Colorectal cancer care in the COVID-19 era: outcomes from a 'mixed site' model

Autor: S, Ghosh, E J, Nevins, G J, Hicks, K, Carney, C, Emmett, S J, Mills
Rok vydání: 2021
Předmět:
Zdroj: Annals of the Royal College of Surgeons of England. 104(4)
ISSN: 1478-7083
Popis: The COVID-19 pandemic has presented many challenges to colorectal cancer (CRC) care. Many organisations opted to perform CRC resections in 'cold' sites. Infrastructure in Northumbria Healthcare NHS Foundation Trust (NHCT) necessitated co-locating CRC care with 'hot' COVID streams but with additional precautions. This study aimed to evaluate that approach for a consecutive series of CRC cases, diagnosed before and during the COVID-19 pandemic.A prospectively populated data set of CRC patients diagnosed between 1 April 2019 and 30 September 2020 was used. Patients presenting before 1 April 2020 were considered 'pre-COVID' and those presenting subsequently as 'COVID era'.Some 344 cases were diagnosed in the 12 months 'pre-COVID' and 166 in the 6 months of the 'COVID era'. The median numbers of days from referral to diagnosis (21 vs 20,With appropriate infection control measures, it may be safe to continue providing standard elective and urgent CRC care without access to a 'COVID clean' site.
Databáze: OpenAIRE