Colorectal Cancer Stage at Diagnosis Before vs During the COVID-19 Pandemic in Italy

Key Points Question Was the COVID-19 pandemic associated with more advanced oncologic stage at presentation for colorectal cancer? Findings This cohort study including 17 938 patients treated for colorectal cancer at 81 Italian centers between 2018 and 2021 showed that patients who underwent surgery for colorectal cancer during the pandemic period had higher odds of diagnoses of late-stage cancer, distant metastasis, and stenotic lesions. Meaning This study suggests that the COVID-19 pandemic was associated with diagnosis of colorectal cancer at a more advanced stage, which could potentially translate to a reduction in survival.

[1]  A. Jemal,et al.  Changes in Cancer Screening in the US During the COVID-19 Pandemic , 2022, JAMA network open.

[2]  J. Nygren,et al.  Trends in Treatment of Colorectal Cancer and Short-term Outcomes During the First Wave of the COVID-19 Pandemic in Sweden , 2022, JAMA network open.

[3]  G. Ghitulescu,et al.  The impact of delaying colonoscopies during the COVID-19 pandemic on colorectal cancer detection and prevention , 2022, Surgical Endoscopy.

[4]  K. Reckamp,et al.  Cancer Screening Practices Among Healthcare Workers During the COVID-19 Pandemic , 2022, Frontiers in Public Health.

[5]  S. Necozione,et al.  The impact of covid-19 pandemic on emergency services. , 2021, Annali di igiene : medicina preventiva e di comunita.

[6]  H. Salehiniya,et al.  Impact of the COVID-19 Pandemic on Colorectal Cancer Screening: a Systematic Review , 2021, Journal of Gastrointestinal Cancer.

[7]  Pengfei Xu,et al.  Global colorectal cancer burden in 2020 and projections to 2040 , 2021, Translational oncology.

[8]  S. Ramsey,et al.  Model-Based Estimation of Colorectal Cancer Screening and Outcomes During the COVID-19 Pandemic , 2021, JAMA network open.

[9]  A. Banerjee,et al.  Predicting endoscopic activity recovery in England after COVID-19: a national analysis , 2021, The Lancet Gastroenterology & Hepatology.

[10]  H. A. Blake,et al.  The impact of the first peak of the COVID‐19 pandemic on colorectal cancer services in England and Wales: A national survey , 2021, Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.

[11]  M. Landray,et al.  Impact of the COVID-19 pandemic on the detection and management of colorectal cancer in England: a population-based study , 2021, The Lancet Gastroenterology & Hepatology.

[12]  OUP accepted manuscript , 2021, BJS Open.

[13]  A. Purushotham,et al.  The impact of the COVID-19 pandemic on cancer deaths due to delays in diagnosis in England, UK: a national, population-based, modelling study , 2020, The Lancet Oncology.

[14]  E. Riboli,et al.  Effect of delays in the 2-week-wait cancer referral pathway during the COVID-19 pandemic on cancer survival in the UK: a modelling study , 2020, The Lancet Oncology.

[15]  C. E. WHO Coronavirus Disease (COVID-19) Dashboard , 2020 .

[16]  P. Naredi,et al.  Prognostic factors for survival in stage IV rectal cancer: A Swedish nationwide case-control study. , 2019, Surgical oncology.

[17]  D. Berger,et al.  Detrimental impact of symptom-detected colorectal cancer , 2019, Surgical Endoscopy.

[18]  H. Ueno,et al.  Cancer-induced spiculation on computed tomography: a significant preoperative prognostic factor for colorectal cancer , 2019, Surgery Today.

[19]  M. Fassan,et al.  Carbon dating cancer: defining the chronology of metastatic progression in colorectal cancer , 2017, Annals of oncology : official journal of the European Society for Medical Oncology.

[20]  Philippe Autier,et al.  Trends in colorectal cancer mortality in Europe: retrospective analysis of the WHO mortality database , 2015, BMJ : British Medical Journal.

[21]  P. A. Futreal,et al.  Intratumor heterogeneity and branched evolution revealed by multiregion sequencing. , 2012, The New England journal of medicine.

[22]  P. Harris,et al.  Research electronic data capture (REDCap) - A metadata-driven methodology and workflow process for providing translational research informatics support , 2009, J. Biomed. Informatics.

[23]  Martin A. Nowak,et al.  Comparative lesion sequencing provides insights into tumor evolution , 2008, Proceedings of the National Academy of Sciences.

[24]  N. Demartines,et al.  Classification of Surgical Complications: A New Proposal With Evaluation in a Cohort of 6336 Patients and Results of a Survey , 2004, Annals of Surgery.