RT Journal Article T1 Assessing the impact of COVID-19 on liver cancer management (CERO-19). A1 Muñoz-Martinez, Sergio A1 Sapena, Victor A1 Forner, Alejandro A1 Nault, Jean-Charles A1 Sapisochin, Gonzalo A1 Rimassa, Lorenza A1 Sangro, Bruno A1 Bruix, Jordi A1 Sanduzzi-Zamparelli, Marco A1 Hołowko, Wacław A1 El-Kassas, Mohamed A1 Mocan, Tudor A1 Bouattour, Mohamed A1 Merle, Philippe A1 Hoogwater, Frederik J H A1 Alqahtani, Saleh A A1 Reeves, Helen L A1 Pinato, David J A1 Giorgakis, Emmanouil A1 Meyer, Tim A1 Villadsen, Gerda Elisabeth A1 Wege, Henning A1 Salati, Massimiliano A1 Mínguez, Beatriz A1 Di-Costanzo, Giovan Giuseppe A1 Roderburg, Christoph A1 Tacke, Frank A1 Varela, María A1 Galle, Peter R A1 Alvares-da-Silva, Mario Reis A1 Trojan, Jörg A1 Bridgewater, John A1 Cabibbo, Giuseppe A1 Toso, Christian A1 Lachenmayer, Anja A1 Casadei-Gardini, Andrea A1 Toyoda, Hidenori A1 Lüdde, Tom A1 Villani, Rosanna A1 Matilla-Peña, Ana Maria A1 Guedes-Leal, Cassia Regina A1 Ronzoni, Monica A1 Delgado, Manuel A1 Perello, Christie A1 Pascual, Sonia A1 Lledo, Jose Luis A1 Argemi, Josepmaria A1 Basu, Bristi A1 da-Fonseca, Leonardo A1 Acevedo, Juan A1 Siebenhüner, Alexander R A1 Braconi, Chiara A1 Meyers, Brandon M A1 Granito, Alessandro A1 Sala, Margarita A1 Rodriguez-Lope, Carlos A1 Blaise, Lorraine A1 Romero-Gomez, Manuel A1 Piñero, Federico A1 Gomez, Dhanny A1 Mello, Vivianne A1 Pinheiro-Alves, Rogerio Camargo A1 França, Alex A1 Branco, Fernanda A1 Brandi, Giovanni A1 Pereira, Gustavo A1 Coll, Susanna A1 Guarino, Maria A1 Benítez, Carlos A1 Anders, Maria Margarita A1 Bandi, Juan C A1 Vergara, Mercedes A1 Calvo, Mariona A1 Peck-Radosavljevic, Markus A1 Garcia-Juarez, Ignacio A1 Cardinale, Vincenzo A1 Lozano, Mar A1 Gambato, Martina A1 Okolicsanyi, Stefano A1 Morales-Arraez, Dalia A1 Elvevi, Alessandra A1 Muñoz, Alberto E A1 Lue, Alberto A1 Iavarone, Massimo A1 Reig, Maria K1 BCLC, Barcelona Clinic Liver Cancer K1 CERO-19, Liver Cancer Outcome in the COVID-19-pandemic Project K1 COVID-19 K1 COVID-19, coronavirus disease 2019 K1 Cholangiocarcinoma K1 Clinical trials K1 ENS-CCA, European Network for the Study of Cholangiocarcinoma K1 HCC, hepatocellular carcinoma K1 Hepatocellular carcinoma K1 LC, liver cancer K1 LT, liver transplantation K1 Liver cancer K1 Management K1 Nurses K1 SARS-CoV-2, severe acute respiratory syndrome coronavirus-2 K1 iCCA, intrahepatic cholangiocarcinoma AB The coronavirus disease 2019 (COVID-19) pandemic has posed unprecedented challenges to healthcare systems and it may have heavily impacted patients with liver cancer (LC). Herein, we evaluated whether the schedule of LC screening or procedures has been interrupted or delayed because of the COVID-19 pandemic. An international survey evaluated the impact of the COVID-19 pandemic on clinical practice and clinical trials from March 2020 to June 2020, as the first phase of a multicentre, international, and observational project. The focus was on patients with hepatocellular carcinoma or intrahepatic cholangiocarcinoma, cared for around the world during the first COVID-19 pandemic wave. Ninety-one centres expressed interest to participate and 76 were included in the analysis, from Europe, South America, North America, Asia, and Africa (73.7%, 17.1%, 5.3%, 2.6%, and 1.3% per continent, respectively). Eighty-seven percent of the centres modified their clinical practice: 40.8% the diagnostic procedures, 80.9% the screening programme, 50% cancelled curative and/or palliative treatments for LC, and 41.7% modified the liver transplantation programme. Forty-five out of 69 (65.2%) centres in which clinical trials were running modified their treatments in that setting, but 58.1% were able to recruit new patients. The phone call service was modified in 51.4% of centres which had this service before the COVID-19 pandemic (n = 19/37). The first wave of the COVID-19 pandemic had a tremendous impact on the routine care of patients with liver cancer. Modifications in screening, diagnostic, and treatment algorithms may have significantly impaired the outcome of patients. Ongoing data collection and future analyses will report the benefits and disadvantages of the strategies implemented, aiding future decision-making. The coronavirus disease 2019 (COVID-19) pandemic has posed unprecedented challenges to healthcare systems globally. Herein, we assessed the impact of the first wave pandemic on patients with liver cancer and found that routine care for these patients has been majorly disrupted, which could have a significant impact on outcomes. PB Elsevier BV YR 2021 FD 2021-02-23 LK http://hdl.handle.net/10668/17255 UL http://hdl.handle.net/10668/17255 LA en NO Muñoz-Martínez S, Sapena V, Forner A, Nault JC, Sapisochin G, Rimassa L, et al. Assessing the impact of COVID-19 on liver cancer management (CERO-19). JHEP Rep. 2021 Jun;3(3):100260. DS RISalud RD Apr 18, 2025