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Surgery
2021 ; 169
(4
): 796-807
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DElayed COloRectal cancer care during COVID-19 Pandemic (DECOR-19): Global
perspective from an international survey
#MMPMID33353731
Santoro GA
; Grossi U
; Murad-Regadas S
; Nunoo-Mensah JW
; Mellgren A
; Di Tanna GL
; Gallo G
; Tsang C
; Wexner SD
Surgery
2021[Apr]; 169
(4
): 796-807
PMID33353731
show ga
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 care during the pandemic. METHODS: The impact of coronavirus disease 2019
on preoperative assessment, elective surgery, and postoperative management of
colorectal cancer patients was explored by a 35-item survey, which was
distributed worldwide to members of surgical societies with an interest in
colorectal cancer care. Respondents were divided into 2 comparator groups: (1)
"delay" group: colorectal cancer care affected by the pandemic and (2) "no delay"
group: unaltered colorectal cancer 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 coronavirus disease 2019 units, units fully dedicated to
coronavirus disease 2019 care, and 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 colorectal cancer care was associated with the
status of the outbreak. Practicing in coronavirus disease-free units, no change
in operative slots and staff members not relocated to coronavirus disease 2019
units were statistically associated with unaltered colorectal cancer care in the
no delay group, while the geographic distribution was not. CONCLUSION: Global
changes in diagnostic and therapeutic colorectal cancer practices were evident.
Changes were associated with differences in health care delivery systems,
hospital's preparedness, resource availability, and local coronavirus disease
2019 prevalence rather than geographic factors. Strategic planning is required to
optimize colorectal cancer care.
|COVID-19/*epidemiology/prevention & control
[MESH]
free
free
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