Management Considerations for the Surgical Treatment of Colorectal Cancer During the Global Covid-19 Pandemic.

Annals of Surgery
Michael P O'LearyAndreas M Kaiser

Abstract

The COVID-19 pandemic requires to conscientiously weigh "timely surgical intervention" for colorectal cancer against efforts to conserve hospital resources and protect patients and health care providers. Professional societies provided ad-hoc guidance at the outset of the COVID-19 pandemic on deferral of surgical and perioperative interventions, but these lack specific parameters to determine the optimal timing of surgery. Using the GRADE system, published evidence was analyzed to generate weighted statements for stage, site, acuity of presentation, and hospital setting to specify when surgery should be pursued, the time and duration of oncologically acceptable delays, and when to utilize nonsurgical modalities to bridge the waiting period. Colorectal cancer surgeries-prioritized as emergency, urgent with imminent emergency or oncologically urgent, or elective-were matched against the phases of the pandemic. Surgery in COVID-19-positive patients must be avoided. Emergent and imminent emergent cases should mostly proceed unless resources are exhausted. Standard practices allow for postponement of elective cases and deferral to nonsurgical modalities of stage II/III rectal and metastatic colorectal cancer. Oncologically urgent ca...Continue Reading

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Citations

Oct 18, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·William MacleanIain Jourdan
Jan 3, 2021·Updates in Surgery·Marco Ettore AllaixMario Morino
Dec 30, 2020·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Jia-Tao ZhangYi-Long Wu
Oct 17, 2020·Patient Safety in Surgery·Semagn Mekonnen AbateBivash Basu
Dec 1, 2020·SN Comprehensive Clinical Medicine·Manit K Gundavda, Kaival K Gundavda
Dec 21, 2020·Cirugía española·Alejandra García BotellaSalvador Morales-Conde

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Methods Mentioned

BETA
surgical resection

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