Impact of COVID-19 pandemic on treatment of colorectal cancer patients - 02/05/23

Doi : 10.1016/j.amjsurg.2023.01.028

Doua Elamin ^a, Ilker Ozgur ^a, Scott R. Steele ^a, Alok A. Khorana ^b, Xue Jia ^c, Emre Gorgun ^a,^⁎
^a Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, OH, USA
^b Hematology and Medical Oncology, Taussig Cancer Center, Cleveland Clinic, Cleveland, OH, USA
^c Quantitative Health Sciences, Lerner Research Institute, Cleveland Clinic, USA

^∗Corresponding author. Colorectal Surgical Oncology, Department of Colorectal Surgery, Krause-Lieberman Chair in Laparoscopic Colorectal Surgery, Digestive Disease and Surgery Institute, 9500 Euclid Avenue, Cleveland Clinic, Cleveland, OH, 44195, USA.Colorectal Surgical OncologyDepartment of Colorectal SurgeryKrause-Lieberman Chair in Laparoscopic Colorectal SurgeryDigestive Disease and Surgery InstituteCleveland Clinic9500 Euclid AvenueClevelandOH44195USA

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Abstract

Background

Modifications to practice during COVID pandemic impacted health maintenance and treatment of cancer patients.

Methods

We conducted a retrospective cohort study of all consecutive patients presenting to our institution with a new diagnosis of colorectal cancer pre-COVID (January 2017 to December 2019) and post-COVID (January to December 2020).

Results

The total number of patients with a new diagnosis of CRC was 2196. The pre-COVID period had 1891 patients whereas post-COVID period had 305. The median number of patients diagnosed with CRC per month was 50 and 35.5 pre and post-COVID, respectively. Time to treatment initiation was similar with no difference in stage at presentation for the pre and post-COVID periods.

Conclusion

There was a significant decrease in colorectal cancer diagnosis number and rate (p < 0.01) during the COVID era with no difference in staging at diagnosis or time to treatment initiation.

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Highlights

•	Number of patients diagnosed with colorectal cancer decreased with Covid pandemic.
•	Time to treatment initiation was not affected by Covid pandemic.
•	Stage of colorectal cancer at diagnosis was similar pre and post-Covid.

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Keywords : COVID, Colorectal cancer, Incidence, Staging, Treatment, Delay

Abbreviations : CRC, TTI

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Vol 225 - N° 5

P. 934-936 - mai 2023 Retour au numéro

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Impact of COVID-19 pandemic on treatment of colorectal cancer patients - 02/05/23

Abstract

Background

Methods

Results

Conclusion

Highlights

Plan

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