.0%) for the identification of patients who were not admitted to the hospital after medical review. Patients with thoracic cancer (odds ratio [OR], 1.69; 95% CI, 1.13–2.53, p =.01), younger age (OR, 1.52; 95% CI, 1.15–2.01, p <.01), and body temperature at admission ≥37°C (OR, 9.52; 95% CI, 5.44–16.6, p <.0001) had increased risk of positive triage. Direct hospital access was warranted to 93.5% of cases, a further 6% was accepted after medical evaluation, whereas 0.5% was refused at admission. Conclusion: A self-report questionnaire has a low positive predictive value to triage patients with cancer and suspected severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) symptoms. Differential diagnosis with tumor- or treatment-related symptoms is always required to avoid unnecessary treatment delays. Body temperature measurement improves the triage process's overall sensitivity, and widespread SARS-CoV-2 testing should be implemented to identify asymptomatic carriers. Implications for Practice: This is the first study to provide data on the predictive performance of a triage system in the oncological setting during the coronavirus ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/33539583; info:eu-repo/semantics/altIdentifier/wos/WOS:000619546100001; volume:26; issue:4; firstpage:e694; lastpage:e703; journal:THE ONCOLOGIST; https://hdl.handle.net/11380/1294024Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85101212226 |
| DOI: | 10.1002/onco.13706 |
| الإتاحة: | https://doi.org/10.1002/onco.13706Test https://hdl.handle.net/11380/1294024Test |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.6BDE11AE |
| قاعدة البيانات: | BASE |
| DOI: | 10.1002/onco.13706 |
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