Colorectal surgery in Italy during the Covid19 outbreak: a survey from the iCral study group
Background The COVID19 pandemic had a deep impact on healthcare facilities in Italy, with profound reorganization of surgical activities. The Italian ColoRectal Anastomotic Leakage (iCral) study group collecting 43 Italian surgical centers experienced in colorectal surgery from multiple regions perf...
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| Veröffentlicht in: | Updates in Surgery 2020-06, Vol.72 (2), p.249-257 |
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| creator | Caricato, Marco Baiocchi, Gian Luca Crafa, Francesco Scabini, Stefano Brisinda, Giuseppe Clementi, Marco Sica, Giuseppe Delrio, Paolo Longo, Graziano Anania, Gabriele de Manzini, Nicolò Amodio, Pietro Lucchi, Andrea Baldazzi, Gianandrea Garulli, Gianluca Patriti, Alberto Pirozzi, Felice Pavanello, Maurizio Carrara, Alessandro Campagnacci, Roberto Liverani, Andrea Muratore, Andrea Siquini, Walter De Luca, Raffaele Mancini, Stefano Borghi, Felice Di Cosmo, Mariantonietta Persiani, Roberto Pedrazzani, Corrado Scaramuzzi, Matteo Scatizzi, Marco Vettoretto, Nereo Totis, Mauro Gennai, Andrea Marini, Pierluigi Basti, Massimo Viola, Massimo Ruffo, Giacomo Catarci, Marco |
| description | Background
The COVID19 pandemic had a deep impact on healthcare facilities in Italy, with profound reorganization of surgical activities. The Italian ColoRectal Anastomotic Leakage (iCral) study group collecting 43 Italian surgical centers experienced in colorectal surgery from multiple regions performed a quick survey to make a snapshot of the current situation.
Methods
A 25-items questionnaire was sent to the 43 principal investigators of the iCral study group, with questions regarding qualitative and quantitative aspects of the surgical activity before and after the COVID19 outbreak.
Results
Two-thirds of the centers were involved in the treatment of COVID19 cases. Intensive care units (ICU) beds were partially or totally reallocated for the treatment of COVID19 cases in 72% of the hospitals. Elective colorectal surgery for malignancy was stopped or delayed in nearly 30% of the centers, with less than 20% of them still scheduling elective colorectal resections for frail and comorbid patients needing postoperative ICU care. A significant reduction of the number of colorectal resections during the time span from January to March 2020 was recorded, with significant delay in treatment in more than 50% of the centers.
Discussion
Our survey confirms that COVID19 outbreak is severely affecting the activity of colorectal surgery centers participating to iCral study group. This could impact the activity of surgical centers for many months after the end of the emergency. |
| doi_str_mv | 10.1007/s13304-020-00760-3 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7238958</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A710618728</galeid><sourcerecordid>A710618728</sourcerecordid><originalsourceid>FETCH-LOGICAL-c513t-cdb514c2ae9e7ebbc2279f7d0989083d40f9f0cf8129a1a682039d0ba743b3233</originalsourceid><addsrcrecordid>eNp9kU-L1jAQxoso7rLuF_AgOXrpOsn0XzwIS1l1YcGLggchpOm0m7VtXpP2hX570-3rohcTSDLJMz9m8iTJaw5XHKB8FzgiZCkISGNYQIrPknMBWKWIXDw_nTny72fJZQgPEAfKbX2ZnKHIsABenCc_ajc4T2bWAwuL78mvzE7sNsYraxdvp57N98Rqd7Qtl8wtc-NJ_3zP9KY_0so678ZHja39RpmXdmW9d8vhVfKi00Ogy9N-kXz7ePO1_pzeffl0W1_fpSbnOKembXKeGaFJUklNY4QoZVe2ICsJFbYZdLID01VcSM11UcXWZAuNLjNsUCBeJB927mFpRmoNTXOsRB28HbVfldNW_fsy2XvVu6MqBVYyryLg7Qng3a-FwqxGGwwNg57ILUGJDHLEPAcepVe7tNcDKTt1LhJNnC2N1riJOhvvr0sOBa9KsbHFnmC8C8FT91QXB7VZqXYrVbRSPVqpto7e_N3RU8of46IAd0E4bB6RVw9u8VP85f9hfwMt4qnF</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2405335501</pqid></control><display><type>article</type><title>Colorectal surgery in Italy during the Covid19 outbreak: a survey from the iCral study group</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Caricato, Marco ; Baiocchi, Gian Luca ; Crafa, Francesco ; Scabini, Stefano ; Brisinda, Giuseppe ; Clementi, Marco ; Sica, Giuseppe ; Delrio, Paolo ; Longo, Graziano ; Anania, Gabriele ; de Manzini, Nicolò ; Amodio, Pietro ; Lucchi, Andrea ; Baldazzi, Gianandrea ; Garulli, Gianluca ; Patriti, Alberto ; Pirozzi, Felice ; Pavanello, Maurizio ; Carrara, Alessandro ; Campagnacci, Roberto ; Liverani, Andrea ; Muratore, Andrea ; Siquini, Walter ; De Luca, Raffaele ; Mancini, Stefano ; Borghi, Felice ; Di Cosmo, Mariantonietta ; Persiani, Roberto ; Pedrazzani, Corrado ; Scaramuzzi, Matteo ; Scatizzi, Marco ; Vettoretto, Nereo ; Totis, Mauro ; Gennai, Andrea ; Marini, Pierluigi ; Basti, Massimo ; Viola, Massimo ; Ruffo, Giacomo ; Catarci, Marco</creator><creatorcontrib>Caricato, Marco ; Baiocchi, Gian Luca ; Crafa, Francesco ; Scabini, Stefano ; Brisinda, Giuseppe ; Clementi, Marco ; Sica, Giuseppe ; Delrio, Paolo ; Longo, Graziano ; Anania, Gabriele ; de Manzini, Nicolò ; Amodio, Pietro ; Lucchi, Andrea ; Baldazzi, Gianandrea ; Garulli, Gianluca ; Patriti, Alberto ; Pirozzi, Felice ; Pavanello, Maurizio ; Carrara, Alessandro ; Campagnacci, Roberto ; Liverani, Andrea ; Muratore, Andrea ; Siquini, Walter ; De Luca, Raffaele ; Mancini, Stefano ; Borghi, Felice ; Di Cosmo, Mariantonietta ; Persiani, Roberto ; Pedrazzani, Corrado ; Scaramuzzi, Matteo ; Scatizzi, Marco ; Vettoretto, Nereo ; Totis, Mauro ; Gennai, Andrea ; Marini, Pierluigi ; Basti, Massimo ; Viola, Massimo ; Ruffo, Giacomo ; Catarci, Marco ; Italian Colorectal Anastomotic Leakage (iCral) study group ; The Italian Colorectal Anastomotic Leakage (iCral) study group</creatorcontrib><description>Background
The COVID19 pandemic had a deep impact on healthcare facilities in Italy, with profound reorganization of surgical activities. The Italian ColoRectal Anastomotic Leakage (iCral) study group collecting 43 Italian surgical centers experienced in colorectal surgery from multiple regions performed a quick survey to make a snapshot of the current situation.
Methods
A 25-items questionnaire was sent to the 43 principal investigators of the iCral study group, with questions regarding qualitative and quantitative aspects of the surgical activity before and after the COVID19 outbreak.
Results
Two-thirds of the centers were involved in the treatment of COVID19 cases. Intensive care units (ICU) beds were partially or totally reallocated for the treatment of COVID19 cases in 72% of the hospitals. Elective colorectal surgery for malignancy was stopped or delayed in nearly 30% of the centers, with less than 20% of them still scheduling elective colorectal resections for frail and comorbid patients needing postoperative ICU care. A significant reduction of the number of colorectal resections during the time span from January to March 2020 was recorded, with significant delay in treatment in more than 50% of the centers.
Discussion
Our survey confirms that COVID19 outbreak is severely affecting the activity of colorectal surgery centers participating to iCral study group. This could impact the activity of surgical centers for many months after the end of the emergency.</description><identifier>ISSN: 2038-131X</identifier><identifier>EISSN: 2038-3312</identifier><identifier>DOI: 10.1007/s13304-020-00760-3</identifier><identifier>PMID: 32436016</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Care and treatment ; Colon - surgery ; Coronavirus Infections - epidemiology ; COVID-19 ; Digestive System Surgical Procedures - statistics & numerical data ; Disease Outbreaks ; Elective Surgical Procedures - statistics & numerical data ; Epidemics ; Humans ; Italy - epidemiology ; Medicine ; Medicine & Public Health ; Original ; Original Article ; Pandemics ; Pneumonia, Viral - epidemiology ; Rectum - surgery ; Surgery ; Surgical clinics ; Surveys and Questionnaires ; Time Factors</subject><ispartof>Updates in Surgery, 2020-06, Vol.72 (2), p.249-257</ispartof><rights>Italian Society of Surgery (SIC) 2020</rights><rights>COPYRIGHT 2020 Springer</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c513t-cdb514c2ae9e7ebbc2279f7d0989083d40f9f0cf8129a1a682039d0ba743b3233</citedby><cites>FETCH-LOGICAL-c513t-cdb514c2ae9e7ebbc2279f7d0989083d40f9f0cf8129a1a682039d0ba743b3233</cites><orcidid>0000-0002-6338-0114</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s13304-020-00760-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s13304-020-00760-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32436016$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Caricato, Marco</creatorcontrib><creatorcontrib>Baiocchi, Gian Luca</creatorcontrib><creatorcontrib>Crafa, Francesco</creatorcontrib><creatorcontrib>Scabini, Stefano</creatorcontrib><creatorcontrib>Brisinda, Giuseppe</creatorcontrib><creatorcontrib>Clementi, Marco</creatorcontrib><creatorcontrib>Sica, Giuseppe</creatorcontrib><creatorcontrib>Delrio, Paolo</creatorcontrib><creatorcontrib>Longo, Graziano</creatorcontrib><creatorcontrib>Anania, Gabriele</creatorcontrib><creatorcontrib>de Manzini, Nicolò</creatorcontrib><creatorcontrib>Amodio, Pietro</creatorcontrib><creatorcontrib>Lucchi, Andrea</creatorcontrib><creatorcontrib>Baldazzi, Gianandrea</creatorcontrib><creatorcontrib>Garulli, Gianluca</creatorcontrib><creatorcontrib>Patriti, Alberto</creatorcontrib><creatorcontrib>Pirozzi, Felice</creatorcontrib><creatorcontrib>Pavanello, Maurizio</creatorcontrib><creatorcontrib>Carrara, Alessandro</creatorcontrib><creatorcontrib>Campagnacci, Roberto</creatorcontrib><creatorcontrib>Liverani, Andrea</creatorcontrib><creatorcontrib>Muratore, Andrea</creatorcontrib><creatorcontrib>Siquini, Walter</creatorcontrib><creatorcontrib>De Luca, Raffaele</creatorcontrib><creatorcontrib>Mancini, Stefano</creatorcontrib><creatorcontrib>Borghi, Felice</creatorcontrib><creatorcontrib>Di Cosmo, Mariantonietta</creatorcontrib><creatorcontrib>Persiani, Roberto</creatorcontrib><creatorcontrib>Pedrazzani, Corrado</creatorcontrib><creatorcontrib>Scaramuzzi, Matteo</creatorcontrib><creatorcontrib>Scatizzi, Marco</creatorcontrib><creatorcontrib>Vettoretto, Nereo</creatorcontrib><creatorcontrib>Totis, Mauro</creatorcontrib><creatorcontrib>Gennai, Andrea</creatorcontrib><creatorcontrib>Marini, Pierluigi</creatorcontrib><creatorcontrib>Basti, Massimo</creatorcontrib><creatorcontrib>Viola, Massimo</creatorcontrib><creatorcontrib>Ruffo, Giacomo</creatorcontrib><creatorcontrib>Catarci, Marco</creatorcontrib><creatorcontrib>Italian Colorectal Anastomotic Leakage (iCral) study group</creatorcontrib><creatorcontrib>The Italian Colorectal Anastomotic Leakage (iCral) study group</creatorcontrib><title>Colorectal surgery in Italy during the Covid19 outbreak: a survey from the iCral study group</title><title>Updates in Surgery</title><addtitle>Updates Surg</addtitle><addtitle>Updates Surg</addtitle><description>Background
The COVID19 pandemic had a deep impact on healthcare facilities in Italy, with profound reorganization of surgical activities. The Italian ColoRectal Anastomotic Leakage (iCral) study group collecting 43 Italian surgical centers experienced in colorectal surgery from multiple regions performed a quick survey to make a snapshot of the current situation.
Methods
A 25-items questionnaire was sent to the 43 principal investigators of the iCral study group, with questions regarding qualitative and quantitative aspects of the surgical activity before and after the COVID19 outbreak.
Results
Two-thirds of the centers were involved in the treatment of COVID19 cases. Intensive care units (ICU) beds were partially or totally reallocated for the treatment of COVID19 cases in 72% of the hospitals. Elective colorectal surgery for malignancy was stopped or delayed in nearly 30% of the centers, with less than 20% of them still scheduling elective colorectal resections for frail and comorbid patients needing postoperative ICU care. A significant reduction of the number of colorectal resections during the time span from January to March 2020 was recorded, with significant delay in treatment in more than 50% of the centers.
Discussion
Our survey confirms that COVID19 outbreak is severely affecting the activity of colorectal surgery centers participating to iCral study group. This could impact the activity of surgical centers for many months after the end of the emergency.</description><subject>Care and treatment</subject><subject>Colon - surgery</subject><subject>Coronavirus Infections - epidemiology</subject><subject>COVID-19</subject><subject>Digestive System Surgical Procedures - statistics & numerical data</subject><subject>Disease Outbreaks</subject><subject>Elective Surgical Procedures - statistics & numerical data</subject><subject>Epidemics</subject><subject>Humans</subject><subject>Italy - epidemiology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original</subject><subject>Original Article</subject><subject>Pandemics</subject><subject>Pneumonia, Viral - epidemiology</subject><subject>Rectum - surgery</subject><subject>Surgery</subject><subject>Surgical clinics</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><issn>2038-131X</issn><issn>2038-3312</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU-L1jAQxoso7rLuF_AgOXrpOsn0XzwIS1l1YcGLggchpOm0m7VtXpP2hX570-3rohcTSDLJMz9m8iTJaw5XHKB8FzgiZCkISGNYQIrPknMBWKWIXDw_nTny72fJZQgPEAfKbX2ZnKHIsABenCc_ajc4T2bWAwuL78mvzE7sNsYraxdvp57N98Rqd7Qtl8wtc-NJ_3zP9KY_0so678ZHja39RpmXdmW9d8vhVfKi00Ogy9N-kXz7ePO1_pzeffl0W1_fpSbnOKembXKeGaFJUklNY4QoZVe2ICsJFbYZdLID01VcSM11UcXWZAuNLjNsUCBeJB927mFpRmoNTXOsRB28HbVfldNW_fsy2XvVu6MqBVYyryLg7Qng3a-FwqxGGwwNg57ILUGJDHLEPAcepVe7tNcDKTt1LhJNnC2N1riJOhvvr0sOBa9KsbHFnmC8C8FT91QXB7VZqXYrVbRSPVqpto7e_N3RU8of46IAd0E4bB6RVw9u8VP85f9hfwMt4qnF</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Caricato, Marco</creator><creator>Baiocchi, Gian Luca</creator><creator>Crafa, Francesco</creator><creator>Scabini, Stefano</creator><creator>Brisinda, Giuseppe</creator><creator>Clementi, Marco</creator><creator>Sica, Giuseppe</creator><creator>Delrio, Paolo</creator><creator>Longo, Graziano</creator><creator>Anania, Gabriele</creator><creator>de Manzini, Nicolò</creator><creator>Amodio, Pietro</creator><creator>Lucchi, Andrea</creator><creator>Baldazzi, Gianandrea</creator><creator>Garulli, Gianluca</creator><creator>Patriti, Alberto</creator><creator>Pirozzi, Felice</creator><creator>Pavanello, Maurizio</creator><creator>Carrara, Alessandro</creator><creator>Campagnacci, Roberto</creator><creator>Liverani, Andrea</creator><creator>Muratore, Andrea</creator><creator>Siquini, Walter</creator><creator>De Luca, Raffaele</creator><creator>Mancini, Stefano</creator><creator>Borghi, Felice</creator><creator>Di Cosmo, Mariantonietta</creator><creator>Persiani, Roberto</creator><creator>Pedrazzani, Corrado</creator><creator>Scaramuzzi, Matteo</creator><creator>Scatizzi, Marco</creator><creator>Vettoretto, Nereo</creator><creator>Totis, Mauro</creator><creator>Gennai, Andrea</creator><creator>Marini, Pierluigi</creator><creator>Basti, Massimo</creator><creator>Viola, Massimo</creator><creator>Ruffo, Giacomo</creator><creator>Catarci, Marco</creator><general>Springer International Publishing</general><general>Springer</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6338-0114</orcidid></search><sort><creationdate>20200601</creationdate><title>Colorectal surgery in Italy during the Covid19 outbreak: a survey from the iCral study group</title><author>Caricato, Marco ; Baiocchi, Gian Luca ; Crafa, Francesco ; Scabini, Stefano ; Brisinda, Giuseppe ; Clementi, Marco ; Sica, Giuseppe ; Delrio, Paolo ; Longo, Graziano ; Anania, Gabriele ; de Manzini, Nicolò ; Amodio, Pietro ; Lucchi, Andrea ; Baldazzi, Gianandrea ; Garulli, Gianluca ; Patriti, Alberto ; Pirozzi, Felice ; Pavanello, Maurizio ; Carrara, Alessandro ; Campagnacci, Roberto ; Liverani, Andrea ; Muratore, Andrea ; Siquini, Walter ; De Luca, Raffaele ; Mancini, Stefano ; Borghi, Felice ; Di Cosmo, Mariantonietta ; Persiani, Roberto ; Pedrazzani, Corrado ; Scaramuzzi, Matteo ; Scatizzi, Marco ; Vettoretto, Nereo ; Totis, Mauro ; Gennai, Andrea ; Marini, Pierluigi ; Basti, Massimo ; Viola, Massimo ; Ruffo, Giacomo ; Catarci, Marco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c513t-cdb514c2ae9e7ebbc2279f7d0989083d40f9f0cf8129a1a682039d0ba743b3233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Care and treatment</topic><topic>Colon - surgery</topic><topic>Coronavirus Infections - epidemiology</topic><topic>COVID-19</topic><topic>Digestive System Surgical Procedures - statistics & numerical data</topic><topic>Disease Outbreaks</topic><topic>Elective Surgical Procedures - statistics & numerical data</topic><topic>Epidemics</topic><topic>Humans</topic><topic>Italy - epidemiology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Pandemics</topic><topic>Pneumonia, Viral - epidemiology</topic><topic>Rectum - surgery</topic><topic>Surgery</topic><topic>Surgical clinics</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Caricato, Marco</creatorcontrib><creatorcontrib>Baiocchi, Gian Luca</creatorcontrib><creatorcontrib>Crafa, Francesco</creatorcontrib><creatorcontrib>Scabini, Stefano</creatorcontrib><creatorcontrib>Brisinda, Giuseppe</creatorcontrib><creatorcontrib>Clementi, Marco</creatorcontrib><creatorcontrib>Sica, Giuseppe</creatorcontrib><creatorcontrib>Delrio, Paolo</creatorcontrib><creatorcontrib>Longo, Graziano</creatorcontrib><creatorcontrib>Anania, Gabriele</creatorcontrib><creatorcontrib>de Manzini, Nicolò</creatorcontrib><creatorcontrib>Amodio, Pietro</creatorcontrib><creatorcontrib>Lucchi, Andrea</creatorcontrib><creatorcontrib>Baldazzi, Gianandrea</creatorcontrib><creatorcontrib>Garulli, Gianluca</creatorcontrib><creatorcontrib>Patriti, Alberto</creatorcontrib><creatorcontrib>Pirozzi, Felice</creatorcontrib><creatorcontrib>Pavanello, Maurizio</creatorcontrib><creatorcontrib>Carrara, Alessandro</creatorcontrib><creatorcontrib>Campagnacci, Roberto</creatorcontrib><creatorcontrib>Liverani, Andrea</creatorcontrib><creatorcontrib>Muratore, Andrea</creatorcontrib><creatorcontrib>Siquini, Walter</creatorcontrib><creatorcontrib>De Luca, Raffaele</creatorcontrib><creatorcontrib>Mancini, Stefano</creatorcontrib><creatorcontrib>Borghi, Felice</creatorcontrib><creatorcontrib>Di Cosmo, Mariantonietta</creatorcontrib><creatorcontrib>Persiani, Roberto</creatorcontrib><creatorcontrib>Pedrazzani, Corrado</creatorcontrib><creatorcontrib>Scaramuzzi, Matteo</creatorcontrib><creatorcontrib>Scatizzi, Marco</creatorcontrib><creatorcontrib>Vettoretto, Nereo</creatorcontrib><creatorcontrib>Totis, Mauro</creatorcontrib><creatorcontrib>Gennai, Andrea</creatorcontrib><creatorcontrib>Marini, Pierluigi</creatorcontrib><creatorcontrib>Basti, Massimo</creatorcontrib><creatorcontrib>Viola, Massimo</creatorcontrib><creatorcontrib>Ruffo, Giacomo</creatorcontrib><creatorcontrib>Catarci, Marco</creatorcontrib><creatorcontrib>Italian Colorectal Anastomotic Leakage (iCral) study group</creatorcontrib><creatorcontrib>The Italian Colorectal Anastomotic Leakage (iCral) study group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile Select</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Updates in Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Caricato, Marco</au><au>Baiocchi, Gian Luca</au><au>Crafa, Francesco</au><au>Scabini, Stefano</au><au>Brisinda, Giuseppe</au><au>Clementi, Marco</au><au>Sica, Giuseppe</au><au>Delrio, Paolo</au><au>Longo, Graziano</au><au>Anania, Gabriele</au><au>de Manzini, Nicolò</au><au>Amodio, Pietro</au><au>Lucchi, Andrea</au><au>Baldazzi, Gianandrea</au><au>Garulli, Gianluca</au><au>Patriti, Alberto</au><au>Pirozzi, Felice</au><au>Pavanello, Maurizio</au><au>Carrara, Alessandro</au><au>Campagnacci, Roberto</au><au>Liverani, Andrea</au><au>Muratore, Andrea</au><au>Siquini, Walter</au><au>De Luca, Raffaele</au><au>Mancini, Stefano</au><au>Borghi, Felice</au><au>Di Cosmo, Mariantonietta</au><au>Persiani, Roberto</au><au>Pedrazzani, Corrado</au><au>Scaramuzzi, Matteo</au><au>Scatizzi, Marco</au><au>Vettoretto, Nereo</au><au>Totis, Mauro</au><au>Gennai, Andrea</au><au>Marini, Pierluigi</au><au>Basti, Massimo</au><au>Viola, Massimo</au><au>Ruffo, Giacomo</au><au>Catarci, Marco</au><aucorp>Italian Colorectal Anastomotic Leakage (iCral) study group</aucorp><aucorp>The Italian Colorectal Anastomotic Leakage (iCral) study group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Colorectal surgery in Italy during the Covid19 outbreak: a survey from the iCral study group</atitle><jtitle>Updates in Surgery</jtitle><stitle>Updates Surg</stitle><addtitle>Updates Surg</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>72</volume><issue>2</issue><spage>249</spage><epage>257</epage><pages>249-257</pages><issn>2038-131X</issn><eissn>2038-3312</eissn><abstract>Background
The COVID19 pandemic had a deep impact on healthcare facilities in Italy, with profound reorganization of surgical activities. The Italian ColoRectal Anastomotic Leakage (iCral) study group collecting 43 Italian surgical centers experienced in colorectal surgery from multiple regions performed a quick survey to make a snapshot of the current situation.
Methods
A 25-items questionnaire was sent to the 43 principal investigators of the iCral study group, with questions regarding qualitative and quantitative aspects of the surgical activity before and after the COVID19 outbreak.
Results
Two-thirds of the centers were involved in the treatment of COVID19 cases. Intensive care units (ICU) beds were partially or totally reallocated for the treatment of COVID19 cases in 72% of the hospitals. Elective colorectal surgery for malignancy was stopped or delayed in nearly 30% of the centers, with less than 20% of them still scheduling elective colorectal resections for frail and comorbid patients needing postoperative ICU care. A significant reduction of the number of colorectal resections during the time span from January to March 2020 was recorded, with significant delay in treatment in more than 50% of the centers.
Discussion
Our survey confirms that COVID19 outbreak is severely affecting the activity of colorectal surgery centers participating to iCral study group. This could impact the activity of surgical centers for many months after the end of the emergency.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>32436016</pmid><doi>10.1007/s13304-020-00760-3</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-6338-0114</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2038-131X |
| ispartof | Updates in Surgery, 2020-06, Vol.72 (2), p.249-257 |
| issn | 2038-131X 2038-3312 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7238958 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Care and treatment Colon - surgery Coronavirus Infections - epidemiology COVID-19 Digestive System Surgical Procedures - statistics & numerical data Disease Outbreaks Elective Surgical Procedures - statistics & numerical data Epidemics Humans Italy - epidemiology Medicine Medicine & Public Health Original Original Article Pandemics Pneumonia, Viral - epidemiology Rectum - surgery Surgery Surgical clinics Surveys and Questionnaires Time Factors |
| title | Colorectal surgery in Italy during the Covid19 outbreak: a survey from the iCral study group |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T16%3A15%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Colorectal%20surgery%20in%20Italy%20during%20the%20Covid19%20outbreak:%20a%20survey%20from%20the%20iCral%20study%20group&rft.jtitle=Updates%20in%20Surgery&rft.au=Caricato,%20Marco&rft.aucorp=Italian%20Colorectal%20Anastomotic%20Leakage%20(iCral)%20study%20group&rft.date=2020-06-01&rft.volume=72&rft.issue=2&rft.spage=249&rft.epage=257&rft.pages=249-257&rft.issn=2038-131X&rft.eissn=2038-3312&rft_id=info:doi/10.1007/s13304-020-00760-3&rft_dat=%3Cgale_pubme%3EA710618728%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2405335501&rft_id=info:pmid/32436016&rft_galeid=A710618728&rfr_iscdi=true |