Collateral damage: the impact on outcomes from cancer surgery of the COVID-19 pandemic

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Abstract

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  1. SciScore for 10.1101/2020.04.21.20073833: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board Statementnot detected.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variablenot detected.

    Table 2: Resources

    No key resources detected.


    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).


    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    Recognising its limitations regarding assumptions and parameters, we propose a model that provides a rational approach by which to evaluate across patients of different ages, tumour types and stages, the benefit and resource implications of their cancer surgery. We highlight in our model those age-stage groups for which COVID-related mortality currently exceeds survival benefit for surgery and/or SACT. Whilst these and other groups for whom benefit is marginal will be the most rationale to delay, they will nevertheless require monitoring and surgery downstream. Longitudinal planning, monitoring of progression, dynamic re-prioritisation and capacity-planning will inevitably be highly challenging. Limitations: As with any model-based analysis, our predictions are predicated on the validity of assumptions and estimates used for parameterisation. While we have made use of observational data, our approach simplifies the complexity of cancer progression and is solely survival-focused. For healthcare planning, a more elaborate model capturing stage-shifting may offer additional utility. The benefit of SACT is simplistic as the dosing, benefits and immunosuppressive consequences vary by chemotherapy regimen. Mortality from nosocomial COVID-19 infection during surgical admission or attendance for chemotherapy is based on a uniform per-day risk of infection: these may vary between institutions. Our model of COVID-19 admissions is limited by availability of detailed individual-level UK ...

    Results from TrialIdentifier: No clinical trial numbers were referenced.


    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.


    Results from JetFighter: We did not find any issues relating to colormaps.


    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    About SciScore

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