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Effects of Probiotics and Synbiotics on Obesity, Insulin Resistance Syndrome, Type 2 Diabetes and Non-Alcoholic Fatty Liver Disease: A Review of Human Clinical Trials

Author: Aller
Angel Gil
Candido Robles-Sanchez
Ferrario
Francisco Ruiz-Ojeda
Julio Plaza-Diaz
Jun-Ling
Maria Sáez-Lara
Mohamadshahi
Plaza-Diaz
Upadhyay
Wong
Zarrati
Publication venue: 'MDPI AG'
Publication date: 01/01/2016
Field of study

The use of probiotics and synbiotics in the prevention and treatment of different disorders has dramatically increased over the last decade. Both probiotics and synbiotics are well known ingredients of functional foods and nutraceuticals and may provide beneficial health effects because they can influence the intestinal microbial ecology and immunity. The present study reviews the effects of probiotics and synbiotics on obesity, insulin resistance syndrome (IRS), type 2 diabetes (T2D) and non-alcoholic fatty liver disease (NAFLD) in human randomized clinical trials. Select probiotics and synbiotics provided beneficial effects in patients with obesity, mainly affecting the body mass index and fat mass. Some probiotics had beneficial effects on IRS, decreasing the cell adhesion molecule-1 levels, and the synbiotics decreased the insulin resistance and plasma lipid levels. Moreover, select probiotics improved the carbohydrate metabolism, fasting blood glucose, insulin sensitivity and antioxidant status and also reduced metabolic stress in subjects with T2D. Some probiotics and synbiotics improved the liver and metabolic parameters in patients with NAFLD. The oral intake of probiotics and synbiotics as co-adjuvants for the prevention and treatment of obesity, IRS, T2D and NAFLD is partially supported by the data shown in the present review. However, further studies are required to understand the precise mechanism of how probiotics and synbiotics affect these metabolic disorders

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Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

Author: Aawsaj Y.
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Abad-Motos A.
Abate E.
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Abbott T.
Abd Elazeem H. A. S.
Abdalla M.
Abdallah M.
Abdel Al S.
Abdel Jalil R.
Abdeldayem H.
Abdelkader Salama I.
Abdelkarem M. M.
Abdelkarim M.
Abdelmajeed A.
Abdelrahman A.
Abdelrahman S.
Abdelsamed A.
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Abel M. K.
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Aboelkassem Ibrahim A.
Abosamak N. E.
Abou Chaar M. K.
Abou-Khalil J.
Abouassi A.
Aboulkassem H.
Abreu Da Silva A.
Abu J.
Abu Za'nouneh F. J.
Abu-Nayla I.
Abubakar A.
Acebes Garcia F.
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Ying Y.
Yip V.
Yordanov S.
Young R.
Yousof E. A.
Youssef A.
Youssef M.
Yuksel E.
Yurttas C.
Zacharoulis D.
Zafar S. N.
Zakai D.
Zakaria A. D.
Zakaria R.
Zakaria Z.
Zambelli M. F.
Zambon M.
Zamora L.
Zamvar V.
Zani S.
Zanotti S.
Zanus G.
Zapardiel I.
Zarabini A. G.
Zatecky J.
Zegarac M.
Zelic M.
Zeller N.
Zengin A. K.
Zerbib P.
Zervas K.
Zese M.
Zhang H.
Zivanovic M.
Zivkovic M.
Zizzo M.
Zografos C.
Zonta S.
Zorrilla Ortuzar J.
Zourntou S.
Zouzoulas D.
Zubaidi A.
Zullo A.
Publication venue: 'American Society of Clinical Oncology (ASCO)'
Publication date: 01/01/2021
Field of study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Archivio istituzionale della Ricerca - Università degli Studi di Parma

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

Author: Aawsaj Y.
Abad Gurumeta A.
Abad-Motos A.
Abate E.
Abatini C.
Abbadessa F.
Abbas A. M.
Abbassi-Ghadi N.
Abbott D.
Abbott T.
Abd Elazeem H. A. S.
Abdalla M.
Abdallah M.
Abdel Al S.
Abdel Jalil R.
Abdeldayem H.
Abdelkader Salama I.
Abdelkarem M. M.
Abdelkarim M.
Abdelmajeed A.
Abdelrahman A.
Abdelrahman S.
Abdelsamed A.
Abdou M.
Abdulkareem A.
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Abdur-Rahman L.
Abel M. K.
Abellan M.
Aboelkassem Ibrahim A.
Abosamak N. E.
Abou Chaar M. K.
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Abouassi A.
Aboulkassem H.
Abreu Da Silva A.
Abu J.
Abu Za'nouneh F. J.
Abu-Nayla I.
Abubakar A.
Acebes Garcia F.
Achalandabaso Boira M.
Acher A.
Acrich E.
Adamina M.
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Aderombi A.
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Adiamah A.
Adishesh M.
Agapov M.
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Whelan P.
Whisker L.
Whitehall E.
Whitmore H.
Wilkin R.
Wilkins A.
Williams G.
Williams J.
Williams K.
Williams M. A.
Williams T.
Williamson K.
Wilson M.
Wimberger P.
Wimmer A.
Winnand P.
Winter D.
Winter S.
Wolfer S.
Wong M. P. K.
Wong S.
Wong W. J.
Woodham A.
Woodun H.
Worku D.
Wright G.
Wullschleger M.
Wustrack R.
Xenaki S.
Xu M. J.
Xyda S. E.
Xynos E.
Yahaya A. S.
Yanez C.
Yang W.
Yassin N.
Ye G.
Yesantharao P.
Yesilyurt D.
Yetkin G.
Yiallourou A.
Yildirim A.
Yildiz A.
Ying Y.
Yip V.
Yordanov S.
Young R.
Yousof E. A.
Youssef A.
Youssef M.
Yuksel E.
Yurttas C.
Zacharoulis D.
Zafar S. N.
Zakai D.
Zakaria A. D.
Zakaria R.
Zakaria Z.
Zambelli M. F.
Zambon M.
Zamora L.
Zamvar V.
Zani S.
Zanotti S.
Zanus G.
Zapardiel I.
Zarabini A. G.
Zatecky J.
Zegarac M.
Zelic M.
Zeller N.
Zengin A. K.
Zerbib P.
Zervas K.
Zese M.
Zhang H.
Zivanovic M.
Zivkovic M.
Zizzo M.
Zografos C.
Zonta S.
Zorrilla Ortuzar J.
Zourntou S.
Zouzoulas D.
Zubaidi A.
Zullo A.
Publication venue: J Clin Oncol
Publication date: 01/01/2020
Field of study

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

University of Liverpool Repository

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Institutional Research Information System University of Turin

Prebiotic Effect of Berberine and Curcumin Is Associated with the Improvement of Obesity in Mice

Author: Bindels Laure B.
Cani Patrice D.
Delzenne Nathalie M.
Neyrinck Audrey M.
Robles Sanchez Candido
Rodriguez Julie
Publication venue: 'MDPI AG'
Publication date: 01/01/2021
Field of study

Berberine and curcumin, used as food additives or food supplements, possess interesting anti-inflammatory and antioxidant properties. We tested the potential protective effect of both phytochemicals in genetically obese mice and we determined whether these effects can be related to the modulation of gut functions and microbiota. Ob/ob mice were fed a standard diet supplemented with or without 0.1% berberine and/or 0.3% curcumin for 4 weeks. By using targeted qPCR, we found that cecal content of Bifidobacterium spp. and Akkermansia spp. increased mainly upon berberine supplementation. Genes involved in innate immunity (Pla2g2a), mucus production (Muc2) and satietogenic peptide production (Gcg and Pyy) were upregulated in the colon of mice treated with both phytochemicals. Berberine supplementation alone reduced food intake, body weight gain, hypertriglyceridemia and hepatic inflammatory and oxidative stress markers, thus lessening hepatic injury. The increase in Bifidobacterium spp. and Akkermansia spp. was correlated with the improvement of gut barrier function and with the improvement of hepatic inflammatory and oxidative stresses in obese mice. These data support the fact that non-carbohydrate phytochemicals may modulate the gut microbiota in obesity and related gut and hepatic alterations

Multidisciplinary Digital Publishing Institute

DIAL UCLouvain

Metabolite profiling reveals the interaction of chitin-glucan with the gut microbiota.

Author: Bindels Laure B.
Bischoff Stephan C
Cani Patrice D.
Delzenne Nathalie M.
Laville Martine
Maquet Véronique
Muccioli Giulio
Nazare Julie-Anne
Neyrinck Audrey M.
Robles Sanchez Candido
Rodriguez Julie
Roumain Martin
Seethaler Benjamin
Walter Jens
Zhang Zhengxiao
Publication venue: 'Informa UK Limited'
Publication date: 01/01/2020
Field of study

Dietary fibers are considered beneficial nutrients for health. Current data suggest that their interaction with the gut microbiota largely contributes to their physiological effects. In this context, chitin-glucan (CG) improves metabolic disorders associated with obesity in mice, but its effect on gut microbiota has never been evaluated in humans. This study explores the effect of a 3-week intervention with CG supplementation in healthy individuals on gut microbiota composition and bacterial metabolites. CG was given to healthy volunteers (n = 15) for three weeks as a supplement (4.5 g/day). Food diary, visual analog and Bristol stool form scales and a "quality of life" survey were analyzed. Among gut microbiota-derived metabolites, bile acids (BA), long- and short-chain fatty acids (LCFA, SCFA) profiling were assessed in stool samples. The gut microbiota (primary outcome) was analyzed by Illumina sequencing. A 3-week supplementation with CG is well tolerated in healthy humans. CG induces specific changes in the gut microbiota composition, with and genera showing the strongest regulation. In addition, CG increased bacterial metabolites in feces including butyric, iso-valeric, caproic and vaccenic acids. No major changes were observed for the fecal BA profile following CG intervention. In summary, our work reveals new potential bacterial genera and gut microbiota-derived metabolites characterizing the interaction between an insoluble dietary fiber -CG- and the gut microbiota

Prebiotic dietary fibre intervention improves fecal markers related to inflammation in obese patients: results from the Food4Gut randomized placebo-controlled trial.

Author: Bindels Laure B.
Bischoff Stephan C
Cani Patrice D.
Cnop Miriam
Delzenne Nathalie M.
Hiel Sophie
Laville Martine
Muccioli Giulio
Nazare Julie-Anne
Neyrinck Audrey M.
Paquot Nicolas
Robles Sanchez Candido
Rodriguez Julie
Roumain Martin
Seethaler Benjamin
Thissen Jean-Paul
Walter Jens
Zhang Zhengxiao
Publication venue: 'Springer Science and Business Media LLC'
Publication date: 01/01/2021
Field of study

PURPOSE: Inulin-type fructans (ITF) are prebiotic dietary fibre (DF) that may confer beneficial health effects, by interacting with the gut microbiota. We have tested the hypothesis that a dietary intervention promoting inulin intake versus placebo influences fecal microbial-derived metabolites and markers related to gut integrity and inflammation in obese patients. METHODS: Microbiota (16S rRNA sequencing), long- and short-chain fatty acids (LCFA, SCFA), bile acids, zonulin, and calprotectin were analyzed in fecal samples obtained from obese patients included in a randomized, placebo-controlled trial. Participants received either 16 g/d native inulin (prebiotic n = 12) versus maltodextrin (placebo n = 12), coupled to dietary advice to consume inulin-rich versus inulin-poor vegetables for 3 months, in addition to dietary caloric restriction. RESULTS: Both placebo and prebiotic interventions lowered energy and protein intake. A substantial increase in Bifidobacterium was detected after ITF treatment (q = 0.049) supporting our recent data obtained in a larger cohort. Interestingly, fecal calprotectin, a marker of gut inflammation, was reduced upon ITF treatment. Both prebiotic and placebo interventions increased the ratio of tauro-conjugated/free bile acids in feces. Prebiotic treatment did not significantly modify fecal SCFA content but it increased fecal rumenic acid, a conjugated linoleic acid (cis-9, trans-11 CLA) with immunomodulatory properties, that correlated notably to the expansion of Bifidobacterium (p = 0.031; r = 0.052). CONCLUSIONS: Our study demonstrates that ITF-prebiotic intake during 3 months decreases a fecal marker of intestinal inflammation in obese patients. Our data point to a potential contribution of microbial lipid-derived metabolites in gastro-intestinal dysfunction related to obesity. CLINICALTRIALS. GOV IDENTIFIER: NCT03852069 (February 22, 2019 retrospectively, registered). Neyrinck, Audrey M. & Rodriguez, Julie : Contributed equall

Open Repository and Bibliography - Liège

DIAL UCLouvain

Hal-Diderot

Preoperative nasopharyngeal swab testing and postoperative pulmonary complications in patients undergoing elective surgery during the SARS-CoV-2 pandemic.

Author: Aawsaj Y
Abad Gurumeta A
Abad-Motos A
Abate E
Abatini C
Abbadessa F
Abbas AM
Abbassi-Ghadi N
Abbott D
Abbott T
Abbott TEF
Abd Elazeem HAS
Abdalla M
Abdallah M
Abdelaal SA
Abdeldayem H
Abdelkarem MM
Abdelkarim M
Abdelmajeed A
Abdelrahman A
Abdelrahman S
Abdelsamed A
Abdou M
Abdulkareem A
Abdulwahed E
Abdur-Rahman L
Abel MK
Abellan M
Abosamak NE
Abou Chaar MK
Abou-Khalil J
Abouassi A
Aboulkassem H
Abreu da Silva A
Abu Za'nouneh FJ
Abu J
Abu-Nayla I
Abubakar A
Abukhalaf S
Acebes Garcia F
Achalandabaso Boira M
Acher A
Acrich E
Adamina M
Adamina M
Adamoli L
Addae-Boateng E
Ademuyiwa AO
Aderombi A
Adeyeye A
Adiamah A
Adishesh M
Agapov M
Agarwal A
Aggarwal A
Aghayeva A
Agilinko J
Agnes A
Agostini C
Agoston P
Agrawal A
Agresta F
Aguado H
Aguzzoli L
Ahad S
Ahmadi N
Ahmed NR
Ahmeidat A
Ahn JH
Aiken T
Aime A
Ajlan A
Akalin M
Akaydin E
Akeel N
Akgor U
Akhtar MA
Akilli H
Akin E
Akkour K
Akkulak M
Akmenkalne L
Al Abdallah M
Al Abdel S
Al Awwad S
Al Habes H
Al Maadany FS
Al Raddadi R
AL Sayed M
Al-Habib A
Al-Habsi R
Al-Ishaq Z
Al-Khayal K
Al-Masri M
Al-Mohammad A
Al-mukhtar A
Al-Najjar H
Al-omishy H
Al-Sarireh B
Al-Tamimi Y
Alaa S
AlAamer O
Aladeojebi A
Alakaloko F
Alam F
Alam N
Alam R
Alameer E
Alamri A
Alamri A
Alanbuki A
Alatar A
Alawneh F
Alazawi D
Albertsmeier M
Albertsmeiers M
Albi Martin B
Alburakan A
Alcaide Matas F
Alconchel F
Aldayri Z
Aldecoa Ansorregui I
Alderson D
Aldokali N
Aleksic L
Alemanno G
Alexoudi V
Alfaro-Goldaracena A
Alfieri S
Alga A
Alghamdi M
Alhalal H
Alhamed A
Alharthi M
Alharthi R
Alhassan B
Alhassan N
Alhefdhi A
Ali AK
Ali M
Ali MF
Ali S
Aliyeva Z
Aljanadi F
Aljiffry M
Alkadeeki GZ
Alkarak S
Allemand C
Allison J
Almalik O
Almasri M
Almeciga A
Almeida A
Almeida AC
Almeida JI
Almgla N
Almond M
Almond M
Alnumani T
Alobeed O
Alomair A
Alonso de la Fuente N
Alonso Poza A
Alonso-Lamberti L
Alotaibi N
Alqannas M
Alresaini F
Alriyees L
Alsaif A
Alsaif F
Alsalamah R
Alsaraireh O
Alselaim N
Alser O
Alshaar M
Alshahrani M
Alshammari S
Alshareea E
Alsharif F
Alshaygy I
Alshryda S
Alsobhi S
Althobaiti W
Altintoprak F
Alurralde C
Alvarez E
Alvarez MR
Alyami M
Alzamanan M
Amaral MJ
Ameerally P
Amira G
Amonkar S
Amorim E
Ampollini L
Amrani L
Anania G
Anastasi A
Anchuelo Latorre J
Andaleeb U
Andaya V
Andrade AK
Andrade R
Andrijasevic S
Aneke IA
Ang K
Angele M
Angelo M
Angelou D
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Annamalai S
Annessi V
Ansarin M
Anthoulakis C
Antic A
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Antonakis P
Antoniades K
Antonopoulou MI
Anula R
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Anzak A
Aoun S
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Aragon Achig EJ
Aremu I
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Arnaud AP
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Athayde Nemesio R
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Baietti AM
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Bambina F
Ban VS
Bandara GBK
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Banerjee A
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Baptista VH
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Chidambaram S
Chiesa-Estomba CM
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Chowdhury A
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Fernandez Pablos FJ
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Ferraz I
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Figueiredo de Barros I
Findlay L
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Wilkins A
Wilkins A
Williams G
Williams J
Williams K
Williams MA
Williams T
Williamson K
Wilson M
Wimberger P
Wimmer A
Winnand P
Winter D
Winter S
Winter SC
Wolfer S
Wong MPK
Wong S
Wong WJ
Woodham A
Woodun H
Worku D
Wright G
Wright N
Wullschleger M
Wustrack R
Xenaki S
Xu MJ
Xyda SE
Xynos E
Yahaya AS
Yanez C
Yang W
Yassin N
Yates DH
Ye G
Yesantharao P
Yesilyurt D
Yetkin G
Yiallourou A
Yildirim A
Yildiz A
Ying Y
Yip V
Yordanov S
Young R
Yousof EA
Youssef A
Youssef M
Yuksel E
Yunus MMF
Yurttas C
Zacharoulis D
Zafar SN
Zafar SN
Zakai D
Zakaria AD
Zakaria R
Zakaria Z
Zambelli MF
Zambon M
Zamora L
Zamvar V
Zani S
Zanotti S
Zanus G
Zapardiel I
Zarabini AG
Zatecky J
Zegarac M
Zelic M
Zeller N
Zengin AK
Zerbib P
Zervas K
Zese M
Zhang H
Zivanovic M
Zivkovic M
Zizzo M
Zografos C
Zonta S
Zorrilla Ortuzar J
Zourntou S
Zouzoulas D
Zubaidi A
Zullo A
Publication venue: Br J Surg
Publication date: 11/11/2020
Field of study

BACKGROUND: Surgical services are preparing to scale up in areas affected by COVID-19. This study aimed to evaluate the association between preoperative SARS-CoV-2 testing and postoperative pulmonary complications in patients undergoing elective cancer surgery. METHODS: This international cohort study included adult patients undergoing elective surgery for cancer in areas affected by SARS-CoV-2 up to 19 April 2020. Patients suspected of SARS-CoV-2 infection before operation were excluded. The primary outcome measure was postoperative pulmonary complications at 30 days after surgery. Preoperative testing strategies were adjusted for confounding using mixed-effects models. RESULTS: Of 8784 patients (432 hospitals, 53 countries), 2303 patients (26.2 per cent) underwent preoperative testing: 1458 (16.6 per cent) had a swab test, 521 (5.9 per cent) CT only, and 324 (3.7 per cent) swab and CT. Pulmonary complications occurred in 3.9 per cent, whereas SARS-CoV-2 infection was confirmed in 2.6 per cent. After risk adjustment, having at least one negative preoperative nasopharyngeal swab test (adjusted odds ratio 0.68, 95 per cent confidence interval 0.68 to 0.98; P = 0.040) was associated with a lower rate of pulmonary complications. Swab testing was beneficial before major surgery and in areas with a high 14-day SARS-CoV-2 case notification rate, but not before minor surgery or in low-risk areas. To prevent one pulmonary complication, the number needed to swab test before major or minor surgery was 18 and 48 respectively in high-risk areas, and 73 and 387 in low-risk areas. CONCLUSION: Preoperative nasopharyngeal swab testing was beneficial before major surgery and in high SARS-CoV-2 risk areas. There was no proven benefit of swab testing before minor surgery in low-risk areas

Ezid

Crossref

AIR Universita degli studi di Milano

UCL Discovery

eScholarship - University of California

Archivio istituzionale della ricerca - Alma Mater Studiorum Università di Bologna

IRIS UniversitÃ Politecnica delle Marche

Apollo (Cambridge)

Bern Open Repository and Information System (BORIS)

Queen Mary Research Online

White Rose Research Online

Archivio istituzionale della ricerca - Università di Palermo

Delayed colorectal cancer care during covid-19 pandemic (decor-19). Global perspective from an international survey

Author: Abary Ryan Rainiel A
Abdelwahab Khaled M Egypt
Abellán Antonio M Spain
Abraham Ned Australia
Achkasov Sergey I Russia
Adamina Michel Switzerland
Adamo Vincenzo Italy
Agapov Mikhail Russia
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Ahmed Jamil UK
Aiello Domenico Italy
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Alapati Kishore India
Alasari Sami Saudi Arabia
Albastaki Sara UAE
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Alconchel Felipe Spain
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Alex Ochsner Switzerland
Alexander Herold Germany
Alfaro Samuel El Salvador
Ali Jehangir F Pakistan
Aliyazicioglu Tolga Turkey
Almgla Naser South Africa
Alonsopoza Alfredo Spain
Alselaim Nahar A Saudi Arabia
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Althebaity Rasha Saudi Arabia
Altinel Yuksel Turkey
Altiparmak Basak Turkey
Altomare Donato F Italy
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Alvarez-Gallego Mario Spain
Alyami Mohammad Saudi Arabia
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Shanker Bethann USA
Shanmugam Venkatesh UK
Shariff Umar UK
Shehta Ahmed Egypt
Shelton Andrew USA
Shintaro Akamoto Japan
Shlyk Daria Russia
Shukla Amit UK
Sibio Simone Italy
Sietze Koopal Netherlands
Sigurdardottir Johanna Sweden
Silva Anaisa Portugal
Silva Jorge Mexico
Simianu Val USA
Singh Baljit UK
Siragusa Leandro Italy
Sirikurnpiboon Siripong Thailand
Sivrikoz Emre Turkey
Sizonenko Nikolay Russia
Slavchev Mihail T Bulgaria
Sniuolis Pranas Lithuania
Soares Duarte Qatar
Sojar Valentin Slovenia
Sokmen Selman Turkey
Sokol Thomas USA
Soldatov Denis Russia
Soncini Stefania Italy
Sordo Ricardo Mexico
Sosa María V Spain
Sousa Xavier Portugal
Sozutek Alper Turkey
Spiezio Giovanni Italy
Spinelli Antonino Italy
Stahl Etienne Mexico
Stanojevic Goran Z Serbia
Steckel Brian USA
Stefan Neagu Romania
Stefanescu Victor Romania
Steinhagen Randolph USA
Stella Marco Italy
Stephensen Bree D Australia
Stevenson Andrew RL Australia
Stitzenberg Karyn USA
Strombom Paul USA
Sturiale Alessandro Italy
Suhail Anjum Pakistan
Sungurtekin Ugur Turkey
Sutton Jeffrey M USA
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Sweden
Szczepkowski Marek Poland
Sztipits Tamas Hungary
Sá Milene RRM Portugal
Takashi Akiyoshi Japan
Takkenberg Marijn Netherlands
Tallon-Aguilar Luis Spain
Tam Michael USA
Tamburini Andrea M Italy
Tamini Nicolò Italy
Tammaro Pasquale Italy
Tan Kerkan Singapore
Tan Teerasan Thailand
Tanal Mert Turkey
Tanda Cinzia Italy
Tang Jinghua China
Tapiolas Ingrid UK
Tariverdiev Andrey Russia
Tayar Serkan Turkey
Tejedor Patricia Spain
Terrosu Giovanni Italy
Testa Alessandro Italy
Tewari Shirish UK
Thabet Waleed Egypt
Thakur Sukesh India
Thomas Ehmann Germany
Thomas Kuruc Germany
Tiesi Vincenzo Italy
Tin Moemoetin Myanmar
Tita Agustin C Argentina
Titu Liviu V UK
Tkachenko Fedot Ukraine
Tonello Paolo Italy
Tooley Richard USA
Torres Juan Spain
Troci Albert Italy
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Trostchansky Ivan Uruguay
Tsang Charles
Tsujinaka Shingo Japan
Tufo Andrea Italy
Tulina Inna Russia
Turati Luca Italy
Turchina Catalin Sweden
Turina Matthias Switzerland
Tutino Roberta Italy
Tyler Km USA
Täreby Magnus Sweden
Uemura Mamoru Japan
UK
Unal Ayse G Turkey
Uraiqat Ahmad Jordan
Uribe Sebastián Chile
USA
USA
USA
V Duke USA
Vailati Bruna Brazil
Vaingurt Mariano Argentina
Valente Michael USA
Van Dellen Jonathan UK
Van Ramshorst Gabrielle H Belgium
Vannelli Alberto Italy
Vanriel W Belgium
Varabei Aliaksandr Belarus
Varcada Massimo UK
Varela Cristopher L Venezuela
Varma Madhulika G USA
Vasapollo Leoluca F Italy
Venn Mary L UK
Vercillo Kristin USA
Vergara-Fernandez Omar Mexico
Veronesi Paolo Italy
Vicente Aline Brazil
Victor Tomulescu Romania
Vieiradesousa Paulo Portugal
Vignali Andrea Italy
Vigorita Vincenzo Spain
Vilchis Jose Mexico
Villaverde Kathia Peru
Vindevoghel Koen Belgium
Violante Tommaso Italy
Vitoopinyoparb Kasidin Thailand
Voutsarakis Athanasios UK
Voutsarakis Athanasios UK
Wainstein Ricardo Argentina
Wakefield Simon UK
Wallon Conny Sweden
Wang Xiaodong China
Wang Xiaofeng China
Wang Yongbing China
Warden Claire South Africa
Wei Rockson China
Wexner Steven D
Wheeler Matthew USA
Willem Bemelman Netherlands
Wilson Matthew USA
Winter Des C Ireland
Wongwiwatseree Yongsun Thailand
Woon Kyung Jeong South Korea
Wright Danette B Australia
Wu Jiong China
Wuraola Funmilola O Nigeria
Xenaki Sofia A Greece
Xiaohua Jiang China
Xiaoqiang Jia China
Xue Yahong China
Xynos Evangelos Greece
Yamada Kazunosuke Japan
Yanar Hakan Turkey
Yang Bolin China
Yanishev Alexey Russia
Yildirim Ali C Turkey
Yildiz Alp Turkey
Yildiz Ufukmete Turkey
Yilmaz Mehmet Turkey
Younis Muhammad Umar MUY UAE
Yousef Zeyad Saudi Arabia
Yu Dongsheng China
Zalucki James USA
Zaman Ahamaduz Bangladesh
Zamora Aída T Spain
Zampitis Nikolaos Cyprus
Zanus Giacomo Italy
Zapata Gonzalo H Argentina
Zelic Marko Croatia
Zenger Serkan Turkey
Zheng Jianyong China
Zigiotto Daniele Italy
Zmora Oded Israel
Zoikas Athanasios Greece
Zorcolo Luigi Italy
Zucchella Martino Italy
Zuhdy Mohammad
Publication venue: 'Elsevier BV'
Publication date: 01/01/2021
Field of study

Background The widespread nature of coronavirus disease 2019 (COVID-19) has been unprecedented. We sought to analyze its global impact with a survey on colorectal cancer (CRC) care during the pandemic. Methods The impact of COVID-19 on preoperative assessment, elective surgery, and postoperative management of CRC patients was explored by a 35-item survey, which was distributed worldwide to members of surgical societies with an interest in CRC care. Respondents were divided into two comparator groups: 1) ‘delay’ group: CRC care affected by the pandemic; 2) ‘no delay’ group: unaltered CRC practice. Results A total of 1,051 respondents from 84 countries completed the survey. No substantial differences in demographics were found between the ‘delay’ (745, 70.9%) and ‘no delay’ (306, 29.1%) groups. Suspension of multidisciplinary team meetings, staff members quarantined or relocated to COVID-19 units, units fully dedicated to COVID-19 care, personal protective equipment not readily available were factors significantly associated to delays in endoscopy, radiology, surgery, histopathology and prolonged chemoradiation therapy-to-surgery intervals. In the ‘delay’ group, 48.9% of respondents reported a change in the initial surgical plan and 26.3% reported a shift from elective to urgent operations. Recovery of CRC care was associated with the status of the outbreak. Practicing in COVID-free units, no change in operative slots and staff members not relocated to COVID-19 units were statistically associated with unaltered CRC care in the ‘no delay’ group, while the geographical distribution was not. Conclusions Global changes in diagnostic and therapeutic CRC practices were evident. Changes were associated with differences in health-care delivery systems, hospital’s preparedness, resources availability, and local COVID-19 prevalence rather than geographical factors. Strategic planning is required to optimize CRC care

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