Impact of COVID-19 on treatment modalities and short-term outcomes of rectal cancer following neoadjuvant chemoradiotherapy: a retrospective study

Dong, Dezuo; Dong, Qiushi; Zhang, F N; Li, C L; Wang, L; Li, Y H; Wang, W H; Wu, Aiwen

doi:10.1093/bjs/znab011

Cited by 6 publications

(13 citation statements)

References 5 publications

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“…During the outbreak of the pandemic, there was concern about COVID-19 transmission during laparoscopic surgery 28,29 . This concern was substantiated in a recent study from China wherein the rate of laparoscopic surgery dropped by nearly 20% in patients operated during the COVID-19 era 30 . However, we saw no significant differences between the rate of minimally invasive and open surgery in our study.…”

Section: Discussionmentioning

confidence: 96%

The effect of the first year of the COVID-19 pandemic on sphincter preserving surgery for rectal cancer: A single referral center experience

Freund

Kent

Horesh

et al. 2022

Surgery

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Section: Discussionmentioning

confidence: 96%

The effect of the first year of the COVID-19 pandemic on sphincter preserving surgery for rectal cancer: A single referral center experience

Freund

Kent

Horesh

et al. 2022

Surgery

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“…The disruption was minimal in colorectal surgeries across the participating centres with some centres reporting an increase of up to 22% in colorectal cancer resections including minimally invasive resections. Although the initial concern regarding the enhanced viral transmission related to aerosolisation associated with minimally invasive surgery was rapidly allayed by different societal guidelines, however, there have been reports of up to 20% decrease in minimally invasive surgeries for rectal cancer from some Chinese centres [ 45 ]. However, some European and American centres reported no difference in minimally invasive colorectal surgeries during Covid-19 pandemic with strict adherence to the societal guidelines [ 46 , 47 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of Covid-19 on gastrointestinal cancer surgery: A National Survey

Parray

Chaudhari

Bhandare

et al. 2022

Langenbecks Arch Surg

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Purpose To understand the actual impact of the Covid-19 pandemic and frame the future strategies, we conducted a pan India survey to study the impact on the surgical management of gastrointestinal cancers. Methods A national multicentre survey in the form of a questionnaire from 16 tertiary care gastrointestinal oncology centres across India was conducted from January 2019 to June 2021 that was divided into a 15-month pre-Covid era and a similar period of active Covid pandemic era. Results There was significant disruption of services; 13 (81%) centres worked as dedicated Covid care centres and 43% reported suspension of essential care for more than 6 months. In active Covid phase, there was a 14.5% decrease in registrations and proportion of decrease was highest in the centres from South zone (22%). There was decrease in resections across all organ systems; maximum reduction was noted in hepatic resections (33%) followed by oesophageal and gastric resections (31 and 25% respectively). There was minimal decrease in colorectal resections (5%). A total of 584 (7.1%) patients had either active Covid-19 infection or developed infection in the post-operative period or had recovered from Covid-19 infection. Only 3 (18%) centres reported higher morbidity, while the rest of the centres reported similar or lower morbidity rates when compared to pre-Covid phase; however, 6 (37%) centres reported slightly higher mortality in the active Covid phase. Conclusion Covid-19 pandemic resulted in significant reduction in new cancer registrations and elective gastrointestinal cancer surgeries. Perioperative morbidity remained similar despite 7.1% perioperative Covid 19 exposure. Supplementary Information The online version contains supplementary material available at 10.1007/s00423-022-02675-6.

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“…Lower-risk strategies, including stent placement for patients with obstructive colorectal cancer rather than surgery and Hartmann’s procedure rather than resection with primary anastomosis, were recommended [9] , [10] , [12] . Thus, colorectal cancer treatment during the pandemic changed in various countries [5] , [13] , [14] , [15] , [16] ; however, these changes vary depending on differences in the health insurance system, extent of the spread of COVID-19, extent of movement restriction, and standard treatment modalities before the pandemic in each country.…”

Section: Introductionmentioning

confidence: 99%

Changes in colorectal cancer treatment during the COVID-19 pandemic in Japan: Interrupted time-series analysis using the National Database of Japan

Fujita

Yamaguchi²,

Nagashima

et al. 2023

Cancer Epidemiology

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Impact of COVID-19 on treatment modalities and short-term outcomes of rectal cancer following neoadjuvant chemoradiotherapy: a retrospective study

Cited by 6 publications

References 5 publications

The effect of the first year of the COVID-19 pandemic on sphincter preserving surgery for rectal cancer: A single referral center experience

The effect of the first year of the COVID-19 pandemic on sphincter preserving surgery for rectal cancer: A single referral center experience

Impact of Covid-19 on gastrointestinal cancer surgery: A National Survey

Changes in colorectal cancer treatment during the COVID-19 pandemic in Japan: Interrupted time-series analysis using the National Database of Japan

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