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Hijos-Mallada G, Alfaro E, Navarro M, Cañamares P, Ariño I, Charro M, Bruno C, Solano M, Pardillos A, Jimeno C, Carrera-Lasfuentes P, Lanas A, Domper-Arnal MJ. Impact of the COVID-19 pandemic in colorectal cancer diagnosis and presentation. Gastroenterol Hepatol 2023; 46:702-709. [PMID: 36716926 PMCID: PMC9882881 DOI: 10.1016/j.gastrohep.2023.01.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/15/2022] [Revised: 10/26/2022] [Accepted: 01/17/2023] [Indexed: 01/29/2023]
Abstract
BACKGROUND AND OBJECTIVE The COVID-19 pandemic has been associated with a decrease in the colorectal cancer (CRC) incidence, due to the disruption of screening programmes and a downscaling of endoscopic activity. The endpoint of this study is to evaluate if the pandemic has led to a change in CRC diagnostic rate and presentation in our population. METHODS Multicenter retrospective study of all public hospitals of the Aragon region, attending a population of 1,329,391 inhabitants. We have analyzed all CRC cases detected and endoscopic units workload the year before the pandemic onset (1 March 2019-14 March 2020) and the first year of the COVID-19 pandemic (15 March 2020-28 February 2021). RESULTS The diagnosis of CRC cases dropped a 38.9% (888 pre-pandemic vs 542 pandemic cases). Also, there were 30.3% less colonoscopies performed (24,860 vs 17,337). During the pandemic, CRC cases were diagnosed in older patients (72.4±12.2 vs 71.2±12.1 years, p=0.021), and had more frequently severe complications at diagnosis (14.6% vs 10.4%, p=0.019). Moreover, most CRC cases were diagnosed in symptomatic patients (81.4%). No significant difference was found in CRC stage at diagnosis, although stage IV was more frequent (20.1% vs 16.1%). Most hospitals reported a lower workload of endoscopic activity. CONCLUSION CRC diagnostic rate was lower after the onset of the pandemic. CRC was diagnosed in older patients and was more frequently associated with complications. After the onset of the pandemic, the endoscopic units did not reach the workload performed previously.
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Affiliation(s)
- Gonzalo Hijos-Mallada
- Lozano Blesa University Clinic Hospital, Zaragoza, Spain; Aragon Health Research Institute (IIS Aragón), Zaragoza, Spain.
| | - Enrique Alfaro
- Lozano Blesa University Clinic Hospital, Zaragoza, Spain; Aragon Health Research Institute (IIS Aragón), Zaragoza, Spain.
| | | | | | | | | | | | | | | | | | - Patricia Carrera-Lasfuentes
- Aragon Health Research Institute (IIS Aragón), Zaragoza, Spain; Biomedical Research Networking Center in Hepatic and Digestive Diseases (CIBERehd), Spain; Universidad San Jorge, Villanueva de Gállego, Zaragoza, Spain
| | - Angel Lanas
- Lozano Blesa University Clinic Hospital, Zaragoza, Spain; Aragon Health Research Institute (IIS Aragón), Zaragoza, Spain; Biomedical Research Networking Center in Hepatic and Digestive Diseases (CIBERehd), Spain; University of Zaragoza, Zaragoza, Spain
| | - Maria Jose Domper-Arnal
- Lozano Blesa University Clinic Hospital, Zaragoza, Spain; Aragon Health Research Institute (IIS Aragón), Zaragoza, Spain; University of Zaragoza, Zaragoza, Spain
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Ampuero J, Lucena A, Hernández-Guerra M, Moreno-Moraleda I, Arenas J, Conde I, Muñoz L, Canillas L, Fernandez E, Quiñones R, Simon MA, Gómez-Dominguez E, Gutierrez ML, Fernandez-Rodriguez C, Domper-Arnal MJ, Jorquera F, Garcia-Buey ML, Garcia-Retortillo M, Morillas R, Berenguer M, Casado M, Morales-Arraez D, Sousa JM, Molina E. Primary biliary cholangitis and SARS-CoV-2 infection: incidence, susceptibility and outcomes. Gut 2021; 71:gutjnl-2021-325700. [PMID: 34876479 DOI: 10.1136/gutjnl-2021-325700] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Accepted: 11/29/2021] [Indexed: 02/06/2023]
Affiliation(s)
- Javier Ampuero
- Hepatology Unit, Virgen del Rocio University Hospital, Sevilla, Spain
- Instituto de Biomedicina de Sevilla, Sevilla, Spain
- Facultad de Medicina, Universidad de Sevilla, Sevilla, Spain
- (CIBERehd) Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red Enfermedades Hepáticas y Digestivas, Madrid, Spain
| | - Ana Lucena
- Hepatology Unit, Virgen del Rocio University Hospital, Sevilla, Spain
| | | | | | - Juan Arenas
- Digestive Department, Donostia Ospitalea, San Sebastian, Spain
| | - Isabel Conde
- Liver Transplantation and Hepatology Unit, Hospital Universitari i Politècnic La Fe de Valencia, Valencia, Spain
| | - Laura Muñoz
- Digestive Department, Hospital Germans Trias i Pujol, Badalona, Spain
| | - Lidia Canillas
- Digestive Department, Hospital del Mar, Barcelona, Spain
| | - Edgar Fernandez
- Digestive Department, Hospital Universitario de la Princesa, Madrid, Spain
| | - Raisa Quiñones
- Gastroenterology, IBIOMED, Complejo Asistencial Universitario de Leon, Leon, Spain
| | | | | | | | | | | | - Francisco Jorquera
- (CIBERehd) Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red Enfermedades Hepáticas y Digestivas, Madrid, Spain
- Gastroenterology, IBIOMED, Complejo Asistencial Universitario de Leon, Leon, Spain
| | | | | | - Rosa Morillas
- (CIBERehd) Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red Enfermedades Hepáticas y Digestivas, Madrid, Spain
- Digestive Department, Hospital Germans Trias i Pujol, Badalona, Spain
| | - Marina Berenguer
- (CIBERehd) Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red Enfermedades Hepáticas y Digestivas, Madrid, Spain
- Liver Transplantation and Hepatology Unit, Hospital Universitari i Politècnic La Fe de Valencia, Valencia, Spain
| | - Marta Casado
- Digestive Department, Complejo Hospitalario Torrecardenas, Almeria, Spain
| | - Dalia Morales-Arraez
- Gastroenterology and Hepatology, Hospital Universitario de Canarias, La Laguna, Spain
| | - José Manuel Sousa
- Hepatology Unit, Virgen del Rocio University Hospital, Sevilla, Spain
| | - Esther Molina
- Digestive Department, Hospital Clinico Universitario Santiago Compostela, Santiago de Compostela, Spain
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