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The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study
| File | Description | Size | Format | |
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 The impact of surgical delay on resectability of colorectal cancer An international prospective cohort study.pdf | Accepted version | 1.03 MB | Adobe PDF | View/Open |
| Title: | The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study |
| Authors: | Adamina, M Ademuyiwa, A Adisa, A Bhangu, AA Bravo, AM Cunha, MF Emile, S Ghosh, D Glasbey, JC Harris, B Keller, D Lawday, S Lederhuber, H Leventoglu, S Li, E Modolo, MM Mittal, R Mohan, HM Nepogodiev, D Parreno-Sacdalan, MD Pata, F Pockney, P Rutegard, M Simoes, JFF Smart, N Varghese, C Siaw-Acheampong, K Benson, RA Bywater, E Chaudhry, D Dawson, BE Evans, JP Gujjuri, RR Heritage, E Jones, CS Kamarajah, SK Khatri, C Khaw, RA Keatley, JM Knight, A Smart, NJ Minaya-Bravo, A Gallo, G Moug, S Di Saverio, S Vallance, A Vimalchandra, D Griffiths, EA Evans, RPT Townen, P Roberts, K McKay, S Isaac, J Satoi, S Edwards, J Coonar, AS Marchbank, A Caruana, EJ Layton, GR Patel, A Brunelli, A Ford, S Desai, A Gronchi, A Fiore, M Almond, M Tirotta, F Dumitra, S Kolias, A Price, SJ Fountain, DM Jenkinson, MD Hutchinson, P Marcus, HJ Piper, RJ Lippa, L Servadei, F Esene, I Freyschlag, C Neville, I Rosseau, G Schaller, K Demetriades, AK Robertson, F Alamri, A Shaw, R Schache, AG Winter, SC Ho, M Nankivell, P Biel, JR Batstone, M Ganly, I Vidya, R Wilkins, A Singh, JK Thekinkattil, D Sundar, S Fotopoulou, C Leung, EY Khan, T Chiva, L Sehouli, J Fagotti, A Cohen, P Gutelkin, M Ghebre, R Konney, T Pareja, R Bristow, R Dowdy, S Shylasree, TS Seenivasagam, RK Ng, J Fujiwar, K Stewart, GD Lamb, B Narahari, K McNeill, A Colquhoun, A McGrath, JS Bromage, S Barod, R Kasivisvanathan, V Klatte, T Abbott, TEF Abukhalaf, S Ademuyiwa, AO Agarwal, A Akkulak, M Alameer, E Alderson, D Alakaloko, F Albertsmeier, M Alser, O Alshaar, M Alshryda, S Arnaud, AP Augestad, KM Ayasra, F Azevedo, J Bankhead-Kendall, BK Barlow, E Beard, D Blanco-Colino, R Brar, A Breen, KA Bretherton, C Buarque, IL Burke, J Chaar, M Chakrabortee, S Christensen, P Cox, D Cukier, M Davidson, GH Drake, TM Edwards, JG Elhadi, M Farik, S Fitzgerald, JE Garmanova, T Gomes, GMA Grecinos, G Gruendl, M Halkias, C Harrison, EM Hisham, I Hutchinson, PJ Hwang, S Isik, A Jonker, P Kaafarani, HMA Kruijff, S Lawani, I Litvin, A Loehrer, A Loffler, MW Lorena, MA Major, P Martin, J Mashbari, HN Mazingi, D Metallidis, S Moore, R Moszkowicz, D Ng-Kamstra, JS Maimbo, M Negoi, I Niquen, M Ntirenganya, F Olivos, M Oussama, K Outani, O Rivera, CJP Pinkney, TD Van der Plas, W Qureshi, A Radenkovic, D Ramos-De La Medina, A Richards, T Roslani, AC Segura-Sampedro, JJ Santos, I Sayyed, R Schache, A Schnitzbauer, AA Seyi-Olajide, JO Sharma, N Shaw, CA Shu, S Soreide, K Spinelli, A Sund, M Tabiri, S Townend, P Tsoulfas, G Van Ramshorst, GH Vimalachandran, D Warren, OJ Wedderburn, D Wrigh, N Valenzuela, J Alurralde, C Caram, EL Eskinazi, DG Badra, R Garcia, JS Lucchini, SM Vasey, C Watson, E Cecire, J Salindera, S Sutherland, A Ahn, JH Chen, S Gauri, N Jang, S Jia, F Mulligan, CS Yang, W Ye, G Zhang, H Moss, J Richards, T Thian, A Vo, UG Bagraith, K Chan, E Ho, D Jeyarajan, E Jordan, S Nolan, GJ Von Papen, M Wullschleger, M Dawson, AC Drane, A Egoroff, N Gani, J Lott, N Pockney, P Phan, D Townend, D Bong, C Gundara, J Bowman, S Guerra, GR Gerns, N Riddell, A Dudi-Venkata, NN Kroon, HM Sammour, T Mitchell, D Swinson, B Waldron, A Walker, P Lun, EWY Messner, F Ofner, D Emmanuel, K Grechenig, M Gruber, R Harald, M Jager, T Ohlberger, L Presl, J Wimmer, A Samadov, E Barker, D Boyce, R Doyle, A Eastmond, A Gill, R O'Shea, M Padmore, G Paquette, N Phillips, E St John, S Walkes, K Flamey, N Pattyn, P Ceelen, W Van de Putte, D Van Nieuwenhove, Y Van Ramshorst, G Willaert, W Oosterlinck, W Van den Eynde, J Van den Eynde, R Aguiar, JS Marques, T Camara, P De Lima, RK Della Giustina, E Hoffmann, P Nacif, L Ferro, CC Gomes, GMA Buarque, L Leite, LDSA Pol-Fachin, L Bezerra, ST Silva, A Silvestre, D Barros, VA Laporte, G Salem, M Awada, BJ Ijichi, TR Kim, NJ Marreiro, A Muller, B Nunes, R Bodanese, B Isoton, JC De Sampaio, RL Vendrame, C Sokolov, M Gribnev, P Boutros, M Caminsky, N Ghitulescu, G Groot, G Persad, A Pham, H Wood, M Demyttenaere, S Garfinkle, R Brown, C Karimuddin, A Lee, N Liu, J Kia, MT Phang, PT Raval, M Tom, K Martel, A Nessim, C Stevenson, J Al Riyami, S Bali, K Bigam, D Dajani, K Dell, A Bellolio, F Besser, N Grasset, E Inzunza, M Martinic, QM Altamirano, RC Esquide, RM Arias-Amezquita, F Cetares, C Murgueitio, CN Gomez-Mayorga, JL Abadia, M Bonilla, A Facundo, H Guevara, O Mora, HDR Ramirez, JLJ Manrique, E Morales, PRE Ferro, RM Cuasquen, VBG Karlovic, D Krsul, D Zelic, M Dijan, E Katusic, Z Mihanovic, J Rakvin, I Almezghwi, H Arslan, K Ozant, A Ozcay, N Frantzeskou, K Gouvas, N Kokkinos, G Papatheodorou, P Pozotou, I Stavrinidou, O Yiallourou, A Martinek, L Skrovina, M Szubota, I Peteja, M Zatecky, J Avlund, T Christensen, P Harbjerg, JL Iversen, LH Kjaer, DW Kristensen, HO Mekhael, M Ebbehoj, AL Krarup, P Schlesinger, N Smith, H Crespo, A Diaz, P Rivas, R Tactuk, N El Kassas, M Omar, W Tawheed, A Talaat, M Abdelsamed, A Azzam, AY Salem, H Seleim, A Al Sayed, M Ashoush, F Elazzazy, E Essam, E Ewedah, M Hassan, E Metwalli, M Mourad, M Qatora, MS Sabry, A Samih, A Abdelaal, SA Shehata, S Shenit, K Attia, D Kamal, N Osman, N Alaa, S Hamza, HM Elghazaly, MS Mohammed, MM Nageh, MA Saad, MM Yousof, EA Eldaly, A Alrahawy, M Sakr, A Soliman, H Soltan, H Amira, G Sallam, I Sherief, M Sherif, A Ghaly, G Hamdy, R Morsi, A Sherif, G Abdeldayem, H Salama, A Balabel, M Fayed, Y Sherif, AE Elmorsi, R Refky, B Bekele, K Kauppila, JH Sarjanoja, E Helminen, O Huhta, H Beyrne, C Jouffret, L Marie-Macron, L Fredon, F Roux, A Lakkis, Z Manfredelli, S Chebaro, A El Amrani, M Lecolle, K Piessen, G Eveno, C Noiret, B Pruvot, VJ Zerbib, P Ballouhey, Q Barrat, B Taibi, A Bergeat, D Merdrignac, A Le Roy, B Perotto, LO Scalabre, A Aime, A Ezanno, AC Malgras, B Bouche, PA Tzedakis, S Cotte, E Glehen, O Bendjemar, L Braham, H Charre, L El Arbi, N Police, A Volpin, E D'Urso, A Mutter, D Seeliger, B Bonnet, S Denet, C Fuks, D Laforest, A Pourcher, G Seguin-givelet, A Tribillon, E Duchalais, E Bork, U Fritzmann, J Praetorius, C Weitz, J Welsch, T Beyer, K Kamphues, C Lauscher, J Loch, FN Schineis, C Albertsmeier, M Kappenberger, A Schiergens, T Werner, J Becker, R Jonescheit, J Pergolini, I Reim, D Herzberg, J Honarpisheh, H Strate, T Boeker, C Hakami, I Jw, M Nowak, K Reinhard, T Kleeff, J Michalski, C Ronellenfitsch, U Bertolani, E Konigsrainer, A Loffler, MW Quante, M Steidle, C Yurttas, C Izbicki, J Nitschke, C Perez, D Uzunoglu, FG Antonakis, P Contis, I Dellaportas, D Gklavas, A Konstadoulakis, M Memos, N Papaconstantinou, I Polydorou, A Theodosopoulos, T Vezakis, A Antonopoulou, M Manatakis, DK Tasis, N Arkadopoulos, N Danias, N Economopoulou, P Frountzas, M Kokoropoulos, P Larentzakis, A Michalopoulos, N Parasyris, S Selmani, J Sidiropoulos, T Vassiliu, P Bouchagier, K Klimopoulos, S Paspaliari, D Stylianidis, G Akrivou, D Baxevanidou, K Bouliaris, K Chatzikomnitsa, P Delinasios, G Doudakmanis, C Efthimiou, M Giaglaras, A Kalfountzos, C Kolla, C Koukoulis, G Zervas, K Zourntou, S Baloyiannis, I Diamantis, A Perivoliotis, K Tzovaras, G Christidis, P Ioannidis, O Loutzidou, L Karaitianos, IG Geroukalis, A Baili, E Charalabopoulos, A Liakakos, T Schizas, D Spartalis, E Syllaios, A Zografos, C Christou, C Papadopoulos, V Tooulias, A Tsoulfas, G Athanasakis, E Chrysos, E Tsiaoussis, I Xenaki, S Xynos, E Futaba, K Ho, MF Hon, S Mak, TWC Ng, S Foo, CC Banky, B Susztak, N Misra, S Pareek, P Vishnoi, JR Jain, A Mishra, S Mishra, T Mitra, JK Muduly, D Agrawal, A Garg, PK Seenivasagam, KR Majumdar, KS Mishra, N Singh, MP Patnaik, CS Rao, S Reddy, P Saksena, AR Seshadri, AR Haque, PD Jeyaraj, P Veetil, KS Mahajan, A Devarakonda, S Jesudason, MR Mittal, R Moorthy, M Yezzaji, H Aggarwal, M Dhamija, P Kumar, A Chisthi, M George, G Kollengode, VV Kuttanchettiyar, KG Yadev, I Dharanipragada, K Kalayarasan, R Penumadu, P Mathew, S Akhtar, N Chaturvedi, A Gupta, S Kumar, V Rajan, S Agrawal, N Arora, A Chaturvedi, H Jain, M Kumar, S Singh, S Bhat, GA Chowdri, N Mehraj, A Parray, FQ Shah, ZA Wani, R Ahmed, Z Bhat, MA Laharwal, A Mahmood, M Mir, I Mohammad, Z Muzamil, J Rashid, A Singh, R Ahmed, A Jain, D Pipara, A Desoouza, A Pandey, D Pramesh, CS Saklani, A Islam, AA Kembuan, G Pajan, H Aremu, M Canas-Martinez, A Cullivan, O Murphy, C Owens, P Pickett, L Corrigan, M Daly, A Fleming, CA Jordan, P Kayyal, MY Killeen, S Lynch, N O'Brien, S Syed, WAS Vernon, L Hanly, A Heneghan, H Kennelly, R Martin, ST Winter, D Fahey, BA Larkin, J Mccormick, P Mehigan, BJ Mohan, H Shokuhi, P Smith, J Bashir, Y Bass, G Connelly, T Creavin, B Earley, H Elliott, JA Gillis, AE Kavanagh, D Neary, P O'Riordan, J Reynolds, IS Rice, D Ridgway, PF Umair, M Whelan, M Corless, K Finnegan, L Fowler, A Hogan, A Lowery, A McKevitt, K Nugent, E Ryan, EJ Coffey, JC Cunningham, RM Devine, M Nally, D Peirce, C Hardy, NP Neary, PM O'Malley, S Ryan, M Gaziants, V Gold-Deutch, R Lavy, R Zmora, O Macina, S Mariani, NM Opocher, E Ceretti, PA Bianco, F Marino, M Marino, M Mirabella, A Vaccarella, G Sena, G Agostini, C Alemanno, G Bartolini, I Bergamini, C Bruscino, A De Vincenti, R Di Bella, A Fortuna, L Maltinti, G Muiesan, P Prosperi, P Ringressi, MN Risaliti, M Taddei, A Tucci, R Campagnaro, T Guglielmi, A Pedrazzani, C Rattizzato, S Ruzzenente, A Turri, G Altomare, DF Papagni, V Picciariello, A Bellora, P D'Aloisio, G Ferrari, M Francone, E Gentilli, S Nikaj, H Bianchini, M Chiarugi, M Coccolini, F Cremonini, C Di Franco, G Furbetta, N Gianardi, D Guadagni, S Morelli, L Musetti, S Palmeri, M Tartaglia, D Anania, G Carcoforo, P Chiozza, M De Troia, A Radica, KM Portinari, M Sibilla, MG Urbani, A Fabbri, N Feo, C Gennari, S Parini, S Righini, E Annessi, V Ruiz, CC Giunta, A Montella, MT Zizzo, M Grossi, U Novello, S Romano, M Rossi, S Zanus, G Esposito, G Frongia, F Pisanu, A Podda, M Belluco, C Lauretta, A Montori, G Moras, L Olivieri, M Feo, CF Perra, T Porcu, A Scanu, AM Aversano, A Carbone, F Delrio, P Di Lauro, K Bucci, FA Rega, D Spiezio, G Pirozzolo, G Recordare, A Vignotto, C Calabro, M Farnesi, F Lunghi, EG Muratore, A Federico, PNS De Palma, G Luglio, G Pagano, G Tropeano, FP Baldari, L Boni, L Cassinotti, E Cosimelli, M Fiore, M Guaglio, M Sorrentino, L Agnes, A Alfieri, S Belia, F Biondi, A Cozza, V D'Ugo, D De Simone, V Litta, F Lorenzon, L Marra, AA Marzi, F Parello, A Persiani, R Ratto, C Rosa, F Scrima, O Sganga, G Belli, A Izzo, F Patrone, R Foppa, C Carvello, MM De Lucia, F Spinelli, A Aprile, A Batistotti, P Massobrio, A Pertile, D Scabini, S Soriero, D Garberini, DMA Mazzotti, F Pasini, F Ugolini, G Barone, R Birolo, SL Caccetta, M Deirino, A Garino, M Grasso, M Marafante, C Masciandaro, A Moggia, E Mungo, S Murgese, A Raggio, E Federico, P Maida, P Marra, E Marte, G Petrillo, A Tammaro, P Tufo, A Berselli, M Borroni, G Cocozza, E Conti, L Desio, M Rizzi, A Baldi, C Corbellini, C Sampietro, GM Bordoni, P Clarizia, G Fleres, F Franzini, M Grechi, A Longhini, A Spolini, A Baldini, E Capelli, P Isolani, SM Ribolla, M Bondurri, A Colombo, F Ferrario, L Guerci, C Maffioli, A Armao, T Ballabio, M Bisagni, P Longhi, M Madonini, M Impellizzeri, H Inama, M Moretto, G Mochet, S Usai, A Incollingo, P Giacometti, M Zonta, S Cosentino, ML Sagnotta, A Lc, N Tamini, N Anastasi, A Bartalucci, B Bellacci, A Canonico, G Capezzuoli, L Di Martino, C Ipponi, P Linari, C Montelatici, M Nelli, T Spagni, G Tirloni, L Vitali, A Abate, E Casati, M Laface, L Schiavo, M Arminio, A Cotoia, A Lizzi, V Vovola, F Vergari, R D'Ugo, S Depalma, N Spampinato, MG Annicchiarico, A Catena, F Giuffrida, M Perrone, G Baronio, G Carissimi, F Montuori, M Pinotti, E Brachini, G Chiappini, A Cicerchia, PM Cirillo, B De Toma, G Fiori, E Fonsi, GB Iannone, I La Torre, F Lapolla, P Meneghini, S Mingoli, A Sapienza, P Zambon, M Capolupo, GT Carannante, F Mazzotta, E Gattolin, A Migliore, M Rimonda, R Sasia, D Travaglio, E Chessa, A Fiorini, A Norcini, C Colletti, G Confalonieri, M Costanzi, A Frattaruolo, C Mari, G Monteleone, M Locatelli, A Riva, C Balconi, A De Nardi, P Parise, P Vignali, A Belvedere, A Bernante, P Droghetti, M Jovine, E Neri, J Parlanti, D Pezzuto, AP Poggioli, G Rottoli, M Russo, IS Tanzanu, M Violante, T Borghi, F Cianflocca, D Grimaldi, DMS Donati, D Gelarda, E Giraudo, G Giuffrida, MC Marano, A Palagi, S Pellegrino, L Peluso, C Testa, V Agresta, F Prando, D Zese, M Armatura, G Frena, A Bertelli, G Marinello, P Notte, F Scotton, G Cervellera, M Gori, A Sartarelli, L Tonini, V Gallo, G Sammarco, G Vescio, G Di Marzo, F Kanemitsu, Y Moritani, K Al Abdallah, M Ayasra, F Ayasra, Y Qasem, A Fahmawee, T Hmedat, A Obeidat, K Abou Chaar, MK Al-Masri, M Al-Najjar, H Alawneh, F Aldokali, N Senossi, O Subhi, MT Algallai, M Alwarfly, S AlZAEDE, S Gahwagi, M Moftah, M Burgan, D Kamoka, E Kilani, A Abdelkabir, M Altomi, I Abdulwahed, E Alshareea, E Aribi, N Aribi, S Biala, M Ghamgh, R Alsoufi, A Ellojli, I Kredan, A Msherghi, A Alshareef, K Alkadiki, GZ Almaadany, FS Bradulskis, S Dainius, E Kubiliute, E Parseliunas, A Subocius, A Venskutonis, D Rasoaherinomenjanahary, F Razafindrahita, JB Samison, LH Ngo, CW Ramasamy, S Hamdan, KH Razali, M Tan, JA Thanapal, MR Choong, E Lim, RZM Sahid, NA Hayati, F Jayasilan, J Rk, S Subramaniam, S Ibrahim, AF Jusoh, CA Hussain, AH Sidek, MAS Yunus, MMF Soh, JY Wong, MP Zakaria, AD Zakaria, Z Azman, MZA Fathi, NQ Roslani, AC Xavier, R Alvarez, MR Cordera, F Hernandez, R Martinez, SCE Hasan, AZ Otoniel, LR Duran, SEE Melchor-Ruan, J Banuelos, RE Vilar-Compte, D Buerba, GA Mercado, MA Posadas-Trujillo, OE Salgado-Nesme, N Sarre, C Amrani, L Benkabbou, A El Ahmadi, B El Bouazizi, Y Belkhadir, ZH Ghannam, A Majbar, AM Mohsine, R Souadka, A Hompes, R Meima-van Praag, EM Pronk, AJM Sharabiany, S Grotenhuis, BA Hartveld, L Ebben, L Kuiper, S Melenhorst, J Poeze, M Posma-Bouman, L Derksen, T Franken, J Oosterling, S Konsten, J Van Heinsbergen, M Adeyeye, A Enoch, E Nwabuoku, SE Sholadoye, TT Tolani, MA Olaogun, J Abiyere, H Babalola, O Okunlola, A Sani, AS Chinda, J Garba, S Mshelbwala, P Olori, S Olute, A Osagie, O Ogolekwu, P Umar, A Lo, A-R Jo, B Olasehinde, O Popoola, AA Abassy, J Ahmed, K Alvi, A Khan, S Pirzada, A Saleem, A Siddiqui, MT Turk, K Jamal, A Kerawala, AA Memon, AS Ahmed, NR Rai, L Ali, AA Afzal, MF Khokhar, M Ayub, B Ramesh, P Sayyed, R Ayyaz, M Butt, U Kashif, M Qureshi, AU Farooka, MW Ayubi, A Waqar, SH Al-Slaibi, I Alzeerelhouseini, IAH Jobran, F Abukhalaf, SA Cukier, M Jocson, R Teh, C Magadia, UE Major, P Murawa, D Janik, M Kowalewski, P Kwiatkowski, A Roszkowski, R Azevedo, C Machado, D Mendes, F De Sousa, X Fernandes, U Ferreira, C Guidi, G Marcal, A Marques, R Martins, D Vaz-Pereira, R Vieira, B Ji, A Almeida-Reis, R De Sa, CT Costa, MJMA Fernandes, V Ferraz, I Da Cruz, LL Da Silva, LC Lopes, L Machado, N Marialva, J Coelho, NM Pedro, J Pereira, C Ribeiro, A Ribeiro, CG Santos, R Saraiva, P Silva, R Tavares, F Teixeira, M Almeida, AC Amaral, MJ Andrade, R Camacho, C Costa, M Lazaro, A Nogueira, O Oliveira, A Ruivo, A Silva, M Simoes, JFF Devezas, V Jacome, F Nogueiro, J Pereira, A Santos-Sousa, H Vaz, S Pinto, J Tojal, A Cardoso, P Martins, R Dos Santos, MG Henriques, P Morais, H Sousa, S Cardoso, N Teixeira, J Pereira, R Revez, T Ribeiro, R Manso, I Domingues, J Amorim, E Baptista, VH Cunha, MF Miguel, SDNG Bandovas, JP Borges, N Chumbinho, B De Barros, F Frade, S Gomes, J Andrade, KDSA Rodrigues, PA Pina, S Silva, N Nunes, S Sousa, R Azevedo, P Costeira, B Cunha, C Garrido, R Miranda, P Ferreira, PM Fernandes, SM Azevedo, J Galvao, D Vieira, A Patricio, B Santos, PMDD Lopes, VPAC Cunha, R Faustino, A Freitas, A Mendes, JR Parreira, R Da Silva, AA Claro, M Santos, CD Deus, AC Grilo, J Borges, CF Real, CJ Henriques, S Lima, MJ Costa, MP Joao, AA Camarneiro, R Capunge, I Fragoso, M Frazao, J Martins, A Pedro, V Pera, R De Almeida, RF Soares, SA Vale, R Vasconcelos, M Da Silva, BF Caiado, A Fonseca, F Baiao, JM Jordao, MD Caroco, VT Baia, C Canotilho, R Correia, AM Pinto, FAP Peyroteo, M Videira, JF Kassir, R Sauvat, F Bonci, E Gata, V Titu, S Bezede, C Chitul, A Ciofic, E Cristian, D Grama, F Ciubotaru, C Negoi, I Negoita, VM Stoica, B Ginghina, O Iordache, N Iosifescu, R Mardare, M Mirica, RM Spanu, A Zamfir-Chiru-Anton, M Tsarkov, P Tulina, I Abelevich, A Bazaev, A Kokobelyan, AK Yanishev, A Litvin, A Litvina, Y Provozina, A Agapov, M Garmanova, T Kazachenko, E Markaryan, D Galliamov, E Kakotkin, V Kubyshkin, V Semina, E Kamalov, A Novikova, A Zakharenko, A Alshahrani, M Alsharif, F Eskander, M Majrashi, S Mashat, A Alharthi, M Aljiffry, M Basendowah, M Malibary, N Nassif, M Samkari, A Trabulsi, N Azab, AM Alqahtani, D Jaloun, H Mudawi, I Al Awwad, S Alghamdi, M Alnumani, T Awad, S Sharara, IM Al Habes, H Alqannas, M Alyami, M Alzamanan, M Cortes-Guiral, D Elawad, A Adi, H Al Ahmad, F Al Ayed, A Alishi, Y AlAamer, O Alselaim, N Alfaifi, J D'Souza, J Al-Khayal, K Alhassan, N Alobeed, O Alshammari, S Bin Nasser, A Bin Traiki, T Nouh, T Zubaidi, A Abdulfattah, F Al-Kharashi, E Alanazi, F Albaqami, F Alghuliga, A Alsowaina, K Arab, N 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| Item Type: | Journal Article |
| Abstract: | Aim The SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery. Methods This was an international prospective cohort study of consecutive colorectal cancer patients with a decision for curative surgery (January–April 2020). Surgical delay was defined as an operation taking place more than 4 weeks after treatment decision, in a patient who did not receive neoadjuvant therapy. A subgroup analysis explored the effects of delay in elective patients only. The impact of longer delays was explored in a sensitivity analysis. The primary outcome was complete resection, defined as curative resection with an R0 margin. Results Overall, 5453 patients from 304 hospitals in 47 countries were included, of whom 6.6% (358/5453) did not receive their planned operation. Of the 4304 operated patients without neoadjuvant therapy, 40.5% (1744/4304) were delayed beyond 4 weeks. Delayed patients were more likely to be older, men, more comorbid, have higher body mass index and have rectal cancer and early stage disease. Delayed patients had higher unadjusted rates of complete resection (93.7% vs. 91.9%, P = 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, P < 0.001). After adjustment, delay was not associated with a lower rate of complete resection (OR 1.18, 95% CI 0.90–1.55, P = 0.224), which was consistent in elective patients only (OR 0.94, 95% CI 0.69–1.27, P = 0.672). Longer delays were not associated with poorer outcomes. Conclusion One in 15 colorectal cancer patients did not receive their planned operation during the first wave of COVID-19. Surgical delay did not appear to compromise resectability, raising the hypothesis that any reduction in long-term survival attributable to delays is likely to be due to micro-metastatic disease. |
| Issue Date: | 24-Apr-2022 |
| Date of Acceptance: | 6-Mar-2022 |
| URI: | http://hdl.handle.net/10044/1/100246 |
| DOI: | 10.1111/codi.16117 |
| ISSN: | 1462-8910 |
| Publisher: | Wiley |
| Start Page: | 708 |
| End Page: | 726 |
| Journal / Book Title: | Colorectal Disease |
| Volume: | 24 |
| Issue: | 6 |
| Copyright Statement: | © 2022 The Authors. Colorectal Disease published by John Wiley & Sons Ltd on behalf of Association of Coloproctology of Great Britain and Ireland. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
| Sponsor/Funder: | National Institute for Health Research Imperial College Healthcare NHS Trust- BRC Funding |
| Funder's Grant Number: | NIHR-RP-011-053 RDB01 79560 |
| Keywords: | Science & Technology Life Sciences & Biomedicine Gastroenterology & Hepatology Surgery colorectal cancer coronavirus COVID-19 SARS-CoV-2 surgery surgical delay WAITING-TIMES MANAGEMENT SURGERY ENGLAND COVID-19 SARS-CoV-2 colorectal cancer coronavirus surgery surgical delay COVIDSurg Collaborative Science & Technology Life Sciences & Biomedicine Gastroenterology & Hepatology Surgery colorectal cancer coronavirus COVID-19 SARS-CoV-2 surgery surgical delay WAITING-TIMES MANAGEMENT SURGERY ENGLAND Surgery 1103 Clinical Sciences |
| Publication Status: | Published |
| Online Publication Date: | 2022-03-14 |
| Appears in Collections: | Department of Surgery and Cancer |
This item is licensed under a Creative Commons License
