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Dienemann, Thomas ; Brennfleck, Frank Werner ; Dejaco, Alexander ; Grützmann, Robert ; Binder, Johannes ; Krautz, Christian ; Stöß, Christian ; Jäger, Carsten ; Friess, Helmut ; Schlitt, Hans Jürgen ; Brunner, Stefan M.

Collateral effects of the SARS-CoV-2 pandemic on oncologic surgery in Bavaria

Dienemann, Thomas , Brennfleck, Frank Werner , Dejaco, Alexander , Grützmann, Robert, Binder, Johannes, Krautz, Christian, Stöß, Christian, Jäger, Carsten, Friess, Helmut, Schlitt, Hans Jürgen und Brunner, Stefan M. (2021) Collateral effects of the SARS-CoV-2 pandemic on oncologic surgery in Bavaria. BMC Surgery 21 (1), S. 411.

Veröffentlichungsdatum dieses Volltextes: 21 Apr 2022 15:16
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.52101


Zusammenfassung

Background: The ongoing SARS-COV-2 pandemic has severe implications for people and healthcare systems everywhere. In Germany, worry about the consequences of the pandemic led to the deferral of non-emergency surgeries. Tumor surgery accounts for a large volume in the field of visceral surgery and cannot be considered purely elective. It is not known how the SARS-COV-2 pandemic has changed the ...

Background: The ongoing SARS-COV-2 pandemic has severe implications for people and healthcare systems everywhere. In Germany, worry about the consequences of the pandemic led to the deferral of non-emergency surgeries. Tumor surgery accounts for a large volume in the field of visceral surgery and cannot be considered purely elective. It is not known how the SARS-COV-2 pandemic has changed the surgical volume in tumor patients. Methods: Retrospective analysis of the amount of oncological surgeries in three academic visceral surgery departments in Bavaria, Germany, in 2020. Procedures were split into subgroups: Upper Gastrointestinal (Upper GI), Colorectal, Hepato-Pancreato-Biliary (HPB), Peritoneal and Endocrine. Procedures in 2020 were compared to a reference period from January 1st, 2017 to December 31st 2019. Surgical volume was graphically merged with SARS-COV-2 incidence and the number of occupied ICU beds. Results: Surgical volume decreased by 7.6% from an average of 924 oncologic surgeries from 2017 to 2019 to 854 in 2020. The decline was temporally associated with the incidence of infections and ICU capacity. Surgical volume did not uniformly increase to pre-pandemic levels in the months following the first pandemic wave with lower SARS-COV-2 incidence and varied according to local incidence levels. The decline was most pronounced in colorectal surgery where procedures declined on average by 26% following the beginning of the pandemic situation. Conclusion: The comparison with pre-pandemic years showed a decline in oncologic surgeries in 2020, which could have an impact on lost life years in non-COVID-19 patients. This decline was very different in subgroups which could not be solely explained by the pandemic.



Beteiligte Einrichtungen


Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftBMC Surgery
Verlag:BMC
Ort der Veröffentlichung:LONDON
Band:21
Nummer des Zeitschriftenheftes oder des Kapitels:1
Seitenbereich:S. 411
Datum4 Dezember 2021
InstitutionenMedizin > Lehrstuhl für Anästhesiologie
Medizin > Lehrstuhl für Chirurgie
Identifikationsnummer
WertTyp
10.1186/s12893-021-01404-yDOI
Stichwörter / KeywordsCOVID-19; DELAYS; UK; SARS-CoV-2; COVID-19; Oncologic surgery; Oncology; Patient care
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-521013
Dokumenten-ID52101

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