Anwar, Sumadi Lukman and Cahyono, Roby and Hardiyanto, Herjuna and Suwardjo, Suwardjo and Darwito, Darwito and Harahap, Wirsma Arif (2021) The prioritation and gap of preoperative COVID-19 vaccination in cancer surgery of the breast, head and neck, and skin: A cohort study of 367 patients in an Indonesian hospital. Annals of Medicine and Surgery, 72. ISSN 20490801
Full text not available from this repository. (Request a copy)Abstract
Background: Postoperative infection of Coronavirus Disease 2019 (COVID-19) has been associated with higher risks of mortality and pulmonary complication. Preoperative vaccination could significantly prevent postoperative-related mortality and morbidity particularly for cancer patients. Methods: Cancer patients who were scheduled for elective major surgery were questioned for status and their willingness to receive COVID-19 vaccination and were prospectively monitored for the presence of postoperative COVID-19 infection and major complications. Results: During the period of April–July 2021, 367 patients with median age of 49 years were scheduled for cancer surgery. Procedures for breast cancer were the most frequently performed (N = 166, 45.2). Surgery procedures with potential aerosol generating procedures (AGPs) were performed in total of 104 patients (28.3). Only 6 of 367 patients (1.6) were fully vaccinated in the day of surgery and 351 patients (95.6) were willing to receive COVID-19 vaccination. Fully vaccinated patients were significantly higher among those who were living in urban areas (OR = 22.897, 95CI:4.022–130.357, P = 0.0001). Willingness to get the COVID-19 vaccination was significantly higher among female patients (OR = 4.661, 95CI:1.685–12.896, P = 0.003). Postoperative COVID-19 infection was confirmed in 17 patients (4.6) and major surgical complications were observed in 12 patients (3.3). None of preoperatively vaccinated patients experienced postoperative COVID-19 infection or the related major complications. Conclusion: Although prioritizing COVID-19 vaccination in preoperative cancer patients has been recommended to prevent postoperative fatalities, only a small proportion of our patients have been vaccinated. Preoperatively vaccinated patients show advantages in the prevention of postoperative COVID-19 infection and major surgery complications. The slow rollout and disparity in the vaccination progress for patients requiring a major cancer surgery need to be specifically addressed. © 2021
Item Type: | Article |
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Additional Information: | Cited by: 3; All Open Access, Gold Open Access, Green Open Access |
Uncontrolled Keywords: | coronavac; adolescent; adult; aerosol generating procedure; aged; Article; artificial ventilation; attitude to health; breast cancer; cancer surgery; cohort analysis; comorbidity; coronavirus disease 2019; drug efficacy; drug safety; elective surgery; female; follow up; head and neck cancer; hospital readmission; human; length of stay; lung complication; major clinical study; male; mortality; pneumonia; postoperative complication; preoperative period; prospective study; questionnaire; skin cancer; social acceptance; vaccination; vaccination willingness |
Subjects: | R Medicine > RD Surgical Divisions |
Divisions: | Faculty of Medicine, Public Health and Nursing > Biomedical Sciences |
Depositing User: | Sri JUNANDI |
Date Deposited: | 27 Sep 2024 09:06 |
Last Modified: | 27 Sep 2024 09:06 |
URI: | https://ir.lib.ugm.ac.id/id/eprint/4533 |