Impact of the COVID-19 Pandemic on Colorectal Cancer Care in the Netherlands: A Population-based Study

被引：12
|
作者：
Meijer, Joyce [1 ,2 ]
Elferink, Marloes A. G. [1 ]
van Hoeve, Jolanda C. [1 ,2 ]
Buijsen, Jeroen [3 ]
van Erning, Felice [1 ]
Nagtegaal, Iris D. [4 ]
Tanis, Pieter J. [5 ]
Vink, Geraldine R. [1 ,6 ]
Wumkes, Miriam L. [7 ]
de Hingh, Ignace H. J. T. [1 ,8 ]
Siesling, Sabine [1 ,2 ]
机构：
[1] Netherlands Comprehens Canc Org IKNL, Dept Res & Dev, Utrecht, Netherlands
[2] Univ Twente, Tech Med Ctr, Dept Hlth Technol & Serv Res, Drienerlolaan 5, NL-3511 DT Enschede, Netherlands
[3] Maastricht Univ, Dept Radiat Oncol Maastro, GROW Sch Oncol, Med Ctr, Maastricht, Netherlands
[4] Radboud Univ Nijmegen, Dept Pathol, Med Ctr, Nijmegen, Netherlands
[5] Univ Amsterdam, Canc Ctr Amsterdam, Dept Surg, Amsterdam UMC, Amsterdam, Netherlands
[6] Univ Utrecht, Univ Med Ctr Utrecht, Dept Med Oncol, Utrecht, Netherlands
[7] Jeroen Bosch Hosp, Dept Med Oncol, Shertogenbosch, Netherlands
[8] Catharina Hosp, Dept Surg, Catharina Canc Inst, Eindhoven, Netherlands
来源：
CLINICAL COLORECTAL CANCER | 2022年 / 21卷 / 03期
关键词：
Colon; Rectal; Treatment; (neo)adjuvant therapy; Resection;
D O I：
10.1016/j.clcc.2022.02.005
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
The COVID-19 pandemic disrupted health care services worldwide. This study aimed to investigate the impact of the pandemic on colorectal cancer care in the Netherlands. In total, 1,653 colorectal cancer patients diagnosed in 25 hospitals in weeks 2 to 26 of 2020 were selected from the Netherlands Cancer Registry. The impact on colorectal cancer care in the Netherlands was limited. 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. (C) 2022 The Author(s). Published by Elsevier Inc.
引用
收藏
页码：E171 / E178
页数：8
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