The Consequences of the COVID-19 Pandemic on Emergency Surgery for Colorectal Cancer

Catalin Vladut Ionut Feier, Sonia Ratiu (), Calin Muntean and Sorin Olariu
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Catalin Vladut Ionut Feier: First Discipline of Surgery, Department X-Surgery, “Victor Babes” University of Medicine and Pharmacy, 2 E. Murgu Sq., 300041 Timisoara, Romania
Sonia Ratiu: Plastic Surgery Clinic, “Casa Austria, Pius Brinzeu” Clinical Emergency Hospital, 300723 Timisoara, Romania
Calin Muntean: Department of Informatics and Medical Biostatistics, “Victor Babes” University and Pharmacy, 300173 Timisoara, Romania
Sorin Olariu: First Discipline of Surgery, Department X-Surgery, “Victor Babes” University of Medicine and Pharmacy, 2 E. Murgu Sq., 300041 Timisoara, Romania

IJERPH, 2023, vol. 20, issue 3, 1-10

Abstract: The aim of this study is to analyze the impact of the COVID-19 pandemic on the emergency treatment of patients with colorectal cancer in a university surgery clinic. Data from patients undergoing emergency surgery during the pandemic period (2020–2021) was taken into consideration and the results were analyzed and compared with the periods 2016–2017 and 2018–2019. A significant decrease in the number of patients undergoing emergency surgery was reported ( p = 0.028). The proportion of patients who presented more severe symptoms at the hospital was significantly higher ( p = 0.007). There was an increase in the average duration of surgical interventions compared to pre-pandemic periods ( p = 0.021). An increase in the percentage of stomas performed during the pandemic was reported. The average duration of postoperative hospitalization was shorter during the pandemic. A postoperative mortality of 25.7% was highlighted. Conclusions: The pandemic generated by COVID-19 had significant consequences on the emergency treatment of patients with colon cancer. A smaller number of patients showed up at the hospital, and with more severe symptoms. In order to reduce the risk of infection with SARS-CoV-2 virus, the postoperative hospitalization period was shortened and a higher number of protective stomas were performed.

Keywords: colorectal cancer; emergency surgery; COVID-19 pandemic; severe symptoms; postoperative mortality; stoma protection (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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