Liu Rui, Yu Xuejing, Zeng Xueyun, Wang Zheng, Zhou Danqing, Liu Zhongchen, Liu Feng, Zhuang Chengle, Zhuang Ying, Zhang Ji, Niu Peiqin, Yan Ben, Zhi Rui, Li Jiyu, Huang Jiaoling, Qin Huanlong
Tongji University Cancer Center, Shanghai Tenth People's Hospital of Tongji University, Shanghai, China.
Department of Medical Affairs, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China.
Ann Transl Med. 2022 Jan;10(2):94. doi: 10.21037/atm-21-7030.
A novel colorectal cancer center (CCC) was developed in the Shanghai Tenth People's hospital of Tongji University during the COVID-19 epidemic. In this study, we aimed to evaluate the CCC model in terms of three aspects.
This retrospective study used data from the Shanghai Tenth People's hospital patient databases. The research hypothesis was that the CCC reduces preoperative waiting time (PWT), length of hospital stay (LOS), and costs of hospitalization, without reducing the quality of surgery. Thus, we compared the time, cost, and quality between March 1 to December 31, 2019, and March 1 to December 31, 2020. Descriptive and inferential analyses of patient demographic characteristics, time, postoperative outcomes, and inpatient costs were conducted.
A total of 965 hospitalizations for colorectal cancer (CRC) were identified-415 in 2019 and 550 in 2020. In the CCC, PWT declined by 26.2 hours (P<0.01). Patients in the CCC express group only needed to wait for 24.5 hours before undergoing surgery, with a shorter LOS than the normal group (P<0.01). None of the patients had any symptoms of COVID-19 or were high-risk COVID-19 contacts, and the incidence of immediate postoperative complications was low. The mean total inpatient cost (TIC) for all patients with CRC was 78,309.824 Chinese Yuan in 2020, which was slightly lower than that in 2019.
This study found that the centralized management model for CRC care could help patients save the PWT, LOS and costs of hospitalization during the COVID-19 epidemic.
在新冠疫情期间，同济大学附属上海市第十人民医院建立了一个新型结直肠癌中心（CCC）。在本研究中，我们旨在从三个方面评估CCC模式。
这项回顾性研究使用了上海市第十人民医院患者数据库中的数据。研究假设是CCC可缩短术前等待时间（PWT）、住院时长（LOS）并降低住院费用，同时不降低手术质量。因此，我们比较了2019年3月1日至12月31日与2020年3月1日至12月31日之间的时间、费用和质量。对患者人口统计学特征、时间、术后结果和住院费用进行了描述性和推断性分析。
共确定了965例结直肠癌（CRC）住院病例，2019年有415例，2020年有550例。在CCC中，PWT减少了26.2小时（P<0.01）。CCC表达组的患者在手术前仅需等待24.5小时，住院时间比正常组短（P<0.01）。所有患者均无新冠症状或新冠高风险接触史，术后即刻并发症发生率较低。2020年所有CRC患者的平均住院总费用（TIC）为78309.824元人民币，略低于2019年。
本研究发现，CRC护理的集中管理模式有助于患者在新冠疫情期间节省PWT、LOS和住院费用。
