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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...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2022
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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. |
format | Online Article Text |
id | pubmed-9471957 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
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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