Feasibility and usability of a regional hub model for colorectal cancer services during the COVID-19 pandemic
| Autor: | Filipe, Carvalho, Ailín C, Rogers, Tou-Pin, Chang, Yinshan, Chee, Dhivya, Subramaniam, Gianluca, Pellino, Katy, Hardy, Christos, Kontovounisios, Paris, Tekkis, Shahnawaz, Rasheed, J, Dellen |
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| Přispěvatelé: | Institut Català de la Salut, [Carvalho F, Rogers AC, Chang TP, Chee Y, Subramaniam D] Department of Colorectal Surgery, The Royal Marsden Hospital NHS Foundation Trust, London, UK. [Pellino G] Department of Advanced Medical and Surgical Sciences, Università degli Studi della Campania 'Luigi Vanvitelli', Naples, Italy. Unitat de Cirurgia de Còlon i Recte, Vall d’Hebron Hospital Universitari, Barcelona, Spain, Vall d'Hebron Barcelona Hospital Campus, Carvalho, Filipe, Rogers, Ailín C, Chang, Tou-Pin, Chee, Yinshan, Subramaniam, Dhivya, Pellino, Gianluca, Hardy, Katy, Kontovounisios, Christo, Tekkis, Pari, Rasheed, Shahnawaz |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Recte - Càncer - Cirurgia
SURGERY IMPACT Aftercare COVID-19 (Malaltia) Neoplasms::Neoplasms by Site::Digestive System Neoplasms::Gastrointestinal Neoplasms::Intestinal Neoplasms::Colorectal Neoplasms [DISEASES] Retrospective Studie Colorectal surgery Humans Pandemics Còlon - Càncer - Cirurgia Cancer Retrospective Studies Science & Technology Pandemic SARS-CoV-2 Rectal Neoplasms London Colorectal Cancer Hub Network Collaborators COVID-19 Otros calificadores::Otros calificadores::/cirugía [Otros calificadores] neoplasias::neoplasias por localización::neoplasias del sistema digestivo::neoplasias gastrointestinales::neoplasias intestinales::neoplasias colorrectales [ENFERMEDADES] Patient Discharge Other subheadings::Other subheadings::/surgery [Other subheadings] Feasibility Studie Feasibility Studies Life Sciences & Biomedicine Human |
| Zdroj: | Scientia |
| Popis: | COVID-19; Cancer; Colorectal surgery COVID-19; Cáncer; Cirugía colorrectal COVID-19; Càncer; Cirurgia colorrectal The outbreak of the COVID-19 pandemic produced unprecedented challenges, at a global level, in the provision of cancer care. With the ongoing need in the delivery of life-saving cancer treatment, the surgical management of patients with colorectal cancer required prompt significant transformation. The aim of this retrospective study is to report the outcome of a bespoke regional Cancer Hub model in the delivery of elective and essential colorectal cancer surgery, at the height of the first wave of the COVID-19 pandemic. 168 patients underwent colorectal cancer surgery from April 1st to June 30th of 2020. Approximately 75% of patients operated upon underwent colonic resection, of which 47% were left-sided, 34% right-sided and 12% beyond total mesorectal excision surgeries. Around 79% of all resectional surgeries were performed via laparotomy, and the remainder 21%, robotically or laparoscopically. Thirty-day complication rate, for Clavien–Dindo IIIA and above, was 4.2%, and 30-day mortality rate was 0.6%. Re-admission rate, within 30 days post-discharge, was 1.8%, however, no patient developed COVID-19 specific complications post-operatively and up to 28 days post-discharge. The established Cancer Hub offered elective surgical care for patients with colorectal cancer in a centralised, timely and efficient manner, with acceptable post-operative outcomes and no increased risk of contracting COVID-19 during their inpatient stay. We offer a practical model of care that can be used when elective surgery “hubs” for streamlined delivery of elective care needs to be established in an expeditious fashion, either due to the COVID-19 pandemic or any other future pandemics. |
| Databáze: | OpenAIRE |
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