Impact of the COVID-19 Pandemic on Surgical Colorectal Cancer Care in the Netherlands: a Multicenter Retrospective Cohort Study

Filipe, Mando D.; Bock, Ellen de; Geitenbeek, Ritch; Boerma, Djamila; Pronk, Apollo; Heikens, Joost T.; Richir, Milan C.

doi:10.1007/s11605-021-04936-z

Cited by 10 publications

(10 citation statements)

References 2 publications

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“…A drastic shift (April, −29.1% and May, −20.6%) in the number of oncological surgeries performed, interventional radiology (March, −50%; April −44.4%), and cytoreductive surgery with HIPEC (−100%) was observed. These results are consistent with the conclusions from several studies done throughout the world, 38 , 39 and may worsen the prognosis. 26 Studies designed in Italy and the UK during the first wave found a respective 20% and 31% decrease in interventional radiology activity which was consistent with our findings.…”

Section: Discussionsupporting

confidence: 93%

One‐year COVID‐19 outcomes on the oncology care patient pathway: Results of a French descriptive, cross‐sectional comprehensive study (ONCOCARE‐COV)

et al. 2022

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Section: Discussionsupporting

confidence: 93%

One‐year COVID‐19 outcomes on the oncology care patient pathway: Results of a French descriptive, cross‐sectional comprehensive study (ONCOCARE‐COV)

et al. 2022

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“…The current study shows that in contrast to vascular and trauma surgical procedures, no increase was observed during the first wave of the pandemic in the overall number of emergency oncological surgical procedures, even though the national screening programs for colon-, breast and cervical cancer were temporarily halted from March 16 th , 2020 to June 15 th , 2020 ( 8 , 9 , 10 , 30 , 31 ). A possible explanation may be that patients identified through the screening programs often are at a lower oncological stage and are therefore less likely to present at the emergency department ( 12 , 32 , 33 , 34 , 35 ). In addition, possible delayed colorectal cancer diagnosis due to the halted screening programs may increase an acute presentation in the long term.…”

Section: Discussionmentioning

confidence: 99%

“…During the pandemic, a reduction in the number of surgical procedures performed was observed in several disciplines ( 11 , 12 , 13 , 14 ). Postponing surgery may increase surgical patients’ morbidity and mortality, resulting in an undesirable increased pressure on healthcare capacity ( 15 , 16 , 17 ).…”

Section: Introductionmentioning

confidence: 99%

Factors affecting 30-day postoperative complications after emergency surgery during the COVID-19 outbreak: A multicentre cohort study

Bock¹,

Filipe²,

Pronk³

et al. 2021

International Journal of Surgery Open

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Introduction Coronavirus disease 2019 (COVID-19) has influenced (surgical) care worldwide. Measures were taken to prioritize surgical care in order to maintain capacity for COVID-19 healthcare. However, the influence of these measures on emergency surgery is limited. Therefore, the aim of this study is to describe the trends in emergency surgery and determine the factors influencing the risk of postoperative complications during the first wave of the COVID-19 pandemic. Methods This multicentre retrospective cohort study investigated all emergency patients operated on from March 9 th to June 30 th , 2020. The primary endpoint was identifying the number of emergency surgical procedures performed. Secondary endpoints were determining the number of postoperative complications and factors determining the risk of postoperative complications, which were calculated by multivariate analysis with odds ratio (OR) and 95% confidence (CI) intervals. Results In total, 1,399 patients who underwent an emergency surgical procedure were included. An increase in the number of emergency vascular and trauma surgical procedures occurred during the study period. In contrast, the number of emergency general and oncological surgical procedures performed remained stable. An increased age (OR 1.01, 95% CI 1.00 – 1.02; p=0.024), American Society of Anaesthesiologists (ASA) (OR 1.34, 95% CI 1.09 – 1.64; p=0.005), and surgical discipline were independent predictors for an increased risk of postoperative complications. Conclusion The performance of emergency vascular and trauma surgical procedures increased. The performance of emergency general and oncological surgical procedures remained stable. In addition, increased age, ASA, and surgical discipline were independent predictors for an increased risk of postoperative complications.

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“…Moreover, national screening programs were suspended, including the screening program for colorectal cancer (CRC), which was halted from mid-March 2020 to mid-May 2020 [4,5]. Subsequently, a decrease in CRC diagnoses and CRC surgical procedures was seen due to a lower number of primary care referrals and fewer individuals invited for Faecal Immunochemical Testing (FIT) screening than usual [6][7][8]. In the second part of 2020, a catch-up in CRC diagnoses was observed since the Dutch government decided to expand the screening colonoscopy capacity up to 120% [9].…”

Section: Introductionmentioning

confidence: 99%

Limited impact of the COVID-19 pandemic on colorectal cancer care in the Netherlands in 2020

Meijer

Elferink²,

Vink³

et al. 2022

Int J Colorectal Dis

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Purpose The COVID-19 pandemic had a major impact on the health services worldwide. We aimed to investigate the impact of the pandemic on colorectal cancer (CRC) care in the Netherlands in 2020. Methods CRC patients, diagnosed in 2018–2020 in the Netherlands, were selected from the Netherlands Cancer Registry (NCR). The year 2020 was divided in four periods reflecting COVID-19 developments in the Netherlands (pre-COVID, 1st peak, recovery period, 2nd peak) and compared with the same periods in 2018/2019. Patient characteristics and treatment were compared using the Chi-squared test. Median time between diagnosis and treatment, and between (neo)adjuvant therapy and surgery were analyzed by the Mann–Whitney U test. Results In total, 38,021 CRC patients were diagnosed in 2018/2019 (n = 26,816) and 2020 (n = 11,205). Median time between diagnosis and initial treatment decreased on average 4 days and median time between neoadjuvant radiotherapy and surgery in clinical stage II or III rectal cancer patients increased on average 34 days during the three COVID-19 periods compared to the same periods of 2018/2019. The proportion of colon cancer patients that underwent elective surgery significantly decreased with 3.0% during the 1st peak. No differences were found in the proportion of patients who received (neo)adjuvant therapy, systemic therapy, or no anti-cancer treatment. Conclusion Only minor changes in the care for CRC patients occurred during the COVID-19 pandemic, mostly during the 1st peak. In conclusion, the impact on CRC care in the Netherlands was found to be limited. However, long-term effects cannot be precluded.

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Impact of the COVID-19 Pandemic on Surgical Colorectal Cancer Care in the Netherlands: a Multicenter Retrospective Cohort Study

Cited by 10 publications

References 2 publications

One‐year COVID‐19 outcomes on the oncology care patient pathway: Results of a French descriptive, cross‐sectional comprehensive study (ONCOCARE‐COV)

One‐year COVID‐19 outcomes on the oncology care patient pathway: Results of a French descriptive, cross‐sectional comprehensive study (ONCOCARE‐COV)

Factors affecting 30-day postoperative complications after emergency surgery during the COVID-19 outbreak: A multicentre cohort study

Limited impact of the COVID-19 pandemic on colorectal cancer care in the Netherlands in 2020

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