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Comparison of Colorectal Cancer Surgery Services During COVID-19 First Wave With Pre-COVID Time

Introduction The first confirmed case of COVID-19 in the United Kingdom (UK) was reported on 29 January 2020. The country saw the peak of infection between March and May of 2020. The result was a change in the practice of how we treat most surgical conditions including cancer. We continued providing...

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Autores principales: Rashid, Muhammad Umair, Raza, Syed Soulat, Thomas, Pradeep, Vakis, Stelios
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8425080/
https://www.ncbi.nlm.nih.gov/pubmed/34522556
http://dx.doi.org/10.7759/cureus.17585
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author Rashid, Muhammad Umair
Raza, Syed Soulat
Thomas, Pradeep
Vakis, Stelios
author_facet Rashid, Muhammad Umair
Raza, Syed Soulat
Thomas, Pradeep
Vakis, Stelios
author_sort Rashid, Muhammad Umair
collection PubMed
description Introduction The first confirmed case of COVID-19 in the United Kingdom (UK) was reported on 29 January 2020. The country saw the peak of infection between March and May of 2020. The result was a change in the practice of how we treat most surgical conditions including cancer. We continued providing service to our colorectal cancer patients at a District General Hospital. The aim of this study was to compare our provision of colorectal cancer service during the peak of the pandemic to that of the pre-COVID time in our hospital.  Methods We collected data of all colorectal cancer patients who underwent surgery between 1 March 2020 and 30 April 2020 in our hospital. The comparative data were collected for similar patients during the same time frame in 2019. A detailed data set was compiled on Microsoft Excel (Microsoft Corp, Washington) and analysed using IBM SPSS Statistics for Windows, Version 21.0 (Released 2012. IBM Corp, Armonk, NY). Results The two groups were comparable in demographics including age, BMI, gender, and Charlson comorbidity index. Time from decision- to-treat to surgery, post-operative HDU/ITU stay, and overall length of stay was shorter in the COVID group than the Pre-COVID group without any significant statistical difference. There was no statistically significant difference between the two groups in Calvien-Dindo complications grade 1 and 2. No mortality was reported due to direct or indirect consequences of COVID-19 infection. More open procedures were performed in our department during the first wave of COVID-19 in the UK compared to Pre-COVID time. Conclusions Despite the challenges we faced during the peak of the COVID-19 pandemic, we managed to provide standard care to our colorectal cancer patients with comparable post-operative surgical and oncological outcomes.
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spelling pubmed-84250802021-09-13 Comparison of Colorectal Cancer Surgery Services During COVID-19 First Wave With Pre-COVID Time Rashid, Muhammad Umair Raza, Syed Soulat Thomas, Pradeep Vakis, Stelios Cureus General Surgery Introduction The first confirmed case of COVID-19 in the United Kingdom (UK) was reported on 29 January 2020. The country saw the peak of infection between March and May of 2020. The result was a change in the practice of how we treat most surgical conditions including cancer. We continued providing service to our colorectal cancer patients at a District General Hospital. The aim of this study was to compare our provision of colorectal cancer service during the peak of the pandemic to that of the pre-COVID time in our hospital.  Methods We collected data of all colorectal cancer patients who underwent surgery between 1 March 2020 and 30 April 2020 in our hospital. The comparative data were collected for similar patients during the same time frame in 2019. A detailed data set was compiled on Microsoft Excel (Microsoft Corp, Washington) and analysed using IBM SPSS Statistics for Windows, Version 21.0 (Released 2012. IBM Corp, Armonk, NY). Results The two groups were comparable in demographics including age, BMI, gender, and Charlson comorbidity index. Time from decision- to-treat to surgery, post-operative HDU/ITU stay, and overall length of stay was shorter in the COVID group than the Pre-COVID group without any significant statistical difference. There was no statistically significant difference between the two groups in Calvien-Dindo complications grade 1 and 2. No mortality was reported due to direct or indirect consequences of COVID-19 infection. More open procedures were performed in our department during the first wave of COVID-19 in the UK compared to Pre-COVID time. Conclusions Despite the challenges we faced during the peak of the COVID-19 pandemic, we managed to provide standard care to our colorectal cancer patients with comparable post-operative surgical and oncological outcomes. Cureus 2021-08-30 /pmc/articles/PMC8425080/ /pubmed/34522556 http://dx.doi.org/10.7759/cureus.17585 Text en Copyright © 2021, Rashid et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle General Surgery
Rashid, Muhammad Umair
Raza, Syed Soulat
Thomas, Pradeep
Vakis, Stelios
Comparison of Colorectal Cancer Surgery Services During COVID-19 First Wave With Pre-COVID Time
title Comparison of Colorectal Cancer Surgery Services During COVID-19 First Wave With Pre-COVID Time
title_full Comparison of Colorectal Cancer Surgery Services During COVID-19 First Wave With Pre-COVID Time
title_fullStr Comparison of Colorectal Cancer Surgery Services During COVID-19 First Wave With Pre-COVID Time
title_full_unstemmed Comparison of Colorectal Cancer Surgery Services During COVID-19 First Wave With Pre-COVID Time
title_short Comparison of Colorectal Cancer Surgery Services During COVID-19 First Wave With Pre-COVID Time
title_sort comparison of colorectal cancer surgery services during covid-19 first wave with pre-covid time
topic General Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8425080/
https://www.ncbi.nlm.nih.gov/pubmed/34522556
http://dx.doi.org/10.7759/cureus.17585
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