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Dynamic monitoring revealed a slightly prolonged waiting time for total gastrectomy during the COVID-19 pandemic without increasing the short-term complications

We aimed to determine the pattern of delay and its effect on the short-term outcomes of total gastrectomy before and during the coronavirus disease 2019 (COVID-19) pandemic. Overlaid line graphs were used to visualize the dynamic changes in the severity of the pandemic, number of gastric cancer pati...

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Autores principales: Zheng, Xiaohao, Ding, Shikang, Wu, Ming, Sun, Chunyang, Wu, Yunzi, Wang, Shenghui, Du, Yongxing, Yang, Lin, Xue, Liyan, Wang, Bingzhi, Wang, Chengfeng, Cui, Wei, Xie, Yibin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9471957/
https://www.ncbi.nlm.nih.gov/pubmed/36119493
http://dx.doi.org/10.3389/fonc.2022.944602
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author Zheng, Xiaohao
Ding, Shikang
Wu, Ming
Sun, Chunyang
Wu, Yunzi
Wang, Shenghui
Du, Yongxing
Yang, Lin
Xue, Liyan
Wang, Bingzhi
Wang, Chengfeng
Cui, Wei
Xie, Yibin
author_facet Zheng, Xiaohao
Ding, Shikang
Wu, Ming
Sun, Chunyang
Wu, Yunzi
Wang, Shenghui
Du, Yongxing
Yang, Lin
Xue, Liyan
Wang, Bingzhi
Wang, Chengfeng
Cui, Wei
Xie, Yibin
author_sort Zheng, Xiaohao
collection PubMed
description We aimed to determine the pattern of delay and its effect on the short-term outcomes of total gastrectomy before and during the coronavirus disease 2019 (COVID-19) pandemic. Overlaid line graphs were used to visualize the dynamic changes in the severity of the pandemic, number of gastric cancer patients, and waiting time for a total gastrectomy. We observed a slightly longer waiting time during the pandemic (median: 28.00 days, interquartile range: 22.00–34.75) than before the pandemic (median: 25.00 days, interquartile range: 18.00–34.00; p = 0.0071). Moreover, we study the effect of delayed surgery (waiting time > 30 days) on short-term outcomes using postoperative complications, extreme value of laboratory results, and postoperative stay. In patients who had longer waiting times, we did not observe worse short-term complication rates (grade II–IV: 15% vs. 19%, p = 0.27; grade III–IV: 7.3% vs. 9.2%, p = 0.51, the short waiting group vs. the prolonged waiting group) or a higher risk of a longer POD (univariable: OR 1.09, 95% CI 0.80–1.49, p = 0.59; multivariable: OR 1.10, 95% CI 0.78–1.55, p = 0.59). Patients in the short waiting group, rather than in the delayed surgery group, had an increased risk of bleeding in analyses of laboratory results (plasma prothrombin activity, hemoglobin, and hematocrit). A slightly prolonged preoperative waiting time during COVID-19 pandemic might not influence the short-term outcomes of patients who underwent total gastrectomy.
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spelling pubmed-94719572022-09-15 Dynamic monitoring revealed a slightly prolonged waiting time for total gastrectomy during the COVID-19 pandemic without increasing the short-term complications Zheng, Xiaohao Ding, Shikang Wu, Ming Sun, Chunyang Wu, Yunzi Wang, Shenghui Du, Yongxing Yang, Lin Xue, Liyan Wang, Bingzhi Wang, Chengfeng Cui, Wei Xie, Yibin Front Oncol Oncology We aimed to determine the pattern of delay and its effect on the short-term outcomes of total gastrectomy before and during the coronavirus disease 2019 (COVID-19) pandemic. Overlaid line graphs were used to visualize the dynamic changes in the severity of the pandemic, number of gastric cancer patients, and waiting time for a total gastrectomy. We observed a slightly longer waiting time during the pandemic (median: 28.00 days, interquartile range: 22.00–34.75) than before the pandemic (median: 25.00 days, interquartile range: 18.00–34.00; p = 0.0071). Moreover, we study the effect of delayed surgery (waiting time > 30 days) on short-term outcomes using postoperative complications, extreme value of laboratory results, and postoperative stay. In patients who had longer waiting times, we did not observe worse short-term complication rates (grade II–IV: 15% vs. 19%, p = 0.27; grade III–IV: 7.3% vs. 9.2%, p = 0.51, the short waiting group vs. the prolonged waiting group) or a higher risk of a longer POD (univariable: OR 1.09, 95% CI 0.80–1.49, p = 0.59; multivariable: OR 1.10, 95% CI 0.78–1.55, p = 0.59). Patients in the short waiting group, rather than in the delayed surgery group, had an increased risk of bleeding in analyses of laboratory results (plasma prothrombin activity, hemoglobin, and hematocrit). A slightly prolonged preoperative waiting time during COVID-19 pandemic might not influence the short-term outcomes of patients who underwent total gastrectomy. Frontiers Media S.A. 2022-08-31 /pmc/articles/PMC9471957/ /pubmed/36119493 http://dx.doi.org/10.3389/fonc.2022.944602 Text en Copyright © 2022 Zheng, Ding, Wu, Sun, Wu, Wang, Du, Yang, Xue, Wang, Wang, Cui and Xie https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Oncology
Zheng, Xiaohao
Ding, Shikang
Wu, Ming
Sun, Chunyang
Wu, Yunzi
Wang, Shenghui
Du, Yongxing
Yang, Lin
Xue, Liyan
Wang, Bingzhi
Wang, Chengfeng
Cui, Wei
Xie, Yibin
Dynamic monitoring revealed a slightly prolonged waiting time for total gastrectomy during the COVID-19 pandemic without increasing the short-term complications
title Dynamic monitoring revealed a slightly prolonged waiting time for total gastrectomy during the COVID-19 pandemic without increasing the short-term complications
title_full Dynamic monitoring revealed a slightly prolonged waiting time for total gastrectomy during the COVID-19 pandemic without increasing the short-term complications
title_fullStr Dynamic monitoring revealed a slightly prolonged waiting time for total gastrectomy during the COVID-19 pandemic without increasing the short-term complications
title_full_unstemmed Dynamic monitoring revealed a slightly prolonged waiting time for total gastrectomy during the COVID-19 pandemic without increasing the short-term complications
title_short Dynamic monitoring revealed a slightly prolonged waiting time for total gastrectomy during the COVID-19 pandemic without increasing the short-term complications
title_sort dynamic monitoring revealed a slightly prolonged waiting time for total gastrectomy during the covid-19 pandemic without increasing the short-term complications
topic Oncology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9471957/
https://www.ncbi.nlm.nih.gov/pubmed/36119493
http://dx.doi.org/10.3389/fonc.2022.944602
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