Influence of SARS-CoV2 Pandemic on Colorectal Cancer Diagnosis, Presentation, and Surgical Management in a Tertiary Center: A Retrospective Study
<b>Background</b>: Oncological surgery during the COVID-19 pandemic was performed only in carefully selected cases, due to variation in the allocation of resources. The purpose of this study was to highlight the impact of the pandemic lockdown on the presentation, diagnosis, and surgical...
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2025-01-01
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| Online Access: | https://www.mdpi.com/2075-4418/15/2/129 |
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| author | Roman Taulean Roxana Zaharie Dan Valean Lia Usatiuc Mohammad Dib Emil Moiș Calin Popa Andra Ciocan Alin Fetti Nadim Al-Hajjar Florin Zaharie |
| author_facet | Roman Taulean Roxana Zaharie Dan Valean Lia Usatiuc Mohammad Dib Emil Moiș Calin Popa Andra Ciocan Alin Fetti Nadim Al-Hajjar Florin Zaharie |
| author_sort | Roman Taulean |
| collection | DOAJ |
| description | <b>Background</b>: Oncological surgery during the COVID-19 pandemic was performed only in carefully selected cases, due to variation in the allocation of resources. The purpose of this study was to highlight the impact of the pandemic lockdown on the presentation, diagnosis, and surgical management of colorectal cancers as well as the post-pandemic changes in this area. <b>Material and methods</b>: This single center, retrospective comparative study contained 1687 patients, divided into three groups with equal time frames of two years, consisting of a pre-pandemic, pandemic, and post-pandemic period, in which preoperative and perioperative as well as postoperative parameters were compared. <b>Results</b>: Statistically significant differences regarding environment, type of admission, and ASA score, as well as a more advanced tumoral stage, increased number of important postoperative complications, and a lower minimally invasive surgical approach, were highlighted within the pandemic group. Statistically significant differences regarding emergency diagnosis as well as late diagnosis were highlighted. There were no significant differences regarding the tumor location, postoperative 30-day mortality, or hospitalization duration. <b>Conclusions</b>: COVID-19 significantly impacted the surgical timing in colorectal cancer, as well as addressability for the rural population, with a marked decrease in elective cases as well as an increased number of cases diagnosed in an emergency setting, with locally advanced tumors. However, no significant changes in postoperative mortality or hospitalization duration were highlighted. In addition, most of the changes highlighted were reverted in the post-pandemic period. Further studies are required to observe the long-term effects in terms of morbidity and mortality, regarding the delay of diagnosis and oncological treatment. |
| format | Article |
| id | doaj-art-1b941918bbe84aa998d52f0b70586644 |
| institution | Kabale University |
| issn | 2075-4418 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj-art-1b941918bbe84aa998d52f0b705866442025-01-24T13:28:49ZengMDPI AGDiagnostics2075-44182025-01-0115212910.3390/diagnostics15020129Influence of SARS-CoV2 Pandemic on Colorectal Cancer Diagnosis, Presentation, and Surgical Management in a Tertiary Center: A Retrospective StudyRoman Taulean0Roxana Zaharie1Dan Valean2Lia Usatiuc3Mohammad Dib4Emil Moiș5Calin Popa6Andra Ciocan7Alin Fetti8Nadim Al-Hajjar9Florin Zaharie10Regional Institute of Gastroenterology and Hepatology “Octavian Fodor”, 400162 Cluj-Napoca, RomaniaRegional Institute of Gastroenterology and Hepatology “Octavian Fodor”, 400162 Cluj-Napoca, RomaniaRegional Institute of Gastroenterology and Hepatology “Octavian Fodor”, 400162 Cluj-Napoca, RomaniaDepartment of Patophysiology, University of Medicine and Pharmacy “Iuliu Hațieganu”, 400347 Cluj-Napoca, RomaniaRegional Institute of Gastroenterology and Hepatology “Octavian Fodor”, 400162 Cluj-Napoca, RomaniaRegional Institute of Gastroenterology and Hepatology “Octavian Fodor”, 400162 Cluj-Napoca, RomaniaRegional Institute of Gastroenterology and Hepatology “Octavian Fodor”, 400162 Cluj-Napoca, RomaniaRegional Institute of Gastroenterology and Hepatology “Octavian Fodor”, 400162 Cluj-Napoca, RomaniaRegional Institute of Gastroenterology and Hepatology “Octavian Fodor”, 400162 Cluj-Napoca, RomaniaRegional Institute of Gastroenterology and Hepatology “Octavian Fodor”, 400162 Cluj-Napoca, RomaniaRegional Institute of Gastroenterology and Hepatology “Octavian Fodor”, 400162 Cluj-Napoca, Romania<b>Background</b>: Oncological surgery during the COVID-19 pandemic was performed only in carefully selected cases, due to variation in the allocation of resources. The purpose of this study was to highlight the impact of the pandemic lockdown on the presentation, diagnosis, and surgical management of colorectal cancers as well as the post-pandemic changes in this area. <b>Material and methods</b>: This single center, retrospective comparative study contained 1687 patients, divided into three groups with equal time frames of two years, consisting of a pre-pandemic, pandemic, and post-pandemic period, in which preoperative and perioperative as well as postoperative parameters were compared. <b>Results</b>: Statistically significant differences regarding environment, type of admission, and ASA score, as well as a more advanced tumoral stage, increased number of important postoperative complications, and a lower minimally invasive surgical approach, were highlighted within the pandemic group. Statistically significant differences regarding emergency diagnosis as well as late diagnosis were highlighted. There were no significant differences regarding the tumor location, postoperative 30-day mortality, or hospitalization duration. <b>Conclusions</b>: COVID-19 significantly impacted the surgical timing in colorectal cancer, as well as addressability for the rural population, with a marked decrease in elective cases as well as an increased number of cases diagnosed in an emergency setting, with locally advanced tumors. However, no significant changes in postoperative mortality or hospitalization duration were highlighted. In addition, most of the changes highlighted were reverted in the post-pandemic period. Further studies are required to observe the long-term effects in terms of morbidity and mortality, regarding the delay of diagnosis and oncological treatment.https://www.mdpi.com/2075-4418/15/2/129COVID-19 pandemiccolorectal surgerydiagnosisprognosismorbidity and mortality |
| spellingShingle | Roman Taulean Roxana Zaharie Dan Valean Lia Usatiuc Mohammad Dib Emil Moiș Calin Popa Andra Ciocan Alin Fetti Nadim Al-Hajjar Florin Zaharie Influence of SARS-CoV2 Pandemic on Colorectal Cancer Diagnosis, Presentation, and Surgical Management in a Tertiary Center: A Retrospective Study Diagnostics COVID-19 pandemic colorectal surgery diagnosis prognosis morbidity and mortality |
| title | Influence of SARS-CoV2 Pandemic on Colorectal Cancer Diagnosis, Presentation, and Surgical Management in a Tertiary Center: A Retrospective Study |
| title_full | Influence of SARS-CoV2 Pandemic on Colorectal Cancer Diagnosis, Presentation, and Surgical Management in a Tertiary Center: A Retrospective Study |
| title_fullStr | Influence of SARS-CoV2 Pandemic on Colorectal Cancer Diagnosis, Presentation, and Surgical Management in a Tertiary Center: A Retrospective Study |
| title_full_unstemmed | Influence of SARS-CoV2 Pandemic on Colorectal Cancer Diagnosis, Presentation, and Surgical Management in a Tertiary Center: A Retrospective Study |
| title_short | Influence of SARS-CoV2 Pandemic on Colorectal Cancer Diagnosis, Presentation, and Surgical Management in a Tertiary Center: A Retrospective Study |
| title_sort | influence of sars cov2 pandemic on colorectal cancer diagnosis presentation and surgical management in a tertiary center a retrospective study |
| topic | COVID-19 pandemic colorectal surgery diagnosis prognosis morbidity and mortality |
| url | https://www.mdpi.com/2075-4418/15/2/129 |
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