Has the COVID-19 pandemic changed the clinical picture and tumour stage at the time of presentation of patients with colorectal cancer? A retrospective cohort study

Cano-Valderrama, Óscar; Sánchez-Santos, Raquel; Vigorita, Vincenzo; Paniagua, Marta; Flores, Erene; Garrido, Lucia; Facal, Cristina; Ruano, Alejandro; San-Ildefonso, Alberto; Moncada, Enrique

doi:10.1016/j.cireng.2022.02.017

Cited by 3 publications

(1 citation statement)

References 32 publications

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“…Al igual que nuestros resultados, el recto fue la localización más común del tumor, correspondiendo al 33.9% de los pacientes. Es importante destacar que en el grupo diagnosticado durante la pandemia requirió más procedimientos no electivos (15.5 vs. 9.5%) y el estadio del tumor fue más avanzado (T3-T4 en 74.7 vs. 16.6%) 18 . Estos hallazgos son consistentes con otro estudio retrospectivo donde se compararon 49 pacientes con diagnóstico de CCR operados durante la pandemia y 152 pacientes operados en el periodo previo a la pandemia, encontrado tumores localmente avanzados con invasión a estructuras vecinas (T4b), que fue un hallazgo más común durante el periodo pandémico (12.2 vs. 3.3%) 19 .…”

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Análisis de las características clínicas y resultados de cirugía en pacientes con cáncer colorrectal en un hospital de tercer nivel en México tras regular la atención hospitalaria por la emergencia sanitaria de COVID-19

Juanz-González,

Dosal-Limón,

Vela-Torres

et al. 2024

CIRCOL

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Análisis de las características clínicas y resultados de cirugía en pacientes con cáncer colorrectal en un hospital de tercer nivel en México tras regular la atención hospitalaria por la emergencia sanitaria de COVID-19 Analysis of the clinical characteristics and results of surgery in patients with colorectal cancer in a tertiary hospital in Mexico after regulating hospital care due to the COVID-19 health emergency

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Section: Discussionunclassified

Análisis de las características clínicas y resultados de cirugía en pacientes con cáncer colorrectal en un hospital de tercer nivel en México tras regular la atención hospitalaria por la emergencia sanitaria de COVID-19

Juanz-González,

Dosal-Limón,

Vela-Torres

et al. 2024

CIRCOL

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Uptake patterns and predictors of colorectal cancer screening among adults resident in Spain: A population-based study from 2017 to 2020

Cruz

Cebrino

2023

Front. Public Health

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BackgroundAlthough population screening has improved the early diagnosis of colorectal cancer (CRC), most cases are diagnosed in symptomatic patients. This study aimed to estimate the prevalence and evolution over time of uptake patterns to fecal immunochemical test (FIT) as a screening test for CRC among individuals aged 50–69 in Spain, and to determine the predictive factors for uptake patterns to this type of screening based on sociodemographic, health, and lifestyle characteristics.MethodsA cross-sectional study with 14,163 individuals from the 2017 Spanish National Health Survey and the 2020 European Health Survey was performed, including as the main variable uptake pattern to FIT screening within the last 2 years, with which we analyzed sociodemographic factors, health status and lifestyle habits.Results38.01% of participants had undergone FIT in the previous 2 years, and from 2017 to 2020, a significant increase in the uptake rate for CRC was observed (2017: 32.35%, 2020: 43.92%, p < 0.001). The positive predictors to FIT uptake pattern included factors such as being between 57 and 69 years, having a higher educational level or a higher social class, having at least one chronic illness, frequent contact with the primary care physician, alcohol consumption and physical activity, while immigration and smoking habit were negative predictors.ConclusionIn Spain, although the evolution of FIT uptake pattern over time is positive, the prevalence of FIT uptake is still low (38.01%), not reaching the level considered as acceptable in the European guidelines. Moreover, there are disparities in CRC screening uptake among individuals.

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Influence of COVID-19 Pandemic on Colorectal Cancer Presentation, Management and Outcome during the COVID-19 Pandemic

Pirozzi

Siragusa

Baldini

et al. 2023

JCM

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The aim of the study was to investigate whether the COVID-19 pandemic and related measures had an influence on colorectal cancer (CRC) presentation, management, and outcomes; it was a retrospective monocentric study. CRC patients undergoing surgery during the Covid-19 pandemic (1 March 2020–28 February 2022) (group B) were compared with patients operated on in the previous two years (1 March 2018–29 February 2020) in the same unit (group A). The primary outcome was to investigate whether there were differences in concern regarding the stage at presentation, as a whole and after dividing groups based on cancer location (right colon cancer, left colon cancer, rectal cancer). Secondary outcomes included differences in the number of patients admitted from emergency departments and emergency surgeries between periods, and differences in the postoperative outcomes. A subanalysis within the pandemic group was conducted on the same outcomes, dividing the aforementioned group based on pandemic trends. Two hundred and eighty (280) were operated on during the study period: 147 in group A and 133 in group B. Stage at presentation was similar between groups; however, the subgroups analysis showed that in the pandemic group, the number of early-stage left colon cancer occurrences almost halves, yet not significantly. Emergency department referral was more common in group B (p-value: 0.003); in group B, they also had longer operations and there was a more frequent use of ostomy. No differences in the number of postoperative complications nor in the postoperative outcomes were found. Patients with CRC were more frequently referred through the emergency department during the COVID-19 pandemic and left-sided cancers appear to be generally diagnosed at a more advanced stage. Postoperative outcomes showed that high specialized colorectal units can deliver standard high-level treatment under high-pressure external conditions.

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Has the COVID-19 pandemic changed the clinical picture and tumour stage at the time of presentation of patients with colorectal cancer? A retrospective cohort study

Cited by 3 publications

References 32 publications

Análisis de las características clínicas y resultados de cirugía en pacientes con cáncer colorrectal en un hospital de tercer nivel en México tras regular la atención hospitalaria por la emergencia sanitaria de COVID-19

Análisis de las características clínicas y resultados de cirugía en pacientes con cáncer colorrectal en un hospital de tercer nivel en México tras regular la atención hospitalaria por la emergencia sanitaria de COVID-19

Uptake patterns and predictors of colorectal cancer screening among adults resident in Spain: A population-based study from 2017 to 2020

Influence of COVID-19 Pandemic on Colorectal Cancer Presentation, Management and Outcome during the COVID-19 Pandemic

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