Melbourne colorectal collaboration: a multicentre review of the impact of COVID‐19 on colorectal cancer in Melbourne, Australia

Background As coronavirus (COVID‐19) cases continue to rise, healthcare workers have been working overtime to ensure that all patients receive care in a timely manner. Our study aims to identify the impact and outcomes of COVID‐19 on colorectal cancers presentations across the five major colorectal...

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Published in:	ANZ journal of surgery Vol. 92; no. 5; pp. 1110 - 1116
Main Authors:	Chen, Michelle Zhiyun, Tay, Yeng Kwang, Teoh, Wiliam MK, Kong, Joseph CH, Carne, Peter, D'Souza, Basil, Chandra, Raaj, Bui, Andrew, Gu, Cody, Auckloo, Azhar, Pearce, Rebecca, Mckenna, Hannah, Li, Stephanie Ying, Lowe, Ryan William, Li, Jack, Duong, David, Chen, Sally Jiasi, Zafir, Shoa, Ng, Matthew, Tan, Nicole, Maida, Jack, Chong, Kit, Gao, Maggie, You, Daniel, Zhang, Kathy, Tiang, Thomas, Jayapadman, Vivek, Chatsionok, Timothy Gregory, Zula, David, Liew, Amos Nepacina, Yoong, Kevin Kah Wai, Madhavan, Ashwin, Lim, Bryan, Younan, Caroline, Whalen, Emily, Miller, Hailey, Zhang, Jason, Wang, Jessica, Williams, Kyle, Burmi, Meghna, Ra, Morika, Tsui, Lap Wah, Tee, Qiao Wen, Li, Sandra, Chen, Sheree, Cameron, Stephanie, Chen, Vicky Wei‐Ching, Su, Virginia, Jain, Anshini, Hui, Ally, Manivannan, Aishwarya, Lew, Chen, Patel, Diya, Wang, Erica, Chan, Ivan, Bedi, Jasman, Widjaja, Jocelyn, Kaufman, Matthew, Maxwell, Molly, Yao, Michelle, Zhang, Melanie, Newman, Natasha, Pathirana, Poojani, Dennaoui, Rami, Goh, Sarah, Surendran, Sarita, Mendis, Shanaya, Gupta, Shivangi, Poulos, Zoe, Smith, Baxter, Basam, Aya, Elliott, Jordi, Mosharaf, Zahin, Nguyen, Shani, Lam, Ching Clarise, Song, Zhuoning, Alam, Faizah, Tu, Qiaoran, Le, Stella, Rattan, Arsheeya, Aldous, Emma, Wang, Bill, Li, Jiting, Chaurasia, Pranjal, Snooks, Lachlan
Format:	Journal Article
Language:	English
Published:	Melbourne John Wiley & Sons Australia, Ltd 01-05-2022 Blackwell Publishing Ltd
Subjects:	Cancer Colorectal cancer Colorectal carcinoma Colorectal Neoplasms - surgery Colorectal Neoplasms - therapy Colorectal Surgery Complications Coronaviruses COVID-19 COVID-19 - epidemiology Health care Humans Medical personnel Metastases Pandemics Patient Readmission Patients Retrospective Studies Surgery Surgical outcomes Australia Melbourne Victoria Australia COVID-19 colorectal cancer
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Summary:	Background As coronavirus (COVID‐19) cases continue to rise, healthcare workers have been working overtime to ensure that all patients receive care in a timely manner. Our study aims to identify the impact and outcomes of COVID‐19 on colorectal cancers presentations across the five major colorectal units in Melbourne, Australia. Methods This is a retrospective study from a prospectively collected database from the binational colorectal cancer audit (BCCA) registry, as well as inpatient records. All patients with colorectal cancer between Pre‐COVID‐19 period (1 July 2018–2030 June 2019) and COVID‐19 period (1 July 2020–2030 June 2021) were compared. Benign pathology and other cancer types were excluded. Results A total of 1609 patients were included in the study (700 Pre‐COVID‐19 period, 906 COVID‐19 period). During COVID‐19 period, there was a higher proportion of emergency surgery (28.1% vs. 19.8%; P < 0.001), a higher nodal (P = 0.024) and metastatic stage (P = 0.018) at presentation, but no increase in the rate of return to operating theatres (P = 0.240), inpatient death (P = 0.019) or 30‐day readmission (P = 0.000). There was also no difference in the post‐operative surgical complications (P = 0.118). Utility of neoadjuvant therapy did not increase during the pandemic (P = 0.613). Conclusion The heightened measures in the healthcare system ensured CRC patients still received their surgery in a timely fashion. With the current rise in the new strain of COVID‐19 (Omicron), we have to continue to come up with new strategies to provide timely access to CRC care. Colorectal cancer before and during COVID‐19 pandemic.
Bibliography:	Michelle Zhiyun Chen and Joseph CH Kong contributed equally. Melbourne Colorectal Collaboration authors information given in Appendix I. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 M. Z. Chen MBBS, FRACS, MS; Y. K. Tay MBBS, FRACS; W. M. Teoh FRACS; J. C. Kong MBChB, MS, FRACS, PhD; P. Carne MBBS, FRACS; B. D'Souza BSc(Hons), MBBS, FRACS; R. Chandra BMed Sci, MBBS, MEd, FRACS; A. Bui MBBS, FRACS. on behalf of the
ISSN:	1445-1433 1445-2197
DOI:	10.1111/ans.17603