Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=33245104&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Impact of COVID-19 outbreak on esophageal cancer surgery in Northern Italy: lessons learned from a multicentric snapshot #MMPMID33245104
Rebecchi F; Arolfo S; Ugliono E; Morino M; Asti E; Bonavina L; Borghi F; Coratti A; Cossu A; De Manzoni G; De Pascale S; Ferrari GC; Fumagalli Romario U; Giacopuzzi S; Gualtierotti M; Guglielmetti M; Merigliano S; Pallabazzer G; Parise P; Peri A; Pietrabissa A; Rosati R; Santi S; Tribuzi A; Valmasoni M; Vigano J; Weindelmayer J
Dis Esophagus 2021[Jun]; 34 (6): ? PMID33245104show ga
Coronavirus Disease-19 (COVID-19) outbreak has significantly burdened healthcare systems worldwide, leading to reorganization of healthcare services and reallocation of resources. The Italian Society for Study of Esophageal Diseases (SISME) conducted a national survey to evaluate changes in esophageal cancer management in a region severely struck by COVID-19 pandemic. A web-based questionnaire (26 items) was sent to 12 SISME units. Short-term outcomes of esophageal resections performed during the lockdown were compared with those achieved in the same period of 2019. Six (50%) centers had significant restrictions in their activity. However, overall number of resections did not decrease compared to 2019, while a higher rate of open esophageal resections was observed (40 vs. 21.7%; P = 0.034). Surgery was delayed in 24 (36.9%) patients in 6 (50%) centers, mostly due to shortage of anesthesiologists, and occupation of intensive care unit beds from intubated COVID-19 patients. Indications for neoadjuvant chemo (radio) therapy were extended in 14% of patients. Separate COVID-19 hospital pathways were active in 11 (91.7%) units. COVID-19 screening protocols included nasopharyngeal swab in 91.7%, chest computed tomography scan in 8.3% and selective use of lung ultrasound in 75% of units. Postoperative interstitial pneumonia occurred in 1 (1.5%) patient. Recovery from COVID-19 pandemic was characterized by screening of patients in all units, and follow-up outpatient visits in only 33% of units. This survey shows that clinical strategies differed considerably among the 12 SISME centers. Evidence-based guidelines are needed to support the surgical esophageal community and to standardize clinical practice in case of further pandemics.
|*COVID-19/prevention & control[MESH]
|*Communicable Disease Control[MESH]
|*Esophageal Neoplasms/epidemiology/surgery[MESH]
|*Pandemics[MESH]
|Digestive System Surgical Procedures/*statistics & numerical data[MESH]
free
free
free
Dis+Esophagus 2021 ; 34 (6): ?
