LitCovid-sentences  

PMC:7499623 / 16384-23881 JSONTXT 14 Projects

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Id Subject Object Predicate Lexical cue
T169 0-10 Sentence denotes DISCUSSION
T170 11-154 Sentence denotes This survey explored the current practice among thoracic surgeons practicing during the COVID-19 pandemic during the second week of April 2020.
T171 155-264 Sentence denotes The response rate of 23% was especially high, considering that only 1 response per institution was requested.
T172 265-382 Sentence denotes This result may reflect the need among surgeons for more information and guidance about working through the pandemic.
T173 383-503 Sentence denotes Indeed, another recent survey reflected a significant level of concern among health care workers regarding COVID-19 [6].
T174 504-651 Sentence denotes The ESTS is a European society, but more than one-fifth of the responses came from outside Europe, meaning this survey offers a global perspective.
T175 652-696 Sentence denotes The survey also captured a wide demographic.
T176 697-846 Sentence denotes Although the majority of respondents were from academic institutions, there was a wide range in the numbers of COVID-positive patients being managed.
T177 847-1015 Sentence denotes Overall, almost 90% of hospitals were postponing operations and had less critical care capacity, meaning almost all respondents were impacted in one way or another [7].
T178 1016-1166 Sentence denotes Screening of thoracic surgical patients was mainly conducted with a nasopharyngeal swab and was complemented by CT scanning in one-third of the cases.
T179 1167-1331 Sentence denotes Single-swab testing might be considered a concern because the false negative rate in symptomatic patients is ∼20% but can rise to 100% in asymptomatic patients [8].
T180 1332-1383 Sentence denotes There was also a wide variety in levels of testing.
T181 1384-1618 Sentence denotes This result, of course, may reflect national governmental policy and is largely dependent on the test capacity per country/region (ranging from 453 to 32 414 tests per million inhabitants for countries represented in this survey) [9].
T182 1619-1786 Sentence denotes Surgery for patients whose test results were positive for the virus would almost always be postponed for at least 2 weeks, which is based on viral load modelling [10].
T183 1787-1914 Sentence denotes Although surgeons continue to see patients in person, there has been a significant shift to other forms of remote consultation.
T184 1915-1973 Sentence denotes This approach is a big decision for most surgeons to make.
T185 1974-2130 Sentence denotes It means that the basics of clinical assessment can be lost—including the ability to assess the patient, to undertake exercise testing and to build rapport.
T186 2131-2260 Sentence denotes However, this situation is not unique to thoracic surgery: a survey among maxillofacial surgeons revealed similar practices [11].
T187 2261-2366 Sentence denotes The preoperative component of thoracic oncology surgery has demonstrated resilience through the pandemic.
T188 2367-2463 Sentence denotes Most hospitals preoperative assessment processes were not impacted or had to make minor changes.
T189 2464-2602 Sentence denotes Although hospitals treating more patients who had test results positive for SARS-CoV-2 (the virus that causes COVID-19) were more limited.
T190 2603-2791 Sentence denotes In accordance with current European Society for Medical Oncology guidelines, accurate staging continued to have a high priority although there was no mention of functional assessment [12].
T191 2792-2876 Sentence denotes There was evidence that the multidisciplinary meetings have adapted to the pandemic.
T192 2877-2999 Sentence denotes Although there is no formal consensus on prioritizing surgical patients, a remarkable concordance in practice has emerged.
T193 3000-3084 Sentence denotes Patients with low-grade cancer should be deferred when surgical capacity is lacking.
T194 3085-3184 Sentence denotes Additionally, small localized malignant lesions have been considered for stereotactic radiotherapy.
T195 3185-3345 Sentence denotes This practice is followed because it is perceived to entail a lower risk of severe respiratory complications and reduced utilization of critical care resources.
T196 3346-3427 Sentence denotes Locally advanced N2 disease, with a poor prognosis, is not considered a priority.
T197 3428-3612 Sentence denotes Other treatment options (including neoadjuvant treatment, which would allow deferring surgery until after the crisis, or definitive chemoradiation) could be utilized in these patients.
T198 3613-3695 Sentence denotes Conversely, locally advanced N1 disease was perceived as a high surgical priority.
T199 3696-3955 Sentence denotes In reality, trying to prioritize a list of surgical patients, with constrained resources, can be extremely difficult because most organizations only provide COVID-19 recommendations with general principles categorized as high, medium and low priority [12–14].
T200 3956-4133 Sentence denotes Given that this system provides little differentiation between lung cancer patients being considered for surgery, daily practice remains difficult despite these recommendations.
T201 4134-4310 Sentence denotes Most surgeons feel that the risk of surgery during the current COVID-19 pandemic is higher, although many are clear that they do not know the exact magnitude of the added risk.
T202 4311-4546 Sentence denotes Indeed, there is currently a lack of information in the literature regarding the perioperative course of patients who have test results positive for COVID-19, but an early report seems to confirm increased risk during this period [15].
T203 4547-4708 Sentence denotes It may therefore be considered alarming that 15% of participants are telling their patients ‘not to worry’ when they are being asked to give consent for surgery.
T204 4709-4804 Sentence denotes Good surgical practice dictates that patients should be fully informed regarding surgical risk.
T205 4805-4877 Sentence denotes The perioperative surgical period was impacted to a much greater extent.
T206 4878-5083 Sentence denotes This outcome is understandable when two-thirds of respondents were involved in the daily care of COVID-19 positive patients and even more in hospitals treating a large number of COVID-19 positive patients.
T207 5084-5171 Sentence denotes Half of the respondents did not have access to full PPE when caring for these patients.
T208 5172-5320 Sentence denotes These results are in line with the results of a survey of the Royal College of Surgeons where 57% of the responders described shortages of PPE [16].
T209 5321-5398 Sentence denotes PPE is clearly important for keeping health care professionals safe and well.
T210 5399-5508 Sentence denotes Inadequate PPE was found to be a risk factor for COVID-19 infection among orthopaedic surgeons in Wuhan [17].
T211 5509-5627 Sentence denotes Given the fact that thoracic surgeons are exposed to aerosol-generating procedures, the risk may be much greater [18].
T212 5628-5776 Sentence denotes This observation, combined with the paucity of testing, means that health care workers continue to work with a sense of significant personal threat.
T213 5777-5878 Sentence denotes Postoperative care might be considered against the small numbers of patients proceeding with surgery.
T214 5879-6097 Sentence denotes However, a potentially significant finding is that 4 of 5 respondents have not adapted the management of chest drains, despite the fact that some societies recommend the use of a digital or a closed filter system [19].
T215 6098-6239 Sentence denotes There is a reasonable concern that aerosol production by an air leak could spread the viral load, but evidence on this topic is lacking [20].
T216 6240-6456 Sentence denotes With clear changes in the surgical journey, it can be appreciated why 54.4% of responders were concerned they were unable to provide the best care for their patients and were worried about their own emotional health.
T217 6457-6588 Sentence denotes Indeed stress-related symptoms are being regularly reported in frontline health care workers during the COVID-19 pandemic [21, 22].
T218 6590-6601 Sentence denotes Limitations
T219 6602-6635 Sentence denotes This survey has some limitations.
T220 6636-6712 Sentence denotes The questions are related only to the practice of thoracic oncology surgery.
T221 6713-6834 Sentence denotes The effect of the pandemic on other thoracic surgical patients remains relevant and fully warrants further investigation.
T222 6835-6983 Sentence denotes Because responses will also ultimately change as the pandemic progresses [23], we plan to take a second survey at a later date to gain further data.
T223 6984-7165 Sentence denotes The fact that some respondents felt there was no answer that accurately described their specific situation should be considered when interpreting the overall results of this survey.
T224 7166-7274 Sentence denotes Finally, the representativeness of this survey should be carefully considered when interpreting the results.
T225 7275-7398 Sentence denotes The majority of the respondents’ hospitals were treating large numbers of patients with COVID-19 at the time of the survey.
T226 7399-7497 Sentence denotes This situation may not represent the situation present in hospitals less affected by the pandemic.