Utjecaj COVID-19 pandemije na bolesnike s novootkrivenim kolorektalnim karcinomom u Općoj bolnici Zadar

• Published in: Medica Jadertina (Zagreb) Vol. 53; no. 3; pp. 207 - 212
• Main Authors: Bilić Knežević, Sara, Tokić, Mirisa, Mihanović, Jakov, Jović Zlatović, Josipa, Dilber, Ivo
• Format: Journal Article
• Language: Croatian; English
• Published: 27-11-2023
• ISSN: 1848-817X; 1848-817X
• DOI: 10.57140/mj.53.3.4

Kolorektalni karcinom je jedna od najučestalijih zloćudnih bolesti u Republici Hrvatskoj.1 Ako se otkrije u ranom, odnosno lokaliziranom stadiju bolesti, petogodišnje preživljenje iznosi oko 90%.5 Iznimno je važno dijagnosticirati bolest u što ranijem stadiju radi boljeg ishoda liječenja. Stoga je odlukom Vlade Republike Hrvatske 2007. godine usvojen Nacionalni program ranog otkrivanja raka debelog crijeva.1 Pojava pandemije koronavirusne bolesti dovela je do izazova u funkcioniranju zdravstvenog sustava diljem svjeta, pa tako i programa ranog otkrivanja raka debelog crijeva.3 Za vrijeme Covid-19 pandemije zabilježen je smanjen broj obavljenih kolonoskopija i odaziv na program ranog otkrivanja raka debelog crijeva. Cilj ovog istraživanja je retrospektivno otvrditi utjecaj COVID-19 pandemije na bolesnike s novootkrivenim kolorektalnim karcinomom u razdoblju od 01.04.2020. do 30.09.2021. (za vrijeme COVID-19 pandemije) u odnosu na razdoblje od 01.04.2018. do 30.09.2019. (vrijeme prije COVID-19 pandemije) u Općoj bolnici Zadar. Glavni cilj istraživanja bio je odrediti vrstu operacije primarnog tumora (elektivne i hitne operacije) prije i za vrijeme COVID-19 pandemije. U našem istraživanju uspjeli smo dokazati hipotezu da će u COVID-19 pandemiji biti povećan udio hitnih operacijskih zahvata u odnosu na elektivne, što se može povezati sa smanjenim brojem preventivnih pregleda u sekundarnim zdravstvenim ustanovama, odnosno smanjenim odazivom na program za rano otkrivanje raka debelog crijeva.
Colorectal cancer is one of the most common malignant diseases in the Republic of Croatia. 1 If colorectal cancer is detected in the early, or localized stage of the disease, the five-year survival is about 90%. 5 It is extremely important to diagnose colorectal cancer at the earliest possible stage of the disease for a better treatment outcome. Therefore, the National Colon Cancer Early Detection Program was adopted by the Decision of the Government of the Republic of Croatia in 2007. 1 The emergence of the coronavirus disease pandemic has led to challenges in the functioning of the health system around the world, including the program of early colon detection. 3 During the Covid-19 pandemic, the number of colonoscopies performed and the response to the colon cancer early detection program decreased. The aim of this research is to retrospectively evaluate the impact of the COVID-19 pandemic on patients with newly diagnosed colorectal cancer in the period from April 1, 2020 until September 30.2021 (during the Covid-19 pandemic) compared to the period from April 1, 2018 until September 30, 2019 (period prior to the COVID-19 pandemic) in Zadar GH. The main goal of the research was to determine the type of primary tumor surgery (elective and emergency surgery) before and during the COVID-19 pandemic). In our research, we were able to prove the hypothesis that during the COVID-19 pandemic, there was an increased share of emergency surgical procedures compared to elective ones, which can be connected to a reduced number of preventive examinations in secondary health institutions, a reduced response to the program for the early detection of colon cancer respectively