Asociación Española de Coloproctología, Madrid, Spain; Unidad de Coloproctología, Hospital Universitario Virgen del Rocío, Universidad de Sevilla, Instituto de Biomedicina de Sevilla/CSIC, Sevilla, Spain.
Unidad de Coloproctología, Hospital Universitario Virgen del Rocío, Universidad de Sevilla, Instituto de Biomedicina de Sevilla/CSIC, Sevilla, Spain.
Cir Esp (Engl Ed). 2021 Aug-Sep;99(7):500-505. doi: 10.1016/j.cireng.2021.06.009. Epub 2021 Jun 29.
The pandemic has had an impact on colorectal cancer surgery in hospitals. In 2020, up to 75% of colorectal cancer patients are estimated to require surgery. No objective data on the impact of the pandemic on the management of surgical waiting lists is available. We conducted a survey in colorectal surgery units to assess the impact on colorectal cancer surgery waiting lists.
All personnel in charge of colorectal surgery units nationwide received a survey (from February to April, 2020) with eight questions divided into three sections-cessation date of colorectal cancer surgeries, number of patients waiting for treatment, and use of neoadjuvant therapy to postpone surgery.
Sixty-seven units participated in the study, with 79.1% of units ceasing some type of activity (32.8% total and 46.3% partial cessation) and 20.9% continuing all surgical activity. In addition, 65% of units used or prolonged neoadjuvant therapy in rectal cancer patients and 40% of units performed at least five emergency colorectal cancer surgeries. It was estimated that at least one month of intense surgical activity will be required to catch up.
Currently, patients from units with a long waiting list must be redistributed, at least within the country. In the future, in the event of a second wave of the pandemic, an effective program to manage each unit's resources should be developed to prevent total collapse.
疫情对医院的结直肠癌手术产生了影响。据估计，2020 年多达 75%的结直肠癌患者需要接受手术。目前尚无关于疫情对手术等候名单管理影响的客观数据。我们对结直肠外科病房进行了一项调查，以评估其对结直肠癌手术等候名单的影响。
全国范围内负责结直肠外科病房的所有人员都收到了一项调查（2020 年 2 月至 4 月），该调查共有 8 个问题，分为三个部分：结直肠癌手术的停止日期、等待治疗的患者人数以及使用新辅助疗法来推迟手术。
67 个单位参与了这项研究，其中 79.1%的单位停止了某种类型的活动（32.8%为全部停止，46.3%为部分停止），20.9%的单位继续进行所有的外科手术。此外，65%的单位在直肠癌患者中使用或延长了新辅助治疗，40%的单位进行了至少 5 例紧急结直肠癌手术。据估计，至少需要一个月的密集手术活动才能赶上进度。
目前，来自等候名单较长的单位的患者必须在至少在国内重新分配。在未来，如果再次出现疫情高峰，应制定有效的方案来管理每个单位的资源，以防止全面崩溃。
