The Challenges of Gastric Cancer Surgery during the COVID-19 Pandemic
The aim of this study was to quantify the impact of the COVID-19 pandemic on the surgical treatment of patients with gastric cancer. Data from patients undergoing surgery for gastric cancer during the pandemic were analyzed and the results obtained were compared with the corresponding periods of 201...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-06-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/13/1903 |
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| author | Catalin Vladut Ionut Feier Alaviana Monique Faur Calin Muntean Andiana Blidari Oana Elena Contes Diana Raluca Streinu Sorin Olariu |
| author_facet | Catalin Vladut Ionut Feier Alaviana Monique Faur Calin Muntean Andiana Blidari Oana Elena Contes Diana Raluca Streinu Sorin Olariu |
| author_sort | Catalin Vladut Ionut Feier |
| collection | DOAJ |
| description | The aim of this study was to quantify the impact of the COVID-19 pandemic on the surgical treatment of patients with gastric cancer. Data from patients undergoing surgery for gastric cancer during the pandemic were analyzed and the results obtained were compared with the corresponding periods of 2016–2017 and 2018–2019. Various parameters were taken into consideration and their dynamics highlight significant changes in the pandemic year compared with the two pre-pandemic periods. Statistical analysis revealed a marked decrease in the number of surgeries performed during the pandemic (<i>p</i> < 0.001). Severe prognostic factors for gastric cancer, including weight loss and upper gastrointestinal hemorrhage, were associated with an increased number of postoperative fistulas, while emesis was statistically correlated with a more advanced cancer stage (<i>p</i> < 0.011). There was also a reduction in the total duration of hospitalization (<i>p</i> = 0.044) and postoperative hospitalization (<i>p</i> = 0.047); moreover, the mean duration of surgical intervention was higher during the pandemic (<i>p</i> = 0.044). These findings provide evidence for the significant changes in clinical and therapeutic strategies applied to patients undergoing surgery for gastric cancer during the study period. The ongoing pandemic has exerted a substantial and complex impact, the full extent of which remains yet to be fully comprehended. |
| first_indexed | 2024-03-11T01:40:47Z |
| format | Article |
| id | doaj.art-28131b3c25da4a0fbda0ce9341ffdefe |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T01:40:47Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-28131b3c25da4a0fbda0ce9341ffdefe2023-11-18T16:36:45ZengMDPI AGHealthcare2227-90322023-06-011113190310.3390/healthcare11131903The Challenges of Gastric Cancer Surgery during the COVID-19 PandemicCatalin Vladut Ionut Feier0Alaviana Monique Faur1Calin Muntean2Andiana Blidari3Oana Elena Contes4Diana Raluca Streinu5Sorin Olariu6First Discipline of Surgery, Department X-Surgery, “Victor Babes” University of Medicine and Pharmacy, 2 E. Murgu Sq., 300041 Timisoara, RomaniaFaculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, RomaniaMedical Informatics and Biostatistics, Department III-Functional Sciences, “Victor Babes” University of Medicine and Pharmacy, 2 E. Murgu Sq., 300041 Timisoara, RomaniaOncology, Department IX-Surgery, “Victor Babes” University of Medicine and Pharmacy, 2 E. Murgu Sq., 300041 Timisoara, RomaniaOncology, Department IX-Surgery, “Victor Babes” University of Medicine and Pharmacy, 2 E. Murgu Sq., 300041 Timisoara, RomaniaFirst Surgery Clinic, “Pius Brinzeu” Clinical Emergency Hospital, 300723 Timisoara, RomaniaFirst Discipline of Surgery, Department X-Surgery, “Victor Babes” University of Medicine and Pharmacy, 2 E. Murgu Sq., 300041 Timisoara, RomaniaThe aim of this study was to quantify the impact of the COVID-19 pandemic on the surgical treatment of patients with gastric cancer. Data from patients undergoing surgery for gastric cancer during the pandemic were analyzed and the results obtained were compared with the corresponding periods of 2016–2017 and 2018–2019. Various parameters were taken into consideration and their dynamics highlight significant changes in the pandemic year compared with the two pre-pandemic periods. Statistical analysis revealed a marked decrease in the number of surgeries performed during the pandemic (<i>p</i> < 0.001). Severe prognostic factors for gastric cancer, including weight loss and upper gastrointestinal hemorrhage, were associated with an increased number of postoperative fistulas, while emesis was statistically correlated with a more advanced cancer stage (<i>p</i> < 0.011). There was also a reduction in the total duration of hospitalization (<i>p</i> = 0.044) and postoperative hospitalization (<i>p</i> = 0.047); moreover, the mean duration of surgical intervention was higher during the pandemic (<i>p</i> = 0.044). These findings provide evidence for the significant changes in clinical and therapeutic strategies applied to patients undergoing surgery for gastric cancer during the study period. The ongoing pandemic has exerted a substantial and complex impact, the full extent of which remains yet to be fully comprehended.https://www.mdpi.com/2227-9032/11/13/1903COVID-19 pandemicgastric cancer surgerylength of hospitalizationsurgical postponement |
| spellingShingle | Catalin Vladut Ionut Feier Alaviana Monique Faur Calin Muntean Andiana Blidari Oana Elena Contes Diana Raluca Streinu Sorin Olariu The Challenges of Gastric Cancer Surgery during the COVID-19 Pandemic Healthcare COVID-19 pandemic gastric cancer surgery length of hospitalization surgical postponement |
| title | The Challenges of Gastric Cancer Surgery during the COVID-19 Pandemic |
| title_full | The Challenges of Gastric Cancer Surgery during the COVID-19 Pandemic |
| title_fullStr | The Challenges of Gastric Cancer Surgery during the COVID-19 Pandemic |
| title_full_unstemmed | The Challenges of Gastric Cancer Surgery during the COVID-19 Pandemic |
| title_short | The Challenges of Gastric Cancer Surgery during the COVID-19 Pandemic |
| title_sort | challenges of gastric cancer surgery during the covid 19 pandemic |
| topic | COVID-19 pandemic gastric cancer surgery length of hospitalization surgical postponement |
| url | https://www.mdpi.com/2227-9032/11/13/1903 |
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