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Successful maintenance of process and outcomes for oesophageal cancer surgery in Ireland during the first wave of the COVID-19 pandemic.
Bolger, Jarlath C; Donlon, Noel E; Butt, Waqas; Neary, Colm; Al Azzawi, Mohammed; Brett, Orla; King, Sinead; Downey, Eithne; Arumugasamy, Mayilone; Murphy, Thomas; Robb, William B; Collins, Chris G; Carroll, Paul A; Donohoe, Claire L; Ravi, Narayanasamy; Reynolds, John V.
  • Bolger JC; Trinity St. James's Cancer Institute, Dublin, Ireland.
  • Donlon NE; Trinity St. James's Cancer Institute, Dublin, Ireland.
  • Butt W; Trinity St. James's Cancer Institute, Dublin, Ireland.
  • Neary C; Mercy University Hospital, Cork, Ireland.
  • Al Azzawi M; Beaumont Hospital, Dublin, Ireland.
  • Brett O; Beaumont Hospital, Dublin, Ireland.
  • King S; Trinity St. James's Cancer Institute, Dublin, Ireland.
  • Downey E; Beaumont Hospital, Dublin, Ireland.
  • Arumugasamy M; Beaumont Hospital, Dublin, Ireland.
  • Murphy T; Mercy University Hospital, Cork, Ireland.
  • Robb WB; Beaumont Hospital, Dublin, Ireland.
  • Collins CG; University Hospital Galway, Galway, Ireland.
  • Carroll PA; University Hospital Galway, Galway, Ireland.
  • Donohoe CL; Trinity St. James's Cancer Institute, Dublin, Ireland.
  • Ravi N; Trinity St. James's Cancer Institute, Dublin, Ireland.
  • Reynolds JV; Trinity St. James's Cancer Institute, Dublin, Ireland. reynoljv@tcd.ie.
Ir J Med Sci ; 191(2): 831-837, 2022 Apr.
Article in English | MEDLINE | ID: covidwho-1137175
ABSTRACT

INTRODUCTION:

The emergence of the novel coronavirus Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and the coronavirus disease COVID-19 has impacted enormously on non-COVID-19-related hospital care. Curtailment of intensive care unit (ICU) access threatens complex surgery, particularly impacting on outcomes for time-sensitive cancer surgery. Oesophageal cancer surgery is a good example. This study explored the impact of the pandemic on process and short-term surgical outcomes, comparing the first wave of the pandemic from April to June in 2020 with the same period in 2019.

METHODS:

Data from all four Irish oesophageal cancer centres were reviewed. All patients undergoing resection for oesophageal malignancy from 1 April to 30 June inclusive in 2020 and 2019 were included. Patient, disease, and peri-operative outcomes (including COVID-19 infection) were compared.

RESULTS:

In 2020, 45 patients underwent oesophagectomy, and 53 in the equivalent period in 2019. There were no differences in patient demographics, co-morbidities, or use of neoadjuvant therapy. The median time to surgery from neoadjuvant therapy was 8 weeks in both 2020 and 2019. There were no significant differences in operative interventions between the two time periods. There was no difference in operative morbidity in 2020 and 2019 (28% vs 40%, p = 0.28). There was no in-hospital mortality in either period. No patient contracted COVID-19 in the perioperative period.

CONCLUSIONS:

Continuing surgical resection for oesophageal cancer was feasible and safe during the COVID-19 pandemic in Ireland. The national response to this threat was therefore successful by these criteria in the curative management of oesophageal cancer.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Esophageal Neoplasms / COVID-19 Type of study: Observational study Limits: Humans Country/Region as subject: Europa Language: English Journal: Ir J Med Sci Year: 2022 Document Type: Article Affiliation country: S11845-021-02597-0

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Esophageal Neoplasms / COVID-19 Type of study: Observational study Limits: Humans Country/Region as subject: Europa Language: English Journal: Ir J Med Sci Year: 2022 Document Type: Article Affiliation country: S11845-021-02597-0