Elective Cancer Surgery in COVID-19–Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study

• DOI: 10.1200/jco.20.01933
• Publication Date: 2020-10-06T19:59:28Z
• Authors: James C. Glasbey; Dmitri Nepogodiev; Joana F.F. Simoes; Omar Omar; Elizabeth Li; Mary L. Venn; PGDME; Mohammad K. Abou ...; Vita Capizzi; Daoud Chaudhry; Anant Desai; Jonathan G. Edwards; Jonathan P. Evans; Marco Fiore; Jose Flavio Videria; Samuel J. Ford; Ian Ganly; Ewen A. Griffiths; Rohan R. Gujjuri; Angelos G. Kolias; Haytham M.A. Kaaf...; Ana Minaya-Bravo; Siobhan C. McKay; Helen M. Mohan; Keith J. Roberts; Carlos San Miguel...; Peter Pockney; Richard Shaw; Neil J. Smart; Grant D. Stewart; Sudha Sundar, MRCOG; Raghavan Vidya; Aneel A. Bhangu; ; James C Glasbey; Dmitri Nepogodiev; Joana FF Simoes; Omar Omar; Elizabeth Li; Mary L Venn; Mohammad Abou Chaar; Vita Capizzi; Daoud Chaudhry; Anant Desai; Jonathan G Edwards; Jonathan P Evans; Marco Fiore; Jose Flavio Videria; Samuel J Ford; Ian Ganyli; Ewen A Griffiths; Rohan R Gujjuri; Angelos G Kolias; Haytham MA Kaafarani; Ana Minaya-Bravo; Siobhan C McKay; Helen M Mohan; Keith Roberts; Carlos San Miguel...; Peter Pockney; Richard Shaw; Neil J Smart; Grant D Stewart; Sudha Sundar; Raghavan Vidya; Aneel A Bhangu; James C Glasbey; Omar Omar; Aneel A Bhangu; Kwabena Siaw-Ache...; Ruth A Benson; Edward Bywater; Daoud Chaudhry; Brett E Dawson; Jonathan P Evans; James C Glasbey; Rohan R Gujjuri; Emily Heritage; Conor S Jones; Sivesh K Kamarajah; Chetan Khatri; Rachel A Khaw; James M Keatley; Andrew Knight; Samuel Lawday; Elizabeth Li; Harvinder S Mann; Ella J Marson; Kenneth A McLean; Siobhan C McKay; Emily C Mills; Dmitri Nepogodiev; Gianluca Pellino; Maria Picciochi; Elliott H Taylor; Abhinav Tiwari; Joana FF Simoes; Isobel M Trout; Mary L Venn; Richard JW Wilkin; Aneel A Bhangu; James C Glasbey; Neil J Smart; Ana Minaya-Bravo; Jonathan P Evans; Gaetano Gallo; Susan Moug; Francesco Pata; Peter Pockney; Salomone Di Saverio; Abigail Vallance; Dale Vimalchandran; Ewen A Griffiths; Sivesh K Kamarajah; Richard PT Evans; Philip Townend; Keith Roberts; Siobhan McKay; John Isaac; Sohei Satoi; John Edwards; Aman S Coonar; Adrian Marchbank; Edward J Caruana; Georgia R Layton; Akshay Patel; Alessandro Brunelli; Samuel Ford; Anant Desai; Alessandro Gronchi; Marco Fiore; Max Almond; Fabio Tirotta; Sinziana Dumitra; Angelos Kolias; Stephen J Price; Daniel M Fountain; Michael D Jenkinson; Peter Hutchinson; Hani J Marcus; Rory J Piper; Laura Lippa; Franco Servadei; Ignatius Esene; Christian Freyschlag; Iuri Neville; Gail Rosseau; Karl Schaller; Andreas K Demetri...; Faith Robertson; Alex Alamri; Richard Shaw; Andrew G Schache; Stuart C Winter; Michael Ho; Paul Nankivell; Juan Rey Biel; Martin Batstone; Ian Ganly; Raghavan Vidya; Alex Wilkins; Jagdeep K Singh; Dinesh Thekinkattil; Sudha Sundar; Christina Fotopoulou; Elaine Leung; Tabassum Khan; Luis Chiva; Jalid Sehouli; Anna Fagotti; Paul Cohen; Murat Gutelkin; Rahel Ghebre; Thomas Konney; Rene Pareja; Rob Bristow; Sean Dowdy; TS Shylasree; R Kottayasamy See...; Joe Ng; Keiiji Fujiwara; Grant D Stewart; Benjamin Lamb; Krishna Narahari; Alan McNeill; Alexandra Colquhoun; John McGrath; Steve Bromage; Ravi Barod; Veeru Kasivisvana...; Tobias Klatte; Joana FF Simoes; Tom EF Abbott; Sadi Abukhalaf; Michel Adamina; Adesoji O Ademuyiwa; Arnav Agarwal; Murat Akkulak; Ehab Alameer; Derek Alderson; Felix Alakaloko; Markus Albertsmeiers; Osaid Alser; Muhammad Alshaar; Sattar Alshryda; Alexis P Arnaud; Knut Magne Augestad; Faris Ayasra; José Azevedo; Brittany K Bankhe...; Emma Barlow; David Beard; Ruth A Benson; Ruth Blanco-Colino; Amanpreet Brar; Ana Minaya-Bravo; Kerry A Breen; Chris Bretherton; Igor Lima Buarque; Joshua Burke; Edward J Caruana; Mohammad Chaar; Sohini Chakrabortee; Peter Christensen; Daniel Cox; Moises Cukier; Miguel F Cunha; Giana H Davidson; Anant Desai; Salomone Di Saverio; Thomas M Drake; John G Edwards; Muhammed Elhadi; Sameh Emile; Shebani Farik; Marco Fiore; J Edward Fitzgerald; Samuel Ford; Tatiana Garmanova; Gaetano Gallo; Dhruv Ghosh; Gustavo Mendonça ...; Gustavo Grecinos; Ewen A Griffiths; Madalegna Gründl; Constantine Halkias; Ewen M Harrison; Intisar Hisham; Peter J Hutchinson; Shelley Hwang; Arda Isik; Michael D Jenkinson; Pascal Jonker; Haytham MA Kaafarani; Debby Keller; Angelos Kolias; Schelto Kruijff; Ismail Lawani; Hans Lederhuber; Sezai Leventoglu; Andrey Litvin; Andrew Loehrer; Markus W Löffler; Maria Aguilera Lo...; Maria Marta Modolo; Piotr Major; Janet Martin; Hassan N Mashbari; Dennis Mazingi; Symeon Metallidis; Ana Minaya-Bravo; Helen M Mohan; Rachel Moore; David Moszkowicz; Susan Moug; Joshua S Ng-Kamstra; Mayaba Maimbo; Ionut Negoi; Milagros Niquen; Faustin Ntirenganya; Maricarmen Olivos; Kacimi Oussama; Oumaima Outani; Marie Dione Parre...; Francesco Pata; Carlos Jose Perez...; Thomas D Pinkney; Willemijn van der...; Peter Pockney; Ahmad Qureshi; Dejan Radenkovic; Antonio Ramos-De ...; Keith Roberts; April C Roslani; Martin Rutegård; Juan José Segura-...; Irène Santos; Sohei Satoi; Raza Sayyed; Andrew Schache; Andreas A Schnitz...; Justina O. Seyi-O...; Neil Sharma; Richard Shaw; Sebastian Shu; Kjetil Soreide; Antonino Spinelli; Grant D Stewart; Malin Sund; Sudha Sundar; Stephen Tabiri; Philip Townend; Georgios Tsoulfas; Gabrielle H van R...; Raghavan Vidya; Dale Vimalachandran; Oliver J Warren; Duane Wedderburn; Naomi Wright; C Allemand; L Boccalatte; M Figari; M Lamm; J Larrañaga; C Marchitelli; F Noll; D Odetto; M Perrotta; J Saadi; L Zamora; C Alurralde; EL Caram; D Eskinazi; JP Mendoza; M Usandivaras; R Badra; A Esteban; JS García; PM García; JI Gerchunoff; SM Lucchini; MA NIgra; L Vargas; T Hovhannisyan; A Stepanyan; T Gould; R Gourlay; B Griffiths; S Gananadha; M McLaren; J Cecire; N Joshi; S Salindera; A Sutherland; JH Ahn; G Charlton; S Chen; N Gauri; R Hayhurst; S Jang; F Jia; C Mulligan; W Yang; G Ye; H Zhang; M Ballal; D Gibson; D Hayne; J Moss; T Richards; P Viswambaram; UG Vo; J Bennetts; T Bright; M Brooke-Smith; R Fong; B Gricks; YH Lam; BS Ong; M Szpytma; D Watson; K Bagraith; S Caird; E Chan; C Dawson; D Ho; E Jeyarajan; S Jordan; A Lim; GJ Nolan; A Oar; D Parker; H Puhalla; A Quennell; L Rutherford; P Townend; M Von Papen; M Wullschleger; A Blatt; D Cope; N Egoroff; M Fenton; J Gani; N Lott; P Pockney; N Shugg; M Elliott; D Phung; D Phan; D Townend; C Bong; J Gundara; A Frankel; S Bowman; GR Guerra; J Bolt; K Buddingh; NN Dudi-Venkata; S Jog; HM Kroon; T Sammour; R Smith; C Stranz; M Batstone; K Lah; W McGahan; D Mitchell; A Morton; A Pearce; M Roberts; G Sheahan; B Swinson; N Alam; S Banting; L Chong; P Choong; S Clatworthy; D Foley; A Fox; MW Hii; B Knowles; J Mack; M Read; A Rowcroft; S Ward; G Wright; M Lanner; I Königsrainer; M Bauer; C Freyschlag; M Kafka; F Messner; D Öfner; I Tsibulak; K Emmanuel; M Grechenig; R Gruber; M Harald; L Öhlberger; J Presl; A Wimmer; İ Namazov; E Samadov; D Barker; R Boyce; S Corbin; A Doyle; A Eastmond; R Gill; A Haynes; S Millar; M O’Shea; G Padmore; N Paquette; E Phillips; S St. John; K Walkes; N Flamey; P Pattyn; W Oosterlinck; J Van den Eynde; R Van den Eynde; A Gatti; C Nardi; R Oliva; R De Cicco; I Cecconello; P Gregorio; L Pontual Lima; U Ribeiro Junior; F Takeda; RM Terra; M Sokolov; B Kidane; S Srinathan; M Boutros; N Caminsky; G Ghitulescu; G Jamjoum; J Moon; J Pelletier; T Vanounou; S Wong; M Boutros; S Dumitra; A Kouyoumdjian; B Johnston; C Russell; M Boutros; S Demyttenaere; R Garfinkle; J Abou-Khalil; C Nessim; J Stevenson; F Heredia; A Almeciga; A Fletcher; A Merchan; LO Puentes; J Mendoza Quevedo; G Bačić; D Karlović; D Kršul; M Zelić; I Luksic; M Mamic; B Bakmaz; I Ćoza; E Dijan; Z Katusic; J Mihanovic; I Rakvin; K Frantzeskou; N Gouvas; G Kokkinos; P Papatheodorou; I Pozotou; O Stavrinidou; A Yiallourou; L Martinek; M Skrovina; I Szubota; J Žatecký; V Javurkova; J Klat; T Avlund; P Christensen; JL Harbjerg; LH Iversen; DW Kjaer; HØ Kristensen; M Mekhael; AL Ebbehøj; P Krarup; N Schlesinger; H Smith; A Abdelsamed; AY Azzam; H Salem; A Seleim; A Abdelmajeed; M Abdou; NE Abosamak; M AL Sayed; F Ashoush; R Atta; E Elazzazy; M Elhoseiny; M Elnemr; MS Elqasabi; ME Elsayed Hewalla; I Elsherbini; E Essam; M Eweda; I Ghallab; E Hassan; M Ibrahim; M Metwalli; M Mourad; MS Qatora; M Ragab; A Sabry; H Saifeldin; M Saleh Mesbah Mo...; A Samih; A Samir Abdelaal; S Shehata; K Shenit; D Attia; N Kamal; N Osman; AM Abbas; HAS Abd Elazeem; MM Abdelkarem; S Alaa; AK Ali; A Ayman; MG Azizeldine; H Elkhayat; S M.elghazaly; FA Monib; MA Nageh; MM Saad; M Salah; M Shahine; EA Yousof; A Youssef; A Eldaly; M ElFiky; A Nabil; G Amira; I Sallam; M Sherief; A Sherif; A Abdelrahman; H Aboulkassem; G Ghaly; R Hamdy; A Morsi; H Salem; G Sherif; H Abdeldayem; I Abdelkader Salama; M Balabel; Y Fayed; AE Sherif; D Bekele; J Kauppila; E Sarjanoja; O Helminen; H Huhta; JH Kauppila; C Beyrne; L Jouffret; L Lugans; L Marie-Macron; E Chouillard; B De Simone; J Bettoni; S Dakpé; B Devauchelle; N Lavagen; S Testelin; S Boucher; R Breheret; A Gueutier; A Kahn; J Kün-Darbois; A Barrabe; Z Lakkis; A Louvrier; S Manfredelli; P Mathieu; A Chebaro; V Drubay; M El amrani; C Eveno; K Lecolle; G Legault; L Martin; G Piessen; FR Pruvot; S Truant; P Zerbib; Q Ballouhey; B Barrat; J Laloze; H Salle; A Taibi; J Usseglio; D Bergeat; A Merdrignac; Roy B Le; LO Perotto; A Scalabre; A Aimé; A Ezanno; B Malgras; P Bouche; S Tzedakis; E Cotte; O Glehen; V Kepenekian; J Lifante; G Passot; A D’Urso; E Felli; D Mutter; P Pessaux; B Seeliger; J Bardet; R Berry; G Boddaert; S Bonnet; E Brian; C Denet; D Fuks; D Gossot; M Grigoroiu; A Laforest; Y Levy-Zauberman; C Louis-Sylvestre; A Moumen; G Pourcher; A Seguin-givelet; E Tribillon; E Duchalais; F Espitalier; C Ferron; O Malard; U Bork; M Distler; J Fritzmann; J Kirchberg; C Praetorius; C Riediger; J Weitz; T Welsch; P Wimberger; K Beyer; C Kamphues; J Lauscher; FN Loch; C Schineis; M Albertsmeier; M Angele; A Kappenberger; H Niess; T Schiergens; J Werner; R Becker; J Jonescheit; I Pergolini; D Reim; C Boeker; I Hakami; J Mall; P Liokatis; W Smolka; K Nowak; T Reinhard; F Hölzle; A Modabber; P Winnand; M Knitschke; P Kauffmann; S Wolfer; J Kleeff; K Lorenz; C Michalski; U Ronellenfitsch; R Schneider; E Bertolani; A Königsrainer; MW Löffler; M Quante; C Steidle; L Überrück; C Yurttas; CS Betz; J Bewarder; A Böttcher; S Burg; C Busch; M Gosau; A Heuer; J Izbicki; TO Klatte; D Koenig; N Moeckelmann; C Nitschke; M Priemel; R Smeets; U Speth; S Thole; FG Uzunoglu; T Vollkommer; N Zeller; MJ Battista; K Gillen; A Hasenburg; S Krajnak; V Linz; R Schwab; K Angelou; D Haidopoulos; A Rodolakis; P Antonakis; K Bramis; L Chardalias; I Contis; N Dafnios; D Dellaportas; G Fragulidis; A Gklavas; M Konstadoulakis; N Memos; I Papaconstantinou; A Polydorou; T Theodosopoulos; A Vezakis; MI Antonopoulou; DK Manatakis; N Tasis; N Arkadopoulos; N Danias; P Economopoulou; P Kokoropoulos; A Larentzakis; N Michalopoulos; J Selmani; T Sidiropoulos; V Tsaousis; P Vassiliu; K Bouchagier; S Klimopoulos; D Paspaliari; G Stylianidis; K Baxevanidou; K Bouliaris; P Chatzikomnitsa; M Efthimiou; A Giaglaras; C Kalfountzos; G Koukoulis; AM Ntziovara; K Petropoulos; K Soulikia; I Tsiamalou; K Zervas; S Zourntou; I Baloyiannis; A Diamantis; E Gkrinia; J Hajiioannou; C Korais; O Koukoura; K Perivoliotis; A Saratziotis; C Skoulakis; D Symeonidis; K Tepetes; G Tzovaras; D Zacharoulis; V Alexoudi; K Antoniades; I Astreidis; P Christidis; D Deligiannidis; T Grivas; O Ioannidis; I Kalaitsidou; L Loutzidou; A Mantevas; D Michailidou; K Paraskevopoulos; S Politis; A Stavroglou; D Tatsis; I Tilaveridis; K Vahtsevanos; G Venetis; I Karaitianos; T Tsirlis; A Charalabopoulos; T Liakakos; E Mpaili; D Schizas; E Spartalis; A Syllaios; C Zografos; C Anthoulakis; C Christou; V Papadopoulos; A Tooulias; D Tsolakidis; G Tsoulfas; D Zouzoulas; E Athanasakis; E Chrysos; J Tsiaoussis; S Xenaki; E Xynos; K Futaba; MF Ho; SF Hon; TWC Mak; SSM Ng; CC Foo; B Banky; N Suszták; M Aremu; A Canas-Martinez; O Cullivan; C Murphy; P Owens; L Pickett; L Akmenkalne; J Byrne; M Corrigan; C Cullinane; A Daly; C Fleming; P Jordan; S Killeen; N Lynch; A McCarthy; H Mustafa; S O’Brien; P O’Leary; WAS Syed; L Vernon; D Callanan; L Huang; A Ionescu; P Sheahan; I Balasubramanian; M Boland; K Conlon; D Evoy; N Fearon; T Gallagher; J Geraghty; H Heneghan; N Kennedy; D Maguire; D McCartan; EW McDermott; RS Prichard; D Winter; D Alazawi; C Barry; T Boyle; W Butt; EM Connolly; N Donlon; C Donohue; BA Fahey; R Farrell; C Fitzgerald; J Kinsella; JO Larkin; P Lennon; PJ Maguire; P Mccormick; BJ Mehigan; H Mohan; T Nugent; H O’Sullivan; N Ravi; JV Reynolds; A Rogers; P Shokuhi; J Smith; LA Smith; C Timon; Y Bashir; G Bass; T Connelly; B Creavin; H Earley; JA Elliott; A Gillis; D Kavanagh; P Neary; J O’riordan; IS Reynolds; D Rice; P Ridgway; M Umair; M Whelan; P Carroll; C Collins; K Corless; L Finnegan; A Fowler; A Hogan; M Kerin; A Lowery; P McAnena; K McKevitt; K Nizami; É Ryan; A Samy; JC Coffey; R Cunningham; M Devine; D Nally; C Peirce; S Tormey; N Hardy; P Neary; S O’Malley; M Ryan; S Macina; NM Mariani; E Opocher; A Pisani Ceretti; F Ferrari; F Odicino; E Sartori; C Cotsoglou; S Granieri; F Bianco; A Camillo’; M Colledan; S Tornese; MF Zambelli; G Bissolotti; S Fusetti; F Lemma; MV Marino; A Mirabella; G Vaccarella; C Agostini; G Alemanno; I Bartolini; C Bergamini; A Bruscino; C Checcucci; R De Vincenti; A Di Bella; M Fambrini; L Fortuna; G Maltinti; P Muiesan; F Petraglia; P Prosperi; MN Ringressi; M Risaliti; F Sorbi; A Taddei; R Tucci; C Bassi; L Bortolasi; T Campagnaro; L Casetti; M De Pastena; A Esposito; M Fontana; A Guglielmi; L Landoni; G Malleo; G Marchegiani; S Nobile; S Paiella; C Pedrazzani; S Rattizzato; A Ruzzenente; R Salvia; G Turri; M Tuveri; P Bellora; G D’Aloisio; M Ferrari; E Francone; S Gentilli; H Nikaj; M Bianchini; M Chiarugi; F Coccolini; G Di Franco; N Furbetta; D Gianardi; S Guadagni; L Morelli; M Palmeri; D Tartaglia; G Anania; P Carcoforo; M Chiozza; A De Troia; M Koleva Radica; M Portinari; MG Sibilla; A Urbani; N Fabbri; CV Feo; S Gennari; S Parini; E Righini; L Ampollini; L Bellanti; M Bergonzani; G Bertoli; G Bocchialini; G D’Angelo; D Lanfranco; L Musini; T Poli; GP Santoro; A Varazzani; L Aguzzoli; G Borgonovo; C Castro Ruiz; S Coiro; G Falco; VD Mandato; V Mastrofilippo; MT Montella; V Annessi; M Zizzo; U Grossi; S Novello; M Romano; S Rossi; G Zanus; G Esposito; F Frongia; A Pisanu; M Podda; C Belluco; A Lauretta; G Montori; L Moras; M Olivieri; F Bussu; AG Carta; ML Cossu; P Cottu; A Fancellu; CF Feo; GC Ginesu; G Giuliani; M Madonia; T Perra; A Piras; A Porcu; D Rizzo; AM Scanu; A Tedde; M Tedde; P Delrio; D Rega; G Badalamenti; G Campisi; A Cordova; M Franza; G Maniaci; G Rinaldi; F Toia; M Calabrò; F Farnesi; EG Lunghi; A Muratore; NS Pipitone Federico; F Bàmbina; G D’Andrea; P Familiari; V Picotti; G De Palma; G Luglio; G Pagano; FP Tropeano; L Baldari; GA Beltramini; L Boni; E Cassinotti; A Gianni’; L Pignataro; S Torretta; C Abatini; M Baia; D Biasoni; G Bogani; P Cadenelli; V Capizzi; SPB Cioffi; D Citterio; LV Comini; M Cosimelli; M Fiore; S Folli; M Gennaro; L Giannini; A Gronchi; M Guaglio; A Macchi; F Martinelli; V Mazzaferro; A Mosca; S Pasquali; C Piazza; F Raspagliesi; L Rolli; R Salvioni; G Sarpietro; C Sarre; L Sorrentino; A Agnes; S Alfieri; F Belia; A Biondi; V Cozza; A D’Amore; D D’Ugo; V De Simone; A Fagotti; G Gasparini; L Gordini; F Litta; CP Lombardi; L Lorenzon; AA Marra; F Marzi; A Moro; A Parello; E Perrone; R Persiani; C Ratto; F Rosa; G Saponaro; G Scambia; O Scrima; G Sganga; R Tudisco; A Belli; V Granata; F Izzo; R Palaia; R Patrone; FM Carrano; MM Carvello; A De Virgilio; F Di Candido; F Ferreli; F Gaino; G Mercante; V Rossi; A Spinelli; G Spriano; DM Donati; T Frisoni; E Palmerini; A Aprile; F Barra; P Batistotti; S Ferrero; P Fregatti; S Scabini; M Sparavigna; E Asti; D Bernardi; L Bonavina; A Lovece; L Adamoli; M Ansarin; S Cenciarelli; F Chu; R De Berardinis; U Fumagalli Romario; F Mastrilli; G Pietrobon; M Tagliabue; E Badellino; A Ferrero; R Massobrio; A De Manzoni Garb...; P Federico; P Maida; E Marra; G Marte; A Petrillo; T Tammaro; A Tufo; M Berselli; G Borroni; E Cocozza; L Conti; M Desio; L Livraghi; V Quintodei; A Rizzi; A Zullo; C Baldi; C Corbellini; GM Sampietro; P Cellerino; E Baldini; P Capelli; L Conti; SM Isolani; M Ribolla; A Bondurri; F Colombo; L Ferrario; C Guerci; A Maffioli; T Armao; M Ballabio; P Bisagni; A Gagliano; M Longhi; M Madonini; P PizziCni; AM Baietti; M Biasini; P Maremonti; F Neri; GM Prucher; S Ricci; F Ruggiero; AG Zarabini; R Barmasse; S Mochet; L Morelli; A Usai; F Bianco; P Incollingo; S Mancini; L Marino Cosentino; A Sagnotta; R Fruscio; T Grassi; LC Nespoli; N Tamini; A Anastasi; B Bartalucci; A Bellacci; G Canonico; L Capezzuoli; C Di Martino; P Ipponi; C Linari; M Montelatici; T Nelli; G Spagni; L Tirloni; A Vitali; E Abate; M Casati; T Casiraghi; L Laface; M Schiavo; A Arminio; A Cotoia; V Lizzi; F Vovola; R Vergari; S D’Ugo; N Depalma; MG Spampinato; P Bartolucci; G Brachini; P Bruzzaniti; A Chiappini; V Chiarella; F Ciccarone; PM Cicerchia; B Cirillo; G De Toma; A Di bartolomeo; E Fiori; GB Fonsi; G Franco; A Frati; M Giugliano; I Iannone; F La Torre; P Lapolla; C Leonardo; G Marruzzo; S Meneghini; A Mingoli; D Ribuffo; M Salvati; A Santoro; P Sapienza; AK Scafa; L Simonelli; M Zambon; GT Capolupo; F Carannante; M Caricato; G Mascianà; E Mazzotta; A Gattolin; M Migliore; R Rimonda; D Sasia; E Travaglio; M Cervellera; A Gori; L Sartarelli; V Tonini; M Giacometti; S Zonta; A Chessa; A Fiorini; C Norcini; G Colletti; M Confalonieri; A Costanzi; C Frattaruolo; G Mari; M Monteleone; A Bandiera; L Bocciolone; G Bonavina; M Candiani; G Candotti; P De Nardi; F Gagliardi; M Medone; P Mortini; G Negri; P Parise; M Piloni; P Sileri; A Vignali; A Belvedere; P Bernante; P Bertoglio; S Boussedra; E Brunocilla; R Cipriani; G Cisternino; E De Crescenzo; P De Iaco; G Dondi; F Frio; E Jovine; F Mineo Bianchi; J Neri; D Parlanti; AM Perrone; AP Pezzuto; M Pignatti; V Pinto; G Poggioli; M Ravaioli; M Rottoli; R Schiavina; M Serenari; M Serra; P Solli; M Taffurelli; M Tanzanu; M Tesei; T Violante; S Zanotti; F Borghi; D Cianflocca; S Di Maria Grimaldi; D Donati; E Gelarda; P Geretto; G Giraudo; MC Giuffrida; A Marano; S Palagi; L Pellegrino; C Peluso; V Testa; F Agresta; D Prando; M Zese; F Aquila; C Gambacciani; L Lippa; F Pieri; OS Santonocito; G Armatura; G Bertelli; A Frena; P Marinello; F Notte; S Patauner; G Scotton; SF Fulginiti; G Gallo; G Sammarco; G Vescio; P Balercia; L Catarzi; G Consorti; F Di Marzo; T Fontana; H Daiko; M Ishikawa; K Ishiyama; S Iwata; K Kanematsu; Y Kanemitsu; T Kato; A Kawai; E Kobayashi; M Kobayashi Kato; K Moritani; F Nakatani; J Oguma; Y Tanase; M Uno; M Al Abdallah; F Ayasra; Y Ayasra; A Qasem; FJ Abu Za’nouneh; T Fahmawee; A Hmedat; A Ibrahim; K Obeidat; S Abdel Al; R Abdel Jalil; MK Abou Chaar; M Al-Masri; H Al-Najjar; F Alawneh; O Alsaraireh; M Elayyan; R Ghanem; I Lataifeh; GZ Alkadeeki; FS Al Maadany; N Aldokali; O Senossi; MT Subhi; D Burgan; E Kamoka; AI Kilani; A Salamah; M Salem; A Shuwayyah; E Abdulwahed; E Alshareea; N Aribi; S Aribi; M Biala; R Ghamgh; M Morgom; Z Aldayri; I Ellojli; A Kredan; S Bradulskis; E Dainius; E Kubiliute; J Kutkevičius; A Parseliunas; A Subocius; D Venskutonis; F Rasoaherinomenj...; JB Razafindrahita; LH Samison; EC Ong; KH Hamdan; MR Ibrahim; JA Tan; MR Thanapal; N Amin Sahid; F Hayati; J Jayasilan; RK Sriram; S Subramaniam; A Che Jusoh; AH Hussain; AS Mohamed Sidek; MF Mohd Yunus; JY Soh; MPK Wong; AD Zakaria; Z Zakaria; A Fadzli; NQ Fathi; PS Koh; YT Liew; AC Roslani; CY Tang; LY Teoh; WJ Wong; AS Yahaya; MR Alvarez; R Arrangoiz; F Cordera; MA De la Rosa Abaroa; A Gómez-Pedraza; R Hernandez; A Maffuz-Aziz; JA Posada; FC Becerra García; A Alfaro-Goldaracena; GA Buerba; RA Castillejos-Mo...; C Chan; I Dominguez-Rosado; H Medina-Franco; MÁ Mercado; M Oropeza-Aguilar; E Peña Gómez Port...; OE Posadas-Trujillo; F Rodriguez-Covar...; N Salgado-Nesme; C Sarre; M Vilatoba; Y Arkha; H Bechri; A El Ouahabi; MY Oudrhiri; F Derkaoui hassani; N El abbadi; L Amrani; ZH Belkhadir; A Benkabbou; O Chakib; B El Ahmadi; 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S Handa; M Kaushal; A Kler; P Patel; J Redfern; S Tezas; Y Aawsaj; S Amonkar; C Barry; L Blackwell; D Blake; J Carter; H Emerson; A Fisher; M Katory; P Korompelis; W McCormick; A Mustafa; L Pearce; N Ratnavelu; R Reehal; L Kretzmer; L Lalou; B Manku; I Parwaiz; J Stafford; M Abdelkarim; A Asqalan; T Gala; S Ibrahim; A Maw; R Mithany; R Morgan; G Sundaram Venkat...; K Ang; EJ Caruana; MF Chowdhry; A Mohammad; A Nakas; S Rathinam; M Boal; O Brown; S Dwerryhouse; S Higgs; A Vallance; E Boyd; V Irvine; A Kirk; G Bakolas; A Boulton; A Chandock; T Khan; M Kumar; P Agoston; A Billè; B Challacombe; S Fraser; K Harrison-Phipps; J King; G Mehra; L Mills; M Najdy; R Nath; L Okiror; J Pilling; V Rizzo; T Routledge; A Sayasneh; L Stroman; A Wali; M Fehervari; C Fotopoulou; N Habib; S Hamrang-Yousefi; Z Jawad; L Jiao; M Pai; J Ploski; P Rajagopal; S Saso; M Sodergren; D Spalding; S Laws; C Hardie; C McNaught; R Alam; A Budacan; J Cahill; M Kalkat; S Karandikar; L Kenyon; D Naumann; A Patel; J Ayorinde; T Chase; T Cuming; A Ghanbari; L Humphreys; S Tayeh; A Aboelkassem Ibr...; R Bichoo; H Cao; AKW Chai; J Choudhury; C Evans; H Fitzjohn; H Ikram; M Langstroth; M Loubani; A McMillan; S Nazir; SSA Qadri; A Robinson; E Ross; T Sehgal; A Wilkins; J Dixon; J Dunning; K Freystaetter; M Jha; S Lester; A Madhavan; SV Thulasiraman; Y Viswanath; T Curl-Roper; C Delimpalta; CCL Liao; V Velchuru; E Westwood; E Belcher; G Bond-Smith; S Chidambaram; F Di Chiara; K Fasanmade; L Fraser; H Fu; M Ganau; S Gore; J Graystone; D Jeyaretna; H Khatkar; M Lami; M Maher; S Mastoridis; R Mihai; R Piper; S Prabhu; OBF Risk; U Selbong; K Shah; R Smillie; H Soleymani majd; S Sravanam; D Stavroulias; GD Tebala; M Vatish; C Verberne; K Wallwork; S Winter; MI Bhatti; H Boyd-Carson; E Elsey; E Gemmill; P Herrod; M Jibreel; E Lenzi; T Saafan; D Sapre; T Sian; N Watson; A Athanasiou; G Bourke; L Bradshaw; A Brunelli; J Burke; P Coe; F Costigan; H Elkadi; M Ho; J Johnstone; A Kanatas; V Kantola; A Kaufmann; A Laios; S Lam; 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• Keywords: Elective surgery; Pandemic

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective is best performed. This study aimed whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared hospitals no defined pathway. PATIENTS AND METHODS international, multicenter cohort included patients who underwent for 10 solid types without preoperative suspicion of SARS-CoV-2. Participating from local emergence SARS-CoV-2 until April 19, 2020. At time surgery, as having a pathway (complete segregation operating theater, critical care, and inpatient ward areas) or (incomplete segregation, areas shared COVID-19). The primary outcome was 30-day complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 447 in 55 countries, 2,481 operated on pathways. Patients within younger fewer comorbidities than those but similar proportions major surgery. After adjustment, (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 0.86). consistent sensitivity analyses low-risk (American Society Anesthesiologists grade 1/2), propensity score–matched models, negative tests. infection rate also (2.1% 3.6%; aOR, 0.53; 0.36 0.76). CONCLUSION Within available resources, dedicated should be established provide safe during current before future outbreaks.