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The COVID - AGICT study: COVID–19 and advanced gastro-intestinal cancer surgical treatment. A multicentric Italian study on the SARS-CoV-2 pandemic impact on gastro-intestinal cancers surgical treatment during the 2020. Analysis of perioperative and short-term oncological outcomes
BACKGROUND: This Italian multicentric retrospective study aimed to investigate the possible changes in outcomes of patients undergoing surgery for gastrointestinal cancers during the COVID-19 pandemic. METHOD: Our primary endpoint was to determine whether the pandemic scenario increased the rate of...
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| Formato: | Online Artículo Texto |
| Lenguaje: | English |
| Publicado: |
Elsevier Ltd.
2023
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| Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9892255/ https://www.ncbi.nlm.nih.gov/pubmed/36924550 http://dx.doi.org/10.1016/j.suronc.2023.101907 |
| _version_ | 1784881302331195392 |
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| author | Giuliani, Giuseppe Guerra, Francesco Messinese, Simona Santelli, Francesco Salvischiani, Lucia Esposito, Sofia Ferraro, Luca Esposito, Alessandro De Pastena, Matteo Rega, Daniela Delrio, Paolo La Raja, Carlotta Spinelli, Antonino Massaron, Simonetta De Nardi, Paola Kauffmann, Emanuele Federico Boggi, Ugo Deidda, Simona Restivo, Angelo Marano, Alessandra Borghi, Felice Piccoli, Micaela Depalma, Norma D'Ugo, Stefano Spampinato, Marcello Cozzani, Federico Del Rio, Paolo Marcellinaro, Rosa Carlini, Massimo De Rosa, Raffaele Scabini, Stefano Maiello, Fabio Polastri, Roberto Turri, Giulia Pedrazzani, Corrado Zese, Monica Parini, Dario Casaril, Andrea Moretto, Gianluigi De Leo, Antonio Catarci, Marco Trapani, Renza Zonta, Sandro Marsanic, Patrizia Muratore, Andrea Di Franco, Gregorio Morelli, Luca Coppola, Alessandro Caputo, Damiano Andreuccetti, Jacopo Pignata, Giusto Mastrangelo, Laura Jovine, Elio Mazzola, Michele Ferrari, Giovanni Mariani, Lorenzo Ceccarelli, Graziano Giuseppe, Rocco Bolzon, Stefano Grasso, Mariateresa Testa, Silvio Germani, Paola de Manzini, Nicolò Langella, Serena Ferrero, Alessandro Coletta, Diego Bianchi, Paolo Pietro Bengala, Carmelo Coratti, Andrea |
| author_facet | Giuliani, Giuseppe Guerra, Francesco Messinese, Simona Santelli, Francesco Salvischiani, Lucia Esposito, Sofia Ferraro, Luca Esposito, Alessandro De Pastena, Matteo Rega, Daniela Delrio, Paolo La Raja, Carlotta Spinelli, Antonino Massaron, Simonetta De Nardi, Paola Kauffmann, Emanuele Federico Boggi, Ugo Deidda, Simona Restivo, Angelo Marano, Alessandra Borghi, Felice Piccoli, Micaela Depalma, Norma D'Ugo, Stefano Spampinato, Marcello Cozzani, Federico Del Rio, Paolo Marcellinaro, Rosa Carlini, Massimo De Rosa, Raffaele Scabini, Stefano Maiello, Fabio Polastri, Roberto Turri, Giulia Pedrazzani, Corrado Zese, Monica Parini, Dario Casaril, Andrea Moretto, Gianluigi De Leo, Antonio Catarci, Marco Trapani, Renza Zonta, Sandro Marsanic, Patrizia Muratore, Andrea Di Franco, Gregorio Morelli, Luca Coppola, Alessandro Caputo, Damiano Andreuccetti, Jacopo Pignata, Giusto Mastrangelo, Laura Jovine, Elio Mazzola, Michele Ferrari, Giovanni Mariani, Lorenzo Ceccarelli, Graziano Giuseppe, Rocco Bolzon, Stefano Grasso, Mariateresa Testa, Silvio Germani, Paola de Manzini, Nicolò Langella, Serena Ferrero, Alessandro Coletta, Diego Bianchi, Paolo Pietro Bengala, Carmelo Coratti, Andrea |
| author_sort | Giuliani, Giuseppe |
| collection | PubMed |
| description | BACKGROUND: This Italian multicentric retrospective study aimed to investigate the possible changes in outcomes of patients undergoing surgery for gastrointestinal cancers during the COVID-19 pandemic. METHOD: Our primary endpoint was to determine whether the pandemic scenario increased the rate of patients with colorectal, gastroesophageal, and pancreatic cancers resected at an advanced stage in 2020 compared to 2019. Considering different cancer staging systems, we divided tumors into early stages and advanced stages, using pathological outcomes. Furthermore, to assess the impact of the COVID-19 pandemic on surgical outcomes, perioperative data of both 2020 and 2019 were also examined. RESULTS: Overall, a total of 8250 patients, 4370 (53%) and 3880 (47%) were surgically treated during 2019 and 2020 respectively, in 62 Italian surgical Units. In 2020, the rate of patients treated with an advanced pathological stage was not different compared to 2019 (P = 0.25). Nevertheless, the analysis of quarters revealed that in the second half of 2020 the rate of advanced cancer resected, tented to be higher compared with the same months of 2019 (P = 0.05). During the pandemic year ‘Charlson Comorbidity Index score of cancer patients (5.38 ± 2.08 vs 5.28 ± 2.22, P = 0.036), neoadjuvant treatments (23.9% vs. 19.5%, P < 0.001), rate of urgent diagnosis (24.2% vs 20.3%, P < 0.001), colorectal cancer urgent resection (9.4% vs. 7.37, P < 0.001), and the rate of positive nodes on the total nodes resected per surgery increased significantly (7 vs 9% - 2.02 ± 4.21 vs 2.39 ± 5.23, P < 0.001). CONCLUSIONS: Although the SARS-CoV-2 pandemic did not influence the pathological stage of colorectal, gastroesophageal, and pancreatic cancers at the time of surgery, our study revealed that the pandemic scenario negatively impacted on several perioperative and post-operative outcomes. |
| format | Online Article Text |
| id | pubmed-9892255 |
| institution | National Center for Biotechnology Information |
| language | English |
| publishDate | 2023 |
| publisher | Elsevier Ltd. |
| record_format | MEDLINE/PubMed |
| spelling | pubmed-98922552023-02-02 The COVID - AGICT study: COVID–19 and advanced gastro-intestinal cancer surgical treatment. A multicentric Italian study on the SARS-CoV-2 pandemic impact on gastro-intestinal cancers surgical treatment during the 2020. Analysis of perioperative and short-term oncological outcomes Giuliani, Giuseppe Guerra, Francesco Messinese, Simona Santelli, Francesco Salvischiani, Lucia Esposito, Sofia Ferraro, Luca Esposito, Alessandro De Pastena, Matteo Rega, Daniela Delrio, Paolo La Raja, Carlotta Spinelli, Antonino Massaron, Simonetta De Nardi, Paola Kauffmann, Emanuele Federico Boggi, Ugo Deidda, Simona Restivo, Angelo Marano, Alessandra Borghi, Felice Piccoli, Micaela Depalma, Norma D'Ugo, Stefano Spampinato, Marcello Cozzani, Federico Del Rio, Paolo Marcellinaro, Rosa Carlini, Massimo De Rosa, Raffaele Scabini, Stefano Maiello, Fabio Polastri, Roberto Turri, Giulia Pedrazzani, Corrado Zese, Monica Parini, Dario Casaril, Andrea Moretto, Gianluigi De Leo, Antonio Catarci, Marco Trapani, Renza Zonta, Sandro Marsanic, Patrizia Muratore, Andrea Di Franco, Gregorio Morelli, Luca Coppola, Alessandro Caputo, Damiano Andreuccetti, Jacopo Pignata, Giusto Mastrangelo, Laura Jovine, Elio Mazzola, Michele Ferrari, Giovanni Mariani, Lorenzo Ceccarelli, Graziano Giuseppe, Rocco Bolzon, Stefano Grasso, Mariateresa Testa, Silvio Germani, Paola de Manzini, Nicolò Langella, Serena Ferrero, Alessandro Coletta, Diego Bianchi, Paolo Pietro Bengala, Carmelo Coratti, Andrea Surg Oncol Article BACKGROUND: This Italian multicentric retrospective study aimed to investigate the possible changes in outcomes of patients undergoing surgery for gastrointestinal cancers during the COVID-19 pandemic. METHOD: Our primary endpoint was to determine whether the pandemic scenario increased the rate of patients with colorectal, gastroesophageal, and pancreatic cancers resected at an advanced stage in 2020 compared to 2019. Considering different cancer staging systems, we divided tumors into early stages and advanced stages, using pathological outcomes. Furthermore, to assess the impact of the COVID-19 pandemic on surgical outcomes, perioperative data of both 2020 and 2019 were also examined. RESULTS: Overall, a total of 8250 patients, 4370 (53%) and 3880 (47%) were surgically treated during 2019 and 2020 respectively, in 62 Italian surgical Units. In 2020, the rate of patients treated with an advanced pathological stage was not different compared to 2019 (P = 0.25). Nevertheless, the analysis of quarters revealed that in the second half of 2020 the rate of advanced cancer resected, tented to be higher compared with the same months of 2019 (P = 0.05). During the pandemic year ‘Charlson Comorbidity Index score of cancer patients (5.38 ± 2.08 vs 5.28 ± 2.22, P = 0.036), neoadjuvant treatments (23.9% vs. 19.5%, P < 0.001), rate of urgent diagnosis (24.2% vs 20.3%, P < 0.001), colorectal cancer urgent resection (9.4% vs. 7.37, P < 0.001), and the rate of positive nodes on the total nodes resected per surgery increased significantly (7 vs 9% - 2.02 ± 4.21 vs 2.39 ± 5.23, P < 0.001). CONCLUSIONS: Although the SARS-CoV-2 pandemic did not influence the pathological stage of colorectal, gastroesophageal, and pancreatic cancers at the time of surgery, our study revealed that the pandemic scenario negatively impacted on several perioperative and post-operative outcomes. Elsevier Ltd. 2023-04 2023-02-02 /pmc/articles/PMC9892255/ /pubmed/36924550 http://dx.doi.org/10.1016/j.suronc.2023.101907 Text en © 2023 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active. |
| spellingShingle | Article Giuliani, Giuseppe Guerra, Francesco Messinese, Simona Santelli, Francesco Salvischiani, Lucia Esposito, Sofia Ferraro, Luca Esposito, Alessandro De Pastena, Matteo Rega, Daniela Delrio, Paolo La Raja, Carlotta Spinelli, Antonino Massaron, Simonetta De Nardi, Paola Kauffmann, Emanuele Federico Boggi, Ugo Deidda, Simona Restivo, Angelo Marano, Alessandra Borghi, Felice Piccoli, Micaela Depalma, Norma D'Ugo, Stefano Spampinato, Marcello Cozzani, Federico Del Rio, Paolo Marcellinaro, Rosa Carlini, Massimo De Rosa, Raffaele Scabini, Stefano Maiello, Fabio Polastri, Roberto Turri, Giulia Pedrazzani, Corrado Zese, Monica Parini, Dario Casaril, Andrea Moretto, Gianluigi De Leo, Antonio Catarci, Marco Trapani, Renza Zonta, Sandro Marsanic, Patrizia Muratore, Andrea Di Franco, Gregorio Morelli, Luca Coppola, Alessandro Caputo, Damiano Andreuccetti, Jacopo Pignata, Giusto Mastrangelo, Laura Jovine, Elio Mazzola, Michele Ferrari, Giovanni Mariani, Lorenzo Ceccarelli, Graziano Giuseppe, Rocco Bolzon, Stefano Grasso, Mariateresa Testa, Silvio Germani, Paola de Manzini, Nicolò Langella, Serena Ferrero, Alessandro Coletta, Diego Bianchi, Paolo Pietro Bengala, Carmelo Coratti, Andrea The COVID - AGICT study: COVID–19 and advanced gastro-intestinal cancer surgical treatment. A multicentric Italian study on the SARS-CoV-2 pandemic impact on gastro-intestinal cancers surgical treatment during the 2020. Analysis of perioperative and short-term oncological outcomes |
| title | The COVID - AGICT study: COVID–19 and advanced gastro-intestinal cancer surgical treatment. A multicentric Italian study on the SARS-CoV-2 pandemic impact on gastro-intestinal cancers surgical treatment during the 2020. Analysis of perioperative and short-term oncological outcomes |
| title_full | The COVID - AGICT study: COVID–19 and advanced gastro-intestinal cancer surgical treatment. A multicentric Italian study on the SARS-CoV-2 pandemic impact on gastro-intestinal cancers surgical treatment during the 2020. Analysis of perioperative and short-term oncological outcomes |
| title_fullStr | The COVID - AGICT study: COVID–19 and advanced gastro-intestinal cancer surgical treatment. A multicentric Italian study on the SARS-CoV-2 pandemic impact on gastro-intestinal cancers surgical treatment during the 2020. Analysis of perioperative and short-term oncological outcomes |
| title_full_unstemmed | The COVID - AGICT study: COVID–19 and advanced gastro-intestinal cancer surgical treatment. A multicentric Italian study on the SARS-CoV-2 pandemic impact on gastro-intestinal cancers surgical treatment during the 2020. Analysis of perioperative and short-term oncological outcomes |
| title_short | The COVID - AGICT study: COVID–19 and advanced gastro-intestinal cancer surgical treatment. A multicentric Italian study on the SARS-CoV-2 pandemic impact on gastro-intestinal cancers surgical treatment during the 2020. Analysis of perioperative and short-term oncological outcomes |
| title_sort | covid - agict study: covid–19 and advanced gastro-intestinal cancer surgical treatment. a multicentric italian study on the sars-cov-2 pandemic impact on gastro-intestinal cancers surgical treatment during the 2020. analysis of perioperative and short-term oncological outcomes |
| topic | Article |
| url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9892255/ https://www.ncbi.nlm.nih.gov/pubmed/36924550 http://dx.doi.org/10.1016/j.suronc.2023.101907 |
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