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Impact of the COVID-19 Pandemic on Colorectal Cancer Care in the Netherlands: A Population-based Study.
Meijer, Joyce; Elferink, Marloes A G; van Hoeve, Jolanda C; Buijsen, Jeroen; van Erning, Felice; Nagtegaal, Iris D; Tanis, Pieter J; Vink, Geraldine R; Wumkes, Miriam L; de Hingh, Ignace H J T; Siesling, Sabine.
  • Meijer J; Department of Research and Development, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, the Netherlands; Department of Health Technology and Services Research, Technical Medical Centre, University of Twente, Enschede, the Netherlands.
  • Elferink MAG; Department of Research and Development, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, the Netherlands.
  • van Hoeve JC; Department of Research and Development, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, the Netherlands; Department of Health Technology and Services Research, Technical Medical Centre, University of Twente, Enschede, the Netherlands.
  • Buijsen J; Department of Radiation Oncology (Maastro), GROW School for Oncology, Maastricht University Medical Center, Maastricht, the Netherlands.
  • van Erning F; Department of Research and Development, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, the Netherlands.
  • Nagtegaal ID; Department of Pathology, Radboud University Medical Center, Nijmegen, the Netherlands.
  • Tanis PJ; Department of Surgery, Cancer Centre Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
  • Vink GR; Department of Research and Development, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, the Netherlands; Department of Medical Oncology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
  • Wumkes ML; Department of Medical Oncology, Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands.
  • de Hingh IHJT; Department of Research and Development, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, the Netherlands; Department of Surgery, Catharina Cancer Institute-Catharina Hospital, Eindhoven, the Netherlands.
  • Siesling S; Department of Research and Development, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, the Netherlands; Department of Health Technology and Services Research, Technical Medical Centre, University of Twente, Enschede, the Netherlands. Electronic address: s.siesling@utwente.nl.
Clin Colorectal Cancer ; 21(3): e171-e178, 2022 09.
Article in English | MEDLINE | ID: covidwho-1712514
ABSTRACT

INTRODUCTION:

The COVID-19 pandemic disrupted health care services worldwide. In the Netherlands, the first confirmed COVID-19 infection was on February 27, 2020. We aimed to investigate the impact of the pandemic on colorectal cancer care in the Netherlands.

METHODS:

Colorectal cancer patients who were diagnosed in 25 hospitals in weeks 2 to 26 of the year 2020 were selected from the Netherlands Cancer Registry (NCR) and divided in 4 periods. The average number of patients treated per type of initial treatment was analyzed by the Mantel-Haenszel test adjusted for age. Median time between diagnosis and treatment and between (neo)adjuvant therapy and surgery were analyzed by the Mann Whitney test. Percentages of (acute) resection, stoma and (neo)adjuvant therapy were compared using the Chi-squared test.

RESULTS:

In total, 1,653 patients were included. The patient population changed during the COVID-19 pandemic regarding higher stage and more clinical presentation with ileus at time of diagnosis. Slight changes were found regarding type of initial treatment. Median time between diagnosis and treatment decreased on average by 4.5 days during the pandemic. The proportion of colon cancer patients receiving a stoma significantly increased with 6.5% during the pandemic. No differences were found in resection rate and treatment with (neo)adjuvant therapy.

CONCLUSION:

Despite the disruptive impact of the COVID-19 pandemic on global health care, the impact on colorectal cancer care in the Netherlands was limited.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Colorectal Neoplasms / Colonic Neoplasms / COVID-19 / Intestinal Obstruction Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Reviews Limits: Humans Country/Region as subject: Europa Language: English Journal: Clin Colorectal Cancer Journal subject: Gastroenterology / Neoplasms Year: 2022 Document Type: Article Affiliation country: J.clcc.2022.02.005

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Colorectal Neoplasms / Colonic Neoplasms / COVID-19 / Intestinal Obstruction Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Reviews Limits: Humans Country/Region as subject: Europa Language: English Journal: Clin Colorectal Cancer Journal subject: Gastroenterology / Neoplasms Year: 2022 Document Type: Article Affiliation country: J.clcc.2022.02.005