Increased Number Of Colorectal Interval Cancers In Lynch Syndrome After The SARS-CoV-2 Pandemic. A Survey-based Study.
Dig Dis
; 2022 Apr 25.
Article
in English
| MEDLINE | ID: covidwho-2279055
ABSTRACT
BACKGROUND:
Hereditary colorectal cancer syndromes require timely endoscopic surveillance.METHODS:
This study evaluated the approach of Italian gastroenterologists to the management of such patients. It then assessed the impact of SARS-CoV-2. All members affiliated with the leading Italian gastroenterology societies (AIGO, SIED, and SIGE) received an online questionnaire.RESULTS:
One hundred and twenty-one clinicians from 96 centers answered, not necessarily experts in the field (mean age 50.26±11.22 years). Many collected family history for genetic risk assessment (74.4%), but only 14.0% used online predictive software. 65.6% discussed cases in multidisciplinary units. Genetic analysis was available to most centers, but only a few hospitals offered dedicated endoscopy (19.0%), outpatient clinics (33.9%), or surgeries (23.1%). Since the start of the SARS-CoV-2 pandemic, the number of clinicians with a high volume of patients decreased (from 38.8% to 28.1%). Almost half of the responders (45.5%) reported a delay in the surveillance (median 4-12 months). Ultimately, 30.6% detected one interval colorectal cancer in at least one of their patients.CONCLUSION:
The SARS-CoV-2 pandemic directly affected the surveillance of hereditary colorectal cancer syndromes in Italy. Endoscopic surveillance should resume in all centers to avoid the possible long-term consequences of its interruption, especially for inherited colorectal cancer syndromes.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
Language:
English
Journal subject:
Gastroenterology
Year:
2022
Document Type:
Article
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