Data di Pubblicazione:
2020
Citazione:
Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic / Li, E., Glasbey, J.C., Nepogodiev, D., Simoes, J.F.F., Omar, O.M., Venn, M.L., Evans, J.P., Futaba, K., Knowles, C.H., Minaya‐bravo, A., Mohan, H., Chand, M., Pockney, P., Di Saverio, S., Smart, N., Vallance, A., Vimalachandran, D., Wilkin, R.J.W., Siaw‐acheampong, K., Benson, R.A., et al.. - In: COLORECTAL DISEASE. - ISSN 1462-8910. - 23:3(2020), pp. 732-749. [10.1111/codi.15431]
Abstract:
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.
Tipologia CRIS:
1.1 Articolo in rivista
Keywords:
COVID-19; SARS-CoV-2; cancer; colon cancer; pandemic; rectal cancer; surgery; surgical oncology
Elenco autori:
Li, Elizabeth; Glasbey, James C.; Nepogodiev, Dmitri; Simoes, Joana F. F.; 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; Wilkin, Richard J. W.; Siaw‐acheampong, Kwabena; Benson, Ruth A.; Bywater, Edward; Chaudhry, Daoud; Dawson, Brett E.; Glasbey, James C.; 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.; Nepogodiev, Dmitri; Pellino, Gianluca; Picciochi, Maria; Taylor, Elliott H.; Tiwari, Abhinav; Trout, Isobel M.; Venn, Mary L.; Smart, Neil J.; Minaya‐bravo, Ana; Evans, Jonathan P.; Gallo, Gaetano; Moug, Susan; Pata, Francesco; Vallance, Abigail; Vimalchandran, Dale; Pockney, Peter; Di Saverio, Salomone; Abbott, Tom E. F.; Abukhalaf, Sadi; Adamina, Michel; Ademuyiwa, Adesoji O.; Agarwal, Arnav; Akkulak, Murat; 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; Beard, David; Benson, Ruth A.; Blanco‐colino, Ruth; Brar, Amanpreet; Minaya‐bravo, Ana; Breen, Kerry A.; Bretherton, Chris; Lima Buarque, Igor; Burke, Joshua; Caruana, Edward J.; Chaar, Mohammad; 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; Gomes, Mendonça Ataíde Gustavo; Grecinos, Gustavo; Griffiths, Ewen A.; Gründl, Madalegna; Halkias, Constantine; Harrison, Ewen M.; Hisham, Intisar; Hutchinson, Peter J.; Hwang, Shelley; Isik, Arda; Jenkinson, Michael D.; Jonker, Pascal; Kaafarani, Haytham M. A.; Keller, Debby; Kolias, Angelos; Kruijff, Schelto; Lawani, Ismail; Lederhuber, Hans; Leventoglu, Sezai; Litvin, Andrey; Loehrer, Andrew; Löffler, Markus W.; Lorena, Aguilera Maria; Modolo, Marta Maria; Major, Piotr; Martin, Janet; Mashbari, Hassan N.; Mazingi, Dennis; Metallidis, Symeon; Minaya‐bravo, Ana; Mohan, Helen M.; Moore, Rachel; Moszkowicz, David; Moug, Susan; Ng‐kamstra, Joshua S.; Maimbo, Mayaba; Negoi, Ionut; Niquen, Milagros; Ntirenganya, Faustin; Olivos, Maricarmen; Oussama, Kacimi; Outani, Oumaima; Dione Parreno‐Sacdalanm, Marie; Pata, Francesco; Rivera, Jose Perez Carlos; Pinkney, Thomas D.; Plas, Willemijn; Pockney, Peter; 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; Ramshorst, Gabrielle H.; Vidya, Raghavan; Vimalachandran, Dale; Warren, Oliver J.; Wedderburn, Duane; Wright, Naomi; Alurralde, C.; Caram, E. L.; Eskinazi, D.; Badra, R.; García, J. S.; Lucchini, S. M.; Cecire, J.; Salindera, S.; Sutherland, A.; Ahn, J. H.; Chen, S.; Gauri, N.; Jang, S.; Jia, F.; Mulligan, C.; Yang, W.; Ye, G.; Zhang, H.; Moss, J.; Richards, T.; Thian, A.; Vo, U. G.; Bagraith, K.; Chan, E.; Ho, D.; Jeyarajan, E.; Jordan, S.; Nolan, G. J.; Von Papen, M.; Wullschleger, M.; Egoroff, N.; Gani, J.; Lott, N.; Pockney, P.; Phan, D.; Townend, D.; Bong, C.; Gundara, J.; Bowman, S.; Guerra, G. R.; Dudi‐venkata, N. N.; Kroon, H. M.; Sammour, T.; Mitchell, D.; Swinson, B.; Messner, F.; Öfner, D.; Emmanuel, K.; Grechenig, M.; Gruber, R.; Harald, M.; Öhlberger, L.; P
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