Oncological colorectal surgery during the COVID-19pandemic-a national survey.
Int J Colorectal Dis
; 35(12): 2219-2225, 2020 Dec.
Article
in English
| MEDLINE | ID: covidwho-973508
ABSTRACT
PURPOSE:
The aim of this study was to clarify the surgical supply situation of oncological colorectal patients in Germany during limitations of the OR caseload due to the COVID-19 pandemic.METHODS:
Between 11th and 19th April 2020, all members of a consortium of German colorectal cancer centers were invited to participate in a web-based survey on the current status of surgical care situation of colorectal cancer patients in Germany.RESULTS:
A total of 112 colorectal surgeons of 101 German hospitals participated in the survey. Eighty-seven percent of the participating hospitals had to reduce their total surgical caseload and 34% their surgical volume for oncological colorectal patients during COVID-19 pandemic. Restrictions of the surgical caseload were independent of the size of the hospital and the number of cases of COVID-19 in the federal state of the hospital. Sixteen percent of colorectal surgeons consider surgical limitations to be not justified and 78% to be justified only if the care of oncological patients is ensured. Ninety-five percent of the colorectal surgeons interviewed stated that all oncological colorectal patients with an indication for surgery should be operated in time, despite the current reservations for COVID-19 patients. For the majority of the respondents (63% and 51%, respectively), an extended waiting time for surgery of up to 2 weeks was acceptable for non-metastatic and metastatic patients, respectively.CONCLUSION:
In Germany, there is a temporarily relevant reduction of surgical volume in oncological colorectal patients. Most colorectal surgeons stated that oncological colorectal surgery should not be compromised despite the measures taken during the COVID-19 pandemic.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Digestive System Surgical Procedures
/
Practice Patterns, Physicians'
/
Colorectal Neoplasms
/
Health Care Rationing
/
Coronavirus Infections
/
Pandemics
/
Health Policy
/
Health Services Accessibility
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Country/Region as subject:
Europa
Language:
English
Journal:
Int J Colorectal Dis
Journal subject:
Gastroenterology
Year:
2020
Document Type:
Article
Affiliation country:
S00384-020-03697-6
Similar
MEDLINE
...
LILACS
LIS