Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

Autor:	Bhangu, Aneel, Elizabeth, Li, Fisher, A, Manku, B, Glasbey, James C, Nepogodiev, Dmitri, FF Simoes, Joana, Omar, Omar M, Venn, Mary L, Evans, Jonathan P, Futaba, Kaori, Knowles, Charles H, Minaya‐bravo, Ana, Mohan, Helen, Chand, Manish, Pockney, Peter, Di Saverio, Salomone, Smart, Neil, Vallance, Abigail, Vimalachandran, Dale, JW Wilkin, Richard, Siaw‐acheampong, Kwabena, Benson, Ruth A, Bywater, Edward, Chaudhry, Daoud, Dawson, Brett E, Gujjuri, Rohan R, Heritage, Emily, Jones, Conor S, Kamarajah, Sivesh K, Khatri, Chetan, Khaw, Rachel A, Keatley, James M, Knight, Andrew, Lawday, Samuel, Mann, Harvinder S, Marson, Ella J, Mclean, Kenneth A, Mckay, Siobhan C, Mills, Emily C, Pellino, Gianluca, Picciochi, Maria, Taylor, Elliott H, Tiwari, Abhinav, Trout, Isobel M, Smart, Neil J, Moug, Susan J, Vimalchandran, Dale, EF Abbott, Tom, Adamina, Michel, Ademuyiwa, Adesoji O, Agarwal, Arnav, Alameer, Ehab, Alderson, Derek, Alakaloko, Felix, Albertsmeiers, Markus, Alser, Osaid, Alshaar, Muhammad, Alshryda, Sattar, Arnaud, Alexis P, Magne Augestad, Knut, Ayasra, Faris, Azevedo, José, Bankhead‐kendall, Brittany K, Barlow, Emma, Blanco‐colino, Ruth, Brar, Amanpreet, Breen, Kerry A, Bretherton, Chris, Lima Buarque, Igor, Burke, Joshua, Caruana, Edward J, Abou Chaar, Mohamad K., Chakrabortee, Sohini, Christensen, Peter, Cox, Daniel, Cukier, Moises, Cunha, Miguel F, Davidson, Giana H, Desai, Anant, Drake, Thomas M, Edwards, John G, Elhadi, Muhammed, Emile, Sameh, Farik, Shebani, Fiore, Marco, Edward Fitzgerald, J, Ford, Samuel, Garmanova, Tatiana, Gallo, Gaetano, Ghosh, Dhruv, Mendonça Ataíde Gomes, Gustavo, Grecinos, Gustavo, Griffiths, Ewen A, Gründl, Magdalna, Halkias, Constantine, Harrison, Ewen M, Hisham, Intisar, Hutchinson, Peter J, Hwang, Shelley, Isik, Arda, Jenkinson, Michael D, Jonker, Pascal, Kaafarani, Haytham MA, Kolias, Angelos, Kruijff, Schelto, Lawani, Ismail, Lederhuber, Hans, Leventoglu, Sezai, Litvin, Andrey, Loehrer, Andrew, Löffler, Markus W, Aguilera Lorena, Maria, Marta Madolo, Maria, Major, Piotr, Martin, Janet, Mashbari, Hassan N, Mazingi, Dennis, Metallidis, Symeon, Mohan, Helen M, Moore, Rachel, Moszkowicz, David, Moug, Susan, Ng‐kamstra, Joshua S, Maimbo, Mayaba, Niquen, Milagros, Ntirenganya, Faustin, Olivos, Maricarmen, Oussama, Kacimi, Outani, Oumaima, Dione Parreno‐Sacdalanm, Marie, Pata, Francesco, Jose Perez Rivera, Carlos, Pinkney, Thomas D, van der Plas, Willemijn, Qureshi, Ahmad, Radenkovic, Dejan, Ramos‐De la Medina, Antonio, Roberts, Keith, Roslani, April C, Rutegård, Martin, Santos, Irène, Satoi, Sohei, Sayyed, Raza, Schache, Andrew, Schnitzbauer, Andreas A, Seyi‐olajide, Justina O., Sharma, Neil, Shaw, Richard, Shu, Sebastian, Soreide, Kjetil, Spinelli, Antonino, Stewart, Grant D, Sund, Malin, Sundar, Sudha, Tabiri, Stephen, Townend, Philip, Tsoulfas, Georgios, van Ramshorst, Gabrielle H, Vidya, Raghavan, Warren, Oliver J, Wedderburn, Duane, Wright, Naomi, Alurralde, C, Caram, El, Eskinazi, D, Badra, R, García, Js, Lucchini, Sm, Cecire, J, Salindera, S, Sutherland, A, Ahn, Jh, Chen, S, Gauri, N, Jang, S, Jia, F, Mulligan, C, Yang, W, Ye, G, Zhang, H, Moss, J, Richards, T, Thian, A, Ug, Vo, Bagraith, K, Chan, E, Ho, D, Jeyarajan, E, Jordan, S, Nolan, Gj, Von Papen, M, Wullschleger, M, Egoroff, N, Gani, J, Lott, N, Pockney, P, Phan, D, Townend, D, Bong, C, Gundara, J, Bowman, S, Guerra, Gr, Dudi‐venkata, Nn, Kroon, Hm, Sammour, T, Mitchell, D, Swinson, B, Messner, F, Öfner, D, Emmanuel, K, Grechenig, M, Gruber, R, Harald, M, Öhlberger, L, Presl, J, Wimmer, A, Barker, D, Boyce, R, Doyle, A, Eastmond, A, Gill, R, O’Shea, M, Padmore, G, Paquette, N, Phillips, E, St. John, S, Walkes, K, Flamey, N, Pattyn, P, Oosterlinck, W, Van den Eynde, J, Van den Eynde, R, Sokolov, M, Boutros, M, Caminsky, Ng, Ghitulescu, G, Demyttenaere, S, Garfinkle, R, Nessim, C, Stevenson, J, Bačić, G, Karlović, D, Kršul, D, Zelić, M, Bakmaz, B, Ćoza, I, Dijan, E, Katusic, Z, Mihanovic, J, Rakvin, I, Frantzeskou, K, Gouvas, 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Kepenekian, V, Passot, G, D’Urso, A, Mutter, D, Seeliger, B, Bonnet, S, Denet, C, Fuks, D, Laforest, A, Pourcher, G, Seguin‐givelet, A, Tribillon, E, Duchalais, E, Bork, U, Fritzmann, J, Praetorius, C, Weitz, J, Welsch, T, Beyer, K, Kamphues, C, Lauscher, Jc, Loch, Fn, Schineis, C, Becker, R, Jonescheit, J, Pergolini, I, Reim, D, Boeker, C, Hakami, I, Mall, J, Albertsmeier, M, Kappenberger, A, Schiergens, T, Werner, J, Nowak, K, Reinhard, T, Kleeff, J, Michalski, C, Ronellenfitsch, U, Bertolani, E, Königsrainer, A, Löffler, Mw, Quante, M, Steidle, C, Überrück, L, Yurttas, C, Izbicki, J, Nitschke, C, Perez, D, Uzunoglu, Fg, Antonakis, P, Contis, I, Dellaportas, D, Gklavas, A, Konstadoulakis, M, Memos, N, Papaconstantinou, I, Polydorou, A, Theodosopoulos, T, Vezakis, A, Antonopoulou, Mi, Manatakis, Dk, Tasis, N, Arkadopoulos, N, Danias, N, Economopoulou, P, Frountzas, M, Kokoropoulos, P, Larentzakis, A, Michalopoulos, N, Parasyris, S, Selmani, J, Sidiropoulos, T, Vassiliu, P, Bouchagier, 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Přispěvatelé:	Graduate School, Surgery, Center of Experimental and Molecular Medicine, CCA - Cancer Treatment and Quality of Life, Vascular Medicine, APH - Personalized Medicine, APH - Methodology, ACS - Microcirculation, Bhangu, Aneel, Li, Elizabeth, Fisher, A, Manku, B, Glasbey, James C, Nepogodiev, Dmitri, FF Simoes, Joana, Omar, Omar M, Venn, Mary L, Evans, Jonathan P, Futaba, Kaori, Knowles, Charles H, Minaya‐Bravo, Ana, Mohan, Helen, Chand, Manish, Pockney, Peter, Di Saverio, Salomone, Smart, Neil, Vallance, Abigail, Vimalachandran, Dale, JW Wilkin, Richard, Siaw‐Acheampong, Kwabena, Benson, Ruth A, Bywater, Edward, Chaudhry, Daoud, Dawson, Brett E, Gujjuri, Rohan R, Heritage, Emily, Jones, Conor S, Kamarajah, Sivesh K, Khatri, Chetan, Khaw, Rachel A, Keatley, James M, Knight, Andrew, Lawday, Samuel, Mann, Harvinder S, Marson, Ella J, McLean, Kenneth A, Mckay, Siobhan C, Mills, Emily C, Pellino, Gianluca, Picciochi, Maria, Taylor, Elliott H, Tiwari, Abhinav, Trout, Isobel M, Smart, Neil J, Moug, Susan J, Vimalchandran, Dale, EF Abbott, Tom, Adamina, Michel, Ademuyiwa, Adesoji O, Agarwal, Arnav, Alameer, Ehab, Alderson, Derek, Alakaloko, Felix, Albertsmeiers, Marku, Alser, Osaid, Alshaar, Muhammad, Alshryda, Sattar, Arnaud, Alexis P, Magne Augestad, Knut, Ayasra, Fari, Azevedo, José, Bankhead‐Kendall, Brittany K, Barlow, Emma, Blanco‐Colino, Ruth, Brar, Amanpreet, Breen, Kerry A, Bretherton, Chri, Lima Buarque, Igor, Burke, Joshua, Caruana, Edward J, Abou Chaar, Mohamad K., Chakrabortee, Sohini, Christensen, Peter, Cox, Daniel, Cukier, Moise, Cunha, Miguel F, Davidson, Giana H, Desai, Anant, Drake, Thomas M, Edwards, John G, Elhadi, Muhammed, Emile, Sameh, Farik, Shebani, Fiore, Marco, Edward Fitzgerald, J, Ford, Samuel, Garmanova, Tatiana, Gallo, Gaetano, Ghosh, Dhruv, Mendonça Ataíde Gomes, Gustavo, Grecinos, Gustavo, Griffiths, Ewen A, Gründl, Magdalna, Halkias, Constantine, Harrison, Ewen M, Hisham, Intisar, Hutchinson, Peter J, Hwang, Shelley, Isik, Arda, Jenkinson, Michael D, Jonker, Pascal, Kaafarani, Haytham MA, Kolias, Angelo, Kruijff, Schelto, Lawani, Ismail, Lederhuber, Han, Leventoglu, Sezai, Litvin, Andrey, Loehrer, Andrew, Löffler, Markus W, Aguilera Lorena, Maria, Marta Madolo, Maria, Major, Piotr, Martin, Janet, Mashbari, Hassan N, Mazingi, Denni, Metallidis, Symeon, Mohan, Helen M, Moore, Rachel, Moszkowicz, David, Moug, Susan, Ng‐Kamstra, Joshua S, Maimbo, Mayaba, Niquen, Milagro, Ntirenganya, Faustin, Olivos, Maricarmen, Oussama, Kacimi, Outani, Oumaima, Dione Parreno‐Sacdalanm, Marie, Pata, Francesco, Jose Perez Rivera, Carlo, Pinkney, Thomas D, van der Plas, Willemijn, Qureshi, Ahmad, Radenkovic, Dejan, Ramos‐De la Medina, Antonio, Roberts, Keith, Roslani, April C, Rutegård, Martin, Santos, Irène, Satoi, Sohei, Sayyed, Raza, Schache, Andrew, Schnitzbauer, Andreas A, Seyi‐Olajide, Justina O., Sharma, Neil, Shaw, Richard, Shu, Sebastian, Soreide, Kjetil, Spinelli, Antonino, Stewart, Grant D, Sund, Malin, Sundar, Sudha, Tabiri, Stephen, Townend, Philip, Tsoulfas, Georgio, van Ramshorst, Gabrielle H, Vidya, Raghavan, Warren, Oliver J, Wedderburn, Duane, Wright, Naomi, Alurralde, C, Caram, EL, Eskinazi, D, Badra, R, García, JS, Lucchini, SM, Cecire, J, Salindera, S, Sutherland, A, Ahn, JH, Chen, S, Gauri, N, Jang, S, Jia, F, Mulligan, C, Yang, W, Ye, G, Zhang, H, Moss, J, Richards, T, Thian, A, Vo, UG, Bagraith, K, Chan, E, Ho, D, Jeyarajan, E, Jordan, S, Nolan, GJ, Von Papen, M, Wullschleger, M, Egoroff, N, Gani, J, Lott, N, Pockney, P, Phan, D, Townend, D, Bong, C, Gundara, J, Bowman, S, Guerra, GR, Dudi‐Venkata, NN, Kroon, HM, Sammour, T, Mitchell, D, Swinson, B, Messner, F, Öfner, D, Emmanuel, K, Grechenig, M, Gruber, R, Harald, M, Öhlberger, L, Presl, J, Wimmer, A, Barker, D, Boyce, R, Doyle, A, Eastmond, A, Gill, R, O’Shea, M, Padmore, G, Paquette, N, Phillips, E, St. John, S, Walkes, K, Flamey, N, Pattyn, P, Oosterlinck, W, Van den Eynde, J, Van den Eynde, R, Sokolov, M, Boutros, M, Caminsky, NG, Ghitulescu, G, Demyttenaere, S, Garfinkle, R, Nessim, C, Stevenson, J, Bačić, G, Karlović, D, Kršul, D, Zelić, M, Bakmaz, B, Ćoza, I, Dijan, E, Katusic, Z, Mihanovic, J, Rakvin, I, Frantzeskou, K, Gouvas, N, Kokkinos, G, Papatheodorou, P, Pozotou, I, Stavrinidou, O, Yiallourou, A, Martinek, L, Skrovina, M, Szubota, I, Ebbehøj, AL, Krarup, P, Schlesinger, N, Smith, H, AL Sayed, M, Ashoush, F, Elazzazy, E, Essam, E, Eweda, M, Hassan, E, Metwalli, M, Mourad, M, Qatora, MS, Sabry, A, Samih, A, Samir Abdelaal, A, Shehata, S, Shenit, K, Attia, D, Kamal, N, Osman, N, Alaa, S, Hamza, HM, M.elghazaly, S, Mohammed, MM, Nageh, MA, Saad, MM, Yousof, EA, Eldaly, AS, Amira, G, Sallam, I, Sherief, M, Sherif, A, Ghaly, G, Hamdy, R, Morsi, A, Salem, H, Sherif, G, Abdeldayem, H, Abdelkader Salama, I, Balabel, M, Fayed, Y, Sherif, AE, Kauppila, JH, Sarjanoja, E, Helminen, O, Huhta, H, Beyrne, C, Jouffret, L, Marie‐Macron, L, Lakkis, Z, Manfredelli, S, Chebaro, A, El Amrani, M, Lecolle, K, Piessen, G, Pruvot, FR, Zerbib, P, Ballouhey, Q, Barrat, B, Taibi, A, Bergeat, D, Merdrignac, A, Le Roy, B, Perotto, LO, Scalabre, A, Aimé, A, Ezanno, A, Malgras, B, Bouche, PA, Tzedakis, S, Cotte, E, Glehen, O, Kepenekian, V, Passot, G, D’Urso, A, Mutter, D, Seeliger, B, Bonnet, S, Denet, C, Fuks, D, Laforest, A, Pourcher, G, Seguin‐givelet, A, Tribillon, E, Duchalais, E, Bork, U, Fritzmann, J, Praetorius, C, Weitz, J, Welsch, T, Beyer, K, Kamphues, C, Lauscher, JC, Loch, FN, Schineis, C, Becker, R, Jonescheit, J, Pergolini, I, Reim, D, Boeker, C, Hakami, I, Mall, J, Albertsmeier, M, Kappenberger, A, Schiergens, T, Werner, J, Nowak, K, Reinhard, T, Kleeff, J, Michalski, C, Ronellenfitsch, U, Bertolani, E, Königsrainer, A, Löffler, MW, Quante, M, Steidle, C, Überrück, L, Yurttas, C, Izbicki, J, Nitschke, C, Perez, D, Uzunoglu, FG, Antonakis, P, Contis, I, Dellaportas, D, Gklavas, A, Konstadoulakis, M, Memos, N, Papaconstantinou, I, Polydorou, A, Theodosopoulos, T, Vezakis, A, 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Jazyk:	angličtina
Rok vydání:	2021
Předmět:	Leak viruses Settore MED/18 - CHIRURGIA GENERALE SARS‐CoV‐2 surgery 0302 clinical medicine COVID-19 SARS-CoV-2 cancer colon cancer pandemic rectal cancer surgical oncology Medicine COVID‐ skin and connective tissue diseases Lung Incidence (epidemiology) Gastroenterology Colo-Rectal Cancer 030220 oncology & carcinogenesis Cohort 030211 gastroenterology & hepatology Original Article Patient Safety 6.4 Surgery Cohort study medicine.medical_specialty COVID-19 Cancer Colon cancer Pandemic Rectal cancer SARS-CoV-2 Surgery Surgical oncology Clinical Sciences Anastomosis Preoperative care COVIDSurg Collaborative NO Stoma 03 medical and health sciences Clinical Research COVID‐19 LS7_4 business.industry Prevention fungi SARS‐ Evaluation of treatments and therapeutic interventions Pneumonia Odds ratio Original Articles Surgery respiratory tract diseases body regions cancer colon cancer COVID-19 pandemic rectal cancer SARS-CoV-2 surgery surgical oncology Emerging Infectious Diseases Good Health and Well Being Cancer Colon cancer Pandemic Rectal cancer Surgical oncology Digestive Diseases business CoV‐
Zdroj:	Colorectal disease, 23(3), 732-749. Wiley-Blackwell BASE-Bielefeld Academic Search Engine Colorectal Disease Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, vol 23, iss 3 r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA instname
ISSN:	1462-8910
Popis:	Aim: This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic. Method: This was an international cohort study of patients undergoing elective resection of colon or rectal cancer without preoperative suspicion of SARS-CoV-2. Centres entered data from their first recorded case of COVID-19 until 19 April 2020. The primary outcome was 30-day mortality. Secondary outcomes included anastomotic leak, postoperative SARS-CoV-2 and a comparison with prepandemic European Society of Coloproctology cohort data. Results: From 2073 patients in 40 countries, 1.3% (27/2073) had a defunctioning stoma and 3.0% (63/2073) had an end stoma instead of an anastomosis only. Thirty-day mortality was 1.8% (38/2073), the incidence of postoperative SARS-CoV-2 was 3.8% (78/2073) and the anastomotic leak rate was 4.9% (86/1738). Mortality was lowest in patients without a leak or SARS-CoV-2 (14/1601, 0.9%) and highest in patients with both a leak and SARS-CoV-2 (5/13, 38.5%). Mortality was independently associated with anastomotic leak (adjusted odds ratio 6.01, 95% confidence interval 2.58–14.06), postoperative SARS-CoV-2 (16.90, 7.86–36.38), male sex (2.46, 1.01–5.93), age >70 years (2.87, 1.32–6.20) and advanced cancer stage (3.43, 1.16–10.21). Compared with prepandemic data, there were fewer anastomotic leaks (4.9% versus 7.7%) and an overall shorter length of stay (6 versus 7 days) but higher mortality (1.7% versus 1.1%). Conclusion: Surgeons need to further mitigate against both SARS-CoV-2 and anastomotic leak when offering surgery during current and future COVID-19 waves based on patient, operative and organizational risks. © 2020 The Association of Coloproctology of Great Britain and Ireland Bowel and Cancer Research; Sarcoma UK; Yorkshire Cancer Research; European Society of Coloproctology; National Institute for Health Research: 16.136.79; Department of Health and Social Care; Bowel Disease Research Foundation This report was funded by a National Institute for Health Research (NIHR) Global Health Research Unit Grant (NIHR 16.136.79) using UK aid from the UK Government to support global health research, The Association of Coloproctology of Great Britain and Ireland, Bowel & Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society; European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland and Yorkshire Cancer Research. The funders had no role in study design, data collection, analysis and interpretation or writing of this report. The views expressed are those of the authors and not necessarily those of the National Health Service, the NIHR or the UK Department of Health and Social Care. This report was funded by a National Institute for Health Research (NIHR) Global Health Research Unit Grant (NIHR 16.136.79) using UK aid from the UK Government to support global health research, The Association of Coloproctology of Great Britain and Ireland, Bowel & Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society; European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland and Yorkshire Cancer Research. The funders had no role in study design, data collection, analysis and interpretation or writing of this report. The views expressed are those of the authors and not necessarily those of the National Health Service, the NIHR or the UK Department of Health and Social Care.
Databáze:	OpenAIRE
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