Delayed colorectal cancer care during covid-19 pandemic (decor-19). Global perspective from an international survey
Articolo
Data di Pubblicazione:
2021
Citazione:
Delayed colorectal cancer care during covid-19 pandemic (decor-19). Global perspective from an international survey / Santoro, Giulio A.; Grossi, Ugo; Murad-Regadas, Sthela; Nunoo-Mensah, Joseph W.; Mellgren, Anders; Di Tanna, Gian Luca; Gallo, Gaetano; Tsang, Charles; Wexner, Steven D; La Torre, Filippo; Abary Ryan Rainiel, A; Philippines, ; Abdelwahab Khaled M, Egypt; Abellán Antonio M, Spain; Abraham Ned, Australia; Achkasov Sergey I, Russia; Adamina Michel, Switzerland; Adamo Vincenzo, Italy; Agapov Mikhail, Russia; Agarwal Amit, Usa; Aguado López Héctor, Spain; Aguilar Werner, Chile; Aguilarmartínez María Del Mar Am, Spain; Aguilera Asuncion, Spain; Ahmed Jamil, Uk; Aiello Domenico, Italy; Akagi Tomonori, Japan; Akcakaya Adem, Turkey; Akhtar Khalid I, Pakistan; Akiba Ricardo, Brazil; Akrami Majid, Iran; Akyol Cihangir, Turkey; Alaamer Ohood H, Saudi Arabia; Alapati Kishore, India; Alasari Sami, Saudi Arabia; Albastaki Sara, Uae; Albergaria Diogo, Portugal; Alconchel Felipe, Spain; Alerta-Torre Andrea J, Philippines; Alex Ochsner, Switzerland; Alexander Herold, Germany; Alfaro Samuel, El Salvador; Ali Jehangir F, Pakistan; Aliyazicioglu Tolga, Turkey; Almgla Naser, South Africa; Alonsopoza Alfredo, Spain; Al-Radjid Jamiri, Philippines; Alselaim Nahar A, Saudi Arabia; Altaf Kiran K, Uk; Althebaity Rasha, Saudi Arabia; Altinel Yuksel, Turkey; Altiparmak Basak, Turkey; Altomare Donato F, Italy; Alvandipour Mina, Iran; Alvarez-Gallego Mario, Spain; Alyami Mohammad, Saudi Arabia; Amado Sandra, Portugal; Amato Antonio, Italy; Amodio Pietro M, Italy; Ana-Maria Mușină, Romania; Andrade Luis, Chile; Andreas Kohler, Switzerland; Angelini Giulio, Italy; Angenete Eva, Sweden; Annicchiarico Alfredo, Italy; Antelo Galarza Renan, Bolivia; Anwer Mariyah, Pakistan; Aparício David J, Portugal; Arciniega Jose A, Mexico; Arezzo Alberto, Italy; Argenio Giulio, Italy; Arenas Mara, Belgium; Arnaud Alves Aa, France; Arredondo Jorge, Spain; Arslan Baha, Turkey; Arya Shobhit, Uk; Aselmann Heiko, Germany; Aumann Georg, Germany; Avanzolini Andrea, Italy; Avendano Rodolfo, Chile; Awedew Atalel F, Ethiopia; Ayantunde Abraham, Uk; Aycan Ilker, Turkey; Aytac Erman, Turkey; Azevedo Constança Tm, Portugal; Ba Am, Iraq; Bader Fg, Germany; Baehrle Markus, Germany; Bagaglini Giulia, Italy; Balaban Vladimir, Russia; Balciscueta Zutoia, Spain; Balciscueta Izaskun, Spain; Baldazzi Gianandrea, Italy; Balik Emre, Turkey; Bandolon Robert, Philippines; Barberis Andrea, Italy; Barisic Goran I, Serbia; Barrera Alejandro, Chile; Barros Inês Msf, Portugal; Basaran Betul, Turkey; Basilio Pedro C, Brazil; Bech Flemming, Denmark; Behboo Roubik, Iran; Behboudi Behnam, Iran; Beitia Ivan E, Panama; Bellato Vittoria, Italy; Bellolio Felipe, Chile; Benli Sami, Turkey; Bernal Jc, Spain; Bernante Paolo, Italy; Berrospi Francisco E, Peru; Bertelson Noelle, Usa; Bevan Katharine, Uk; Bhama Anuradha, Usa; Bianco Francesco, Italy; Bievel Radulescu Raluca, Romania; Bintraiki Thamer, Saudi Arabia; Bisgin Tayfun, Turkey; Bislenghi Gabriele, Belgium; Blaslaina Juanluis, Spain; Bloom Itm, Uk; Boehm Gabriele, Germany; Bogoni Selene, Italy; Bohlooli Mehrdad, Iran; Bondurri Andrea, Italy; Boni Luigi, Italy; Bonomi Alessandro Michele, Italy; Booning Nitikun, Thailand; Boonpipattanapong Teeranut, Thailand; Bordeianou Liliana, Usa; Bossard Kerrie, Usa; Botelho Maria, Portugal; Boto Carlos, Portugal; Bottini Corrado, Italy; Bouchagier Konstantinos, Greece; Boutall Adam, South Africa; Bowers Dan, Usa; Bozbiyik Osman, Turkey; Brambilla Eduardo, Brazil; Brisinda Giuseppe, Italy; Brizzi Maria Pia, Italy; Brizzolari Marco, Italy; Brusciano Luigi, Italy; Bucci Luigi, Italy; Buchwald Pam, Sweden; Bugra Dursun, Turkey; Bui Andrew, Australia; Buldanlı Mehmet Zeki, Turkey; Bulut Orhan, Denmark; Cagigas Fernandez Carmen, Spain; Cai Yuankun, China; Calcerrada Alises Enrique, Spain; Caldes Pedro, Portugal; Calussi Marco, Italy; Calvo Espino Pablo, Spain; Camp
Abstract:
Background
The widespread nature of coronavirus disease 2019 (COVID-19) has been unprecedented. We sought to analyze its global impact with a survey on colorectal cancer (CRC) care during the pandemic.
Methods
The impact of COVID-19 on preoperative assessment, elective surgery, and postoperative management of CRC patients was explored by a 35-item survey, which was distributed worldwide to members of surgical societies with an interest in CRC care. Respondents were divided into two comparator groups: 1) ‘delay’ group: CRC care affected by the pandemic; 2) ‘no delay’ group: unaltered CRC practice.
Results
A total of 1,051 respondents from 84 countries completed the survey. No substantial differences in demographics were found between the ‘delay’ (745, 70.9%) and ‘no delay’ (306, 29.1%) groups. Suspension of multidisciplinary team meetings, staff members quarantined or relocated to COVID-19 units, units fully dedicated to COVID-19 care, personal protective equipment not readily available were factors significantly associated to delays in endoscopy, radiology, surgery, histopathology and prolonged chemoradiation therapy-to-surgery intervals. In the ‘delay’ group, 48.9% of respondents reported a change in the initial surgical plan and 26.3% reported a shift from elective to urgent operations. Recovery of CRC care was associated with the status of the outbreak. Practicing in COVID-free units, no change in operative slots and staff members not relocated to COVID-19 units were statistically associated with unaltered CRC care in the ‘no delay’ group, while the geographical distribution was not.
Conclusions
Global changes in diagnostic and therapeutic CRC practices were evident. Changes were associated with differences in health-care delivery systems, hospital’s preparedness, resources availability, and local COVID-19 prevalence rather than geographical factors. Strategic planning is required to optimize CRC care.
The widespread nature of coronavirus disease 2019 (COVID-19) has been unprecedented. We sought to analyze its global impact with a survey on colorectal cancer (CRC) care during the pandemic.
Methods
The impact of COVID-19 on preoperative assessment, elective surgery, and postoperative management of CRC patients was explored by a 35-item survey, which was distributed worldwide to members of surgical societies with an interest in CRC care. Respondents were divided into two comparator groups: 1) ‘delay’ group: CRC care affected by the pandemic; 2) ‘no delay’ group: unaltered CRC practice.
Results
A total of 1,051 respondents from 84 countries completed the survey. No substantial differences in demographics were found between the ‘delay’ (745, 70.9%) and ‘no delay’ (306, 29.1%) groups. Suspension of multidisciplinary team meetings, staff members quarantined or relocated to COVID-19 units, units fully dedicated to COVID-19 care, personal protective equipment not readily available were factors significantly associated to delays in endoscopy, radiology, surgery, histopathology and prolonged chemoradiation therapy-to-surgery intervals. In the ‘delay’ group, 48.9% of respondents reported a change in the initial surgical plan and 26.3% reported a shift from elective to urgent operations. Recovery of CRC care was associated with the status of the outbreak. Practicing in COVID-free units, no change in operative slots and staff members not relocated to COVID-19 units were statistically associated with unaltered CRC care in the ‘no delay’ group, while the geographical distribution was not.
Conclusions
Global changes in diagnostic and therapeutic CRC practices were evident. Changes were associated with differences in health-care delivery systems, hospital’s preparedness, resources availability, and local COVID-19 prevalence rather than geographical factors. Strategic planning is required to optimize CRC care.
Tipologia CRIS:
1.1 Articolo in rivista
Keywords:
SARS-CoV-2; COVID-19; delayed surgery; colorectal cancer
Elenco autori:
Santoro, Giulio A.; Grossi, Ugo; Murad-Regadas, Sthela; Nunoo-Mensah, Joseph W.; Mellgren, Anders; Di Tanna, Gian Luca; Gallo, Gaetano; Tsang, Charles; Wexner, Steven D; La Torre, Filippo; Abary Ryan Rainiel, A; Philippines, ; Abdelwahab Khaled M, Egypt; Abellán Antonio M, Spain; Abraham Ned, Australia; Achkasov Sergey I, Russia; Adamina Michel, Switzerland; Adamo Vincenzo, Italy; Agapov Mikhail, Russia; Agarwal Amit, Usa; Aguado López Héctor, Spain; Aguilar Werner, Chile; Aguilarmartínez María Del Mar Am, Spain; Aguilera Asuncion, Spain; Ahmed Jamil, Uk; Aiello Domenico, Italy; Akagi Tomonori, Japan; Akcakaya Adem, Turkey; Akhtar Khalid I, Pakistan; Akiba Ricardo, Brazil; Akrami Majid, Iran; Akyol Cihangir, Turkey; Alaamer Ohood H, Saudi Arabia; Alapati Kishore, India; Alasari Sami, Saudi Arabia; Albastaki Sara, Uae; Albergaria Diogo, Portugal; Alconchel Felipe, Spain; Alerta-Torre Andrea J, Philippines; Alex Ochsner, Switzerland; Alexander Herold, Germany; Alfaro Samuel, El Salvador; Ali Jehangir F, Pakistan; Aliyazicioglu Tolga, Turkey; Almgla Naser, South Africa; Alonsopoza Alfredo, Spain; Al-Radjid Jamiri, Philippines; Alselaim Nahar A, Saudi Arabia; Altaf Kiran K, Uk; Althebaity Rasha, Saudi Arabia; Altinel Yuksel, Turkey; Altiparmak Basak, Turkey; Altomare Donato F, Italy; Alvandipour Mina, Iran; Alvarez-Gallego Mario, Spain; Alyami Mohammad, Saudi Arabia; Amado Sandra, Portugal; Amato Antonio, Italy; Amodio Pietro M, Italy; Ana-Maria Mușină, Romania; Andrade Luis, Chile; Andreas Kohler, Switzerland; Angelini Giulio, Italy; Angenete Eva, Sweden; Annicchiarico Alfredo, Italy; Antelo Galarza Renan, Bolivia; Anwer Mariyah, Pakistan; Aparício David J, Portugal; Arciniega Jose A, Mexico; Arezzo Alberto, Italy; Argenio Giulio, Italy; Arenas Mara, Belgium; Arnaud Alves Aa, France; Arredondo Jorge, Spain; Arslan Baha, Turkey; Arya Shobhit, Uk; Aselmann Heiko, Germany; Aumann Georg, Germany; Avanzolini Andrea, Italy; Avendano Rodolfo, Chile; Awedew Atalel F, Ethiopia; Ayantunde Abraham, Uk; Aycan Ilker, Turkey; Aytac Erman, Turkey; Azevedo Constança Tm, Portugal; Ba Am, Iraq; Bader Fg, Germany; Baehrle Markus, Germany; Bagaglini Giulia, Italy; Balaban Vladimir, Russia; Balciscueta Zutoia, Spain; Balciscueta Izaskun, Spain; Baldazzi Gianandrea, Italy; Balik Emre, Turkey; Bandolon Robert, Philippines; Barberis Andrea, Italy; Barisic Goran I, Serbia; Barrera Alejandro, Chile; Barros Inês Msf, Portugal; Basaran Betul, Turkey; Basilio Pedro C, Brazil; Bech Flemming, Denmark; Behboo Roubik, Iran; Behboudi Behnam, Iran; Beitia Ivan E, Panama; Bellato Vittoria, Italy; Bellolio Felipe, Chile; Benli Sami, Turkey; Bernal Jc, Spain; Bernante Paolo, Italy; Berrospi Francisco E, Peru; Bertelson Noelle, Usa; Bevan Katharine, Uk; Bhama Anuradha, Usa; Bianco Francesco, Italy; Bievel Radulescu Raluca, Romania; Bintraiki Thamer, Saudi Arabia; Bisgin Tayfun, Turkey; Bislenghi Gabriele, Belgium; Blaslaina Juanluis, Spain; Bloom Itm, Uk; Boehm Gabriele, Germany; Bogoni Selene, Italy; Bohlooli Mehrdad, Iran; Bondurri Andrea, Italy; Boni Luigi, Italy; Bonomi Alessandro Michele, Italy; Booning Nitikun, Thailand; Boonpipattanapong Teeranut, Thailand; Bordeianou Liliana, Usa; Bossard Kerrie, Usa; Botelho Maria, Portugal; Boto Carlos, Portugal; Bottini Corrado, Italy; Bouchagier Konstantinos, Greece; Boutall Adam, South Africa; Bowers Dan, Usa; Bozbiyik Osman, Turkey; Brambilla Eduardo, Brazil; Brisinda Giuseppe, Italy; Brizzi Maria Pia, Italy; Brizzolari Marco, Italy; Brusciano Luigi, Italy; Bucci Luigi, Italy; Buchwald Pam, Sweden; Bugra Dursun, Turkey; Bui Andrew, Australia; Buldanlı Mehmet Zeki, Turkey; Bulut Orhan, Denmark; Cagigas Fernandez Carmen, Spain; Cai Yuankun, China; Calcerrada Alises Enrique, Spain; Caldes Pedro, Portugal; Calussi Marco, Italy; Calvo Espino Pablo, Spain; Campanelli Michela, Italy; Campbell Ken, Uk; Campennì Paola, Italy; Canda Arasemre, Turkey; Capolupo Gabriella T, Italy; Ca
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