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

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

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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
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

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