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Vol. 99. Issue 7.
Pages 500-505 (August - September 2021)
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Vol. 99. Issue 7.
Pages 500-505 (August - September 2021)
Original article
DOI: 10.1016/j.cireng.2021.06.009
Impact of the pandemic on surgical activity in colorectal cancer in Spain. Results of a national survey
Impacto de la pandemia sobre la actividad quirúrgica en cáncer colorrectal en España. Resultados de una encuesta nacional
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Fernando de la Portilla de Juana,b,
Corresponding author
delaportilla@ucpsevilla.es

Corresponding author.
, María Luisa Reyes Díazb, Irene Ramallo Solíab
a Asociación Española de Coloproctología, Madrid, Spain
b Unidad de Coloproctología, Hospital Universitario Virgen del Rocío, Universidad de Sevilla, Instituto de Biomedicina de Sevilla/CSIC, Sevilla, Spain
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Tables (3)
Table 1. Multiple-choice questions of the AECP survey.
Table 2. Need to stop surgical activity.
Table 3. Number of patients who underwent surgery during the pandemic for rectal and colon cancer.
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Abstract
Introduction

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.

Method

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.

Results

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.

Conclusions

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.

Keywords:
SARS-CoV-2
Colorectal cancer
Pandemic
Coronavirus
COVID-19
Resumen
Introducción

La pandemia ocasionada ha supuesto un impacto sobre la actividad quirúrgica en nuestros hospitales, afectando entre otros al cáncer colorrectal. Para el año 2020 se ha estimado que hasta un 75% de pacientes diagnosticados de cáncer colorrectal precisaría cirugía. No se disponen de datos objetivos del impacto que la pandemia ha tenido sobre la gestión de las listas de espera quirúrgicas. Hemos realizado una encuesta a todas las unidades de cirugía colorrectal con el objetivo de conocer el impacto sobre las listas de espera quirúrgicas por cáncer colorrectal.

Método

Los responsables de las unidades de cirugía colorrectal a nivel nacional recibieron una encuesta (febrero-abril, 2020) con 8 preguntas divididas en 3 apartados: cese y fecha de parada de las cirugías por cáncer colorrectal, número de pacientes pendientes de tratamiento y uso de neoadyuvancia como recurso de demora.

Resultados

Sesenta y siete unidades participaron (todas las comunidades representadas). El 79,1% realizaron algún tipo de cese de actividad (total 32,8%, parcial 46,3%) y no cese el 20,9%. El 65% ha usado o prolongado la neoadyuvancia en pacientes con cáncer rectal. El 40% ha intervenido, al menos, a 5 pacientes de urgencia por cáncer colorrectal. Se ha estimado que al menos se precisará de un mes de cirugía intensa para ponerse al día.

Conclusiones

En el momento actual es preciso redistribuir pacientes de unidades con alta lista de espera. Para el futuro, en caso de repandemia, habría que planificar los recursos de las unidades para obtener un programa efectivo antes del periodo de colapso completo.

Palabras clave:
SARS-CoV-2
Cáncer colorrectal
Pandemia
Coronavirus
COVID-19

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