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SM ISO690:2012 URSU, Alexandr, MALCOVA, Tatiana, GURGHIŞ, Radu, ROJNOVEANU, Gheorghe. The results of colorectal cancer treatment during the COVID-19 pandemic. In: Perspectives of the Balkan medicine in the post COVID-19 era: The 37th Balkan Medical Week. The 8th congress on urology, dialysis and kidney transplant from the Republic of Moldova “New Horizons in Urology”, Ed. 37, 7-9 iunie 2023, Chişinău. București: Balkan Medical Union, 2023, Ediția 37, p. 304. ISSN Print: ISSN 1584-9244 ISSN-L 1584-9244 Online: ISSN 2558-815X. |
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Perspectives of the Balkan medicine in the post COVID-19 era Ediția 37, 2023 |
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Congresul "Perspectives of the Balkan medicine in the post COVID-19 era" 37, Chişinău, Moldova, 7-9 iunie 2023 | ||||||
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Pag. 304-304 | ||||||
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Introduction. With the implementation of safety regulations in the COVID-19 pandemic, there have been major disruptions in the care of patients with colorectal cancer (CRC). Background. Analysis of the impact of the COVID-19 pandemic on patients with CRC. Methods and material. Retrospective study on 376 patients treated in Emergency Hospital (Chisinau) during 2018-2021. Ratio M:W=1:1, mean age – 65.41±0.55 years. Patients were divided into 2 groups: I group (control) – 219(58.25%), (2018-2019), II group (pandemic) – 157(41.76%), (2020-2021). Demographic, clinical, intraoperative, pathological data and mortality were evaluated comparatively. Results. There was a 28.31% reduction in hospitalizations for CRC in the pandemic group (p<0.01). If the rate of emergency hospitalizations and the type of CRC complications were identical in both groups, then the derivative procedures (colo/ileostomy) were higher in the pandemic group, 71(45.22%) vs 60(27.40%), (p<0.05). The advanced stages of the disease were recorded during the restrictions. Although the age indicators were not different, comorbidities were more common for patients in the pandemic group (p<0.05), 14.02% also endured SARS-Cov-2 infection until hospitalization, and 11(7.01%) were dignosed with COVID-19 during hospitalization for CRC, and mortality being significantly higher in the pandemic group – 20.38% vs 14.16%, (p<0.05). Conclusion. The COVID-19 pandemic has had a major impact on the care of colorectal cancer patients. The results of the more unfavorable clinical and pathological findings are still unknown, but extensive multicenter studies are needed in this area, which would lead to future the management of surgical pathologies, including CRC. |
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