Is colorectal cancer surgery a new challenge in these troubled moments?
EAES Academy. Mirica R. 07/05/22; 363004; P047
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Abstract
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Introduction
Colorectal cancer is the most common malignant surgical pathology of the digestive tract that presents great interest. The SARS-COV2 pandemic has caused many difficulties in the management of patients with colorectal cancer, difficulties that required a relatively quick solution so that patients with this pathology are not deprived of the best possible care.
Aim
The aim of this study was to identify the differences encountered during the SARS-COV2 pandemic compared to the previous period in terms of the difficulty of the cases and their management, therefore being able to make changes in the essential points of treatment of these cases.
Materials and methods
The case study of the Surgery Clinic of the Emergency Clinical Hospital ‘Saint John, Bucharest’ was analysed comparatively between February 2019 - January 2020 and February 2020 - January 2021 (SARS-COV2 pandemic period).
Results:
The study included 423 patients 119 during COVID pandemic and 304 between February 2019 and January 2020. Descriptive statistics show a similar breakdown by sex, area of origin and number of days of hospitalization. The decade of age with maximum incidence being higher in the period 2019-2020. The differences were in the case of the number of surgeries resulting in colostomy, respectively the percentage of cases in advanced stages that occurred during COVID. The percentage of cases presented in the emergency was also higher during the COVID period. During this period, the number of cases was partially correlated with the incidence of positive COVID cases.
Conclusions:
The SARS-COV2 pandemic has underlined different difficulties in the management of colorectal cancer patients. The most important one is that patients presented to the hospital in much more advanced stages during this period. Therefore, we were able to offer very limited treatment options.
Colorectal cancer is the most common malignant surgical pathology of the digestive tract that presents great interest. The SARS-COV2 pandemic has caused many difficulties in the management of patients with colorectal cancer, difficulties that required a relatively quick solution so that patients with this pathology are not deprived of the best possible care.
Aim
The aim of this study was to identify the differences encountered during the SARS-COV2 pandemic compared to the previous period in terms of the difficulty of the cases and their management, therefore being able to make changes in the essential points of treatment of these cases.
Materials and methods
The case study of the Surgery Clinic of the Emergency Clinical Hospital ‘Saint John, Bucharest’ was analysed comparatively between February 2019 - January 2020 and February 2020 - January 2021 (SARS-COV2 pandemic period).
Results:
The study included 423 patients 119 during COVID pandemic and 304 between February 2019 and January 2020. Descriptive statistics show a similar breakdown by sex, area of origin and number of days of hospitalization. The decade of age with maximum incidence being higher in the period 2019-2020. The differences were in the case of the number of surgeries resulting in colostomy, respectively the percentage of cases in advanced stages that occurred during COVID. The percentage of cases presented in the emergency was also higher during the COVID period. During this period, the number of cases was partially correlated with the incidence of positive COVID cases.
Conclusions:
The SARS-COV2 pandemic has underlined different difficulties in the management of colorectal cancer patients. The most important one is that patients presented to the hospital in much more advanced stages during this period. Therefore, we were able to offer very limited treatment options.
Introduction
Colorectal cancer is the most common malignant surgical pathology of the digestive tract that presents great interest. The SARS-COV2 pandemic has caused many difficulties in the management of patients with colorectal cancer, difficulties that required a relatively quick solution so that patients with this pathology are not deprived of the best possible care.
Aim
The aim of this study was to identify the differences encountered during the SARS-COV2 pandemic compared to the previous period in terms of the difficulty of the cases and their management, therefore being able to make changes in the essential points of treatment of these cases.
Materials and methods
The case study of the Surgery Clinic of the Emergency Clinical Hospital ‘Saint John, Bucharest’ was analysed comparatively between February 2019 - January 2020 and February 2020 - January 2021 (SARS-COV2 pandemic period).
Results:
The study included 423 patients 119 during COVID pandemic and 304 between February 2019 and January 2020. Descriptive statistics show a similar breakdown by sex, area of origin and number of days of hospitalization. The decade of age with maximum incidence being higher in the period 2019-2020. The differences were in the case of the number of surgeries resulting in colostomy, respectively the percentage of cases in advanced stages that occurred during COVID. The percentage of cases presented in the emergency was also higher during the COVID period. During this period, the number of cases was partially correlated with the incidence of positive COVID cases.
Conclusions:
The SARS-COV2 pandemic has underlined different difficulties in the management of colorectal cancer patients. The most important one is that patients presented to the hospital in much more advanced stages during this period. Therefore, we were able to offer very limited treatment options.
Colorectal cancer is the most common malignant surgical pathology of the digestive tract that presents great interest. The SARS-COV2 pandemic has caused many difficulties in the management of patients with colorectal cancer, difficulties that required a relatively quick solution so that patients with this pathology are not deprived of the best possible care.
Aim
The aim of this study was to identify the differences encountered during the SARS-COV2 pandemic compared to the previous period in terms of the difficulty of the cases and their management, therefore being able to make changes in the essential points of treatment of these cases.
Materials and methods
The case study of the Surgery Clinic of the Emergency Clinical Hospital ‘Saint John, Bucharest’ was analysed comparatively between February 2019 - January 2020 and February 2020 - January 2021 (SARS-COV2 pandemic period).
Results:
The study included 423 patients 119 during COVID pandemic and 304 between February 2019 and January 2020. Descriptive statistics show a similar breakdown by sex, area of origin and number of days of hospitalization. The decade of age with maximum incidence being higher in the period 2019-2020. The differences were in the case of the number of surgeries resulting in colostomy, respectively the percentage of cases in advanced stages that occurred during COVID. The percentage of cases presented in the emergency was also higher during the COVID period. During this period, the number of cases was partially correlated with the incidence of positive COVID cases.
Conclusions:
The SARS-COV2 pandemic has underlined different difficulties in the management of colorectal cancer patients. The most important one is that patients presented to the hospital in much more advanced stages during this period. Therefore, we were able to offer very limited treatment options.
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