Changes in Pancreatic Cancer Management and Surgical Treatment During the COVID-19 Pandemic DOI Creative Commons
Aida Puia, Cătălin Vlăduț Ionuț Feier,

Vasile Gaborean

et al.

Medicina, Journal Year: 2024, Volume and Issue: 60(12), P. 1924 - 1924

Published: Nov. 22, 2024

Background and Objectives: This study evaluated the impact of COVID-19 pandemic on surgical management pancreatic ductal adenocarcinoma (PDAC) at a tertiary care hospital in Romania. The objective was to compare volumes, tumor characteristics, patient outcomes across three periods: pre-COVID, pandemic, post-COVID. Materials Methods: A retrospective analysis 622 PDAC patients who underwent surgery between February 2018 2024 conducted. key variables analyzed included size, type (curative vs. palliative), use neoadjuvant therapy, postoperative complications, ICU monitoring, among others. Results: During there 25% decrease interventions compared number performed during pre-pandemic period, with significant increase undergoing intervention following treatment (p = 0.009) post-pandemic period. Post-pandemic, volumes increased by 10%, sizes were smaller 0.029). Postoperative outcomes, such as remained stable periods, but intensive unit monitoring significantly periods. Hospital stay durations shorter after < 0.05). Conclusions: led delays surgeries, improvements early diagnosis are evident; however, further optimization screening protocols is essential for improving outcomes.

Language: Английский

Changes in Pancreatic Cancer Management and Surgical Treatment During the COVID-19 Pandemic DOI Creative Commons
Aida Puia, Cătălin Vlăduț Ionuț Feier,

Vasile Gaborean

et al.

Medicina, Journal Year: 2024, Volume and Issue: 60(12), P. 1924 - 1924

Published: Nov. 22, 2024

Background and Objectives: This study evaluated the impact of COVID-19 pandemic on surgical management pancreatic ductal adenocarcinoma (PDAC) at a tertiary care hospital in Romania. The objective was to compare volumes, tumor characteristics, patient outcomes across three periods: pre-COVID, pandemic, post-COVID. Materials Methods: A retrospective analysis 622 PDAC patients who underwent surgery between February 2018 2024 conducted. key variables analyzed included size, type (curative vs. palliative), use neoadjuvant therapy, postoperative complications, ICU monitoring, among others. Results: During there 25% decrease interventions compared number performed during pre-pandemic period, with significant increase undergoing intervention following treatment (p = 0.009) post-pandemic period. Post-pandemic, volumes increased by 10%, sizes were smaller 0.029). Postoperative outcomes, such as remained stable periods, but intensive unit monitoring significantly periods. Hospital stay durations shorter after < 0.05). Conclusions: led delays surgeries, improvements early diagnosis are evident; however, further optimization screening protocols is essential for improving outcomes.

Language: Английский

Citations

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