Statewide Examination of Access to Cancer Surgery During the COVID-19 Pandemic

Adams, Elizabeth J.; Feinglass, Joe; Joung, Rachel Hae-Soo; Odell, David D.

doi:10.1016/j.jss.2022.10.022

Cited by 4 publications

(5 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the study only assessed delays to colonoscopy and demonstrated a disparity according to socioeconomic status [36]. Finally, a single‐state study in the USA evaluated rates of CRC surgical procedures and did not find any discrepancies in recovery according to gender, race, ethnicity or insurance status [37]. However, this study only evaluated patients up until the end of 2020 in the early phases of the pandemic.…”

Section: Discussionmentioning

confidence: 99%

Inequalities in the recovery of colorectal cancer services during the COVID‐19 pandemic: a national population‐based study

Boyle,

Kuryba,

Blake

et al. 2024

Colorectal Disease

View full text Add to dashboard Cite

AimEvidence is lacking on whether there were inequalities in the recovery of colorectal cancer (CRC) services within the English National Health Service (NHS) following the COVID‐19 pandemic. The aim of this study was to evaluate recovery according to patient age and socioeconomic status.MethodUsing routinely collected data, CRC patients diagnosed and treated in the English NHS were identified for two timeframes: the ‘initial pandemic period’ (April–June 2020) and the ‘pandemic period’ (April 2020–March 2022). Poisson models evaluated changes in numbers of diagnoses, major resections, adjuvant chemotherapy and neoadjuvant radiotherapy use for each timeframe, relative to the equivalent pre‐pandemic timeframe (April–June 2019 and April 2018–March 2020, respectively), stratified by age and socioeconomic status. Tumour stage at presentation was evaluated over time.ResultsSubstantial deficits in diagnoses, major resections and adjuvant chemotherapy were identified in the initial pandemic period, whilst the use of neoadjuvant radiotherapy increased. Overall, these deficits recovered. Patients outside screening age, and in the most deprived group, had greater deficits in diagnoses and major resections. There was no evidence of stage migration by June 2021.ConclusionsCRC services showed recovery to baseline during the pandemic. However, evident inequalities must be addressed in ongoing recovery efforts. Long‐term outcomes will fully establish the impact of the pandemic on CRC patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Inequalities in the recovery of colorectal cancer services during the COVID‐19 pandemic: a national population‐based study

Boyle,

Kuryba,

Blake

et al. 2024

Colorectal Disease

View full text Add to dashboard Cite

show abstract

“…In two qualitative studies exploring the experience of cancer patients during the pandemic, delays in care presented as main themes 23,24 . The frequency of individuals reporting delays ranged from 18% to 47% in two quantitative studies conducted in single centers 25,26 . In studies stratifying delays by treatment type, delays in follow‐up and patient management ranged from 44% to 74% while individuals reporting delays in surgery were around 14% 7,12 .…”

Section: Discussionmentioning

confidence: 99%

“… 23 , 24 The frequency of individuals reporting delays ranged from 18% to 47% in two quantitative studies conducted in single centers. 25 , 26 In studies stratifying delays by treatment type, delays in follow‐up and patient management ranged from 44% to 74% while individuals reporting delays in surgery were around 14%. 7 , 12 Delays in care related to the COVID‐19 pandemic were not specific to the U.S. healthcare experience: our results were also consistent with studies outside of the U.S. 10 , 11 , 12 , 13 , 14 , 15 , 21 , 27 , 28 , 29 , 30 , 31 , 32 , 33 Two studies in the Philippines and Kenya reported between 33% and 42% of patients experienced general delays in care.…”

Section: Discussionmentioning

confidence: 99%

Identifying predictors of COVID‐related delays in cancer‐specific medical care

Greteman,

Del Vecchio,

Garcia‐Auguste

et al. 2024

Cancer Medicine

View full text Add to dashboard Cite

PurposeEvidence of the impact of the COVID‐19 pandemic on cancer prevention and control is growing, but little is known about patient‐level factors associated with delayed care. We analyzed data from a survey focused on Iowan cancer patients' COVID‐19 experiences in the early part of the pandemic.MethodsParticipants were recruited from the University of Iowa Holden Comprehensive Cancer Center's Patients Enhancing Research Collaborations at Holden (PERCH) program. We surveyed respondents on demographic characteristics, COVID‐19 experiences and reactions, and delays in any cancer‐related health care appointment, or cancer‐related treatment appointments. Two‐sided significance tests assessed differences in COVID‐19 experiences and reactions between those who experienced delays and those who did not.ResultsThere were 780 respondents (26% response), with breast, prostate, kidney, skin, and colorectal cancers representing the majority of respondents. Delays in cancer care were reported by 29% of respondents. In multivariable‐adjusted models, rural residents (OR 1.47; 95% CI 1.03, 2.11) and those experiencing feelings of isolation (OR 2.18; 95% CI 1.37, 3.47) were more likely to report any delay, where experiencing financial difficulties predicted delays in treatment appointments (OR 5.72; 95% CI 1.96, 16.67). Health insurance coverage and concern about the pandemic were not statistically significantly associated with delays.ConclusionThese findings may inform cancer care delivery during periods of instability when treatment may be disrupted by informing clinicians about concerns that patients have during the treatment process. Future research should assess whether delays in cancer care impact long‐term cancer outcomes and whether delays exacerbate existing disparities in cancer outcomes.

show abstract

“…The present study is the first nationwide systematic analysis of groin hernia in Romania, aiming to pave the way for future similar studies. The focus on groin hernia repair surgery, one of the most common elective surgical procedures [ 3 ], allows to extrapolate for surgical practices in general.…”

Section: Discussionmentioning

confidence: 99%

“…In 2020, it was estimated that over 28 million elective surgeries would be cancelled worldwide [ 2 ]. Although cancer surgery should not have been affected by the COVID-19 safety protocols, a statewide study conducted in Illinois found that breast cancer surgery decreased by 6.1% and colorectal cancer surgery decreased by 11.6% in 2020 compared to 2019, with the most affected months being April 2020 (−48.3% colorectal cancer surgery) and May 2020 (−45.2% breast cancer surgery) [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Groin Hernia Repair during the COVID-19 Pandemic—A Romanian Nationwide Analysis

et al. 2023

View full text Add to dashboard Cite

Background and Objectives: Groin hernia repair surgery (GHRS) is among the most common elective interventions. The aim of this three-year nationwide study on GHRS is to provide a thorough analysis of the impact that the COVID-19 pandemic had on the Romanian Health System in regard to elective procedures. Materials and Methods: 46,795 groin hernia cases obtained between 2019 and 2021 from the DRG database using ICD-10 diagnostic codes. The data were collected from all 261 GHRS performing hospitals nationwide, including 227 public hospitals (PbH) and 34 private hospitals (PvH). The 42 variables taken into account were processed using Microsoft Excel 2021, applying Chi square, F-Test Two-Sample for variances, and Two Sample t-Test. The significance threshold considered was p < 0.001. Results: Of the grand total of cases, 96.2% were inguinal hernias, 86.8% were performed on men, 15.2% were laparoscopic procedures, and 6.88% were in PvH. Overall, due to the pandemic, the total number of GHRS decreased with 44.45% in 2020 and with 29.72% in 2021 compared to pre-pandemic year 2019. April 2020 shows the steepest decrease in GHRS (91 procedures nationwide). In the private sector, there was an opposite trend with increases in the number of cases by 12.21% and a 70.22% in both pandemic years. The mean admission period (MAP) for all procedures was 5.5 days. There was a significant difference between PbH and PvH (5.75 vs. 2.8 days, p < 0.0001). During the pandemic, the MAP in PbH decreased (6.02 in 2019, 5.82 in 2020 and 5.3 in 2021), remaining stable for PvH (2.9 days in 2019, 2.85 days in 2020 and 2.74 days in 2021). Conclusion: The COVID-19 pandemic significantly reduced the overall number of GHRS performed in Romania in 2020 and 2021, compared to 2019. However, the private sector thrived with an actual increase in the number of cases. There was a significant lower MAP in the PvH compared to PbH throughout the three-year period.

show abstract

Statewide Examination of Access to Cancer Surgery During the COVID-19 Pandemic

Cited by 4 publications

References 19 publications

Inequalities in the recovery of colorectal cancer services during the COVID‐19 pandemic: a national population‐based study

Inequalities in the recovery of colorectal cancer services during the COVID‐19 pandemic: a national population‐based study

Identifying predictors of COVID‐related delays in cancer‐specific medical care

Groin Hernia Repair during the COVID-19 Pandemic—A Romanian Nationwide Analysis

Contact Info

Product

Resources

About