[Impact of the pandemic on surgical activity in colorectal cancer in Spain. Results of a national survey].

Autor:	de la Portilla de Juan F; Asociación Española de Coloproctología, Madrid, España.; Unidad de Coloproctología. Hospital Universitario Virgen del Rocío, Universidad de Sevilla, Instituto de Biomedicina de Sevilla/CSIC, Sevilla, España., Reyes Díaz ML; Unidad de Coloproctología. Hospital Universitario Virgen del Rocío, Universidad de Sevilla, Instituto de Biomedicina de Sevilla/CSIC, Sevilla, España., Ramallo Solía I; Unidad de Coloproctología. Hospital Universitario Virgen del Rocío, Universidad de Sevilla, Instituto de Biomedicina de Sevilla/CSIC, Sevilla, España.
Jazyk:	Spanish; Castilian
Zdroj:	Cirugia espanola [Cir Esp] 2020 Sep 01. Date of Electronic Publication: 2020 Sep 01.
DOI:	10.1016/j.ciresp.2020.07.011
Abstrakt:	Introduction: The pandemic has had an impact on colorectal cancer surgery in hospitals. In 2020, up to 75% of colorectal cancer patients are estimated to require surgery. No objective data on the impact of the pandemic on the management of surgical waiting lists is available. We conducted a survey in colorectal surgery units to assess the impact on colorectal cancer surgery waiting lists. Method: All personnel in charge of colorectal surgery units nationwide received a survey (from February to April, 2020) with eight questions divided into three sections-cessation date of colorectal cancer surgeries, number of patients waiting for treatment, and use of neoadjuvant therapy to postpone surgery. Results: Sixty-seven units participated in the study, with 79.1% of units ceasing some type of activity (32.8% total and 46.3% partial cessation) and 20.9% continuing all surgical activity. In addition, 65% of units used or prolonged neoadjuvant therapy in rectal cancer patients and 40% of units performed at least five emergency colorectal cancer surgeries. It was estimated that at least one month of intense surgical activity will be required to catch up. Conclusions: Currently, patients from units with a long waiting list must be redistributed, at least within the country. In the future, in the event of a second wave of the pandemic, an effective program to manage each unit's resources should be developed to prevent total collapse. (© 2020 AEC. Published by Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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