The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

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

Overview on the performance of Brazilian broilers (1990 to 2009)

This article describes the genetic evolution of commercial broilers between 1990 and 2009, considering live performance, in particular, in terms of weight gain and feed conversion ratio. In order to determine if the assumption that the relationship between body weight gain and feed conversion ratio is increasing and positive, information on all broiler strains reared in Brazil were collected from several companies present in five Brazilian regions. This survey aimed at evaluating broiler live performance as a function of genetic improvement with time. Broiler performance improved, as shown by the statistical differences obtained for the following parameters: livability, live weight, daily weight gain, feed conversion ratio, and production efficiency index between 1990 and 2009. However, live weight gain and feed conversion ratio are emphasized due to the significant differences found along the studied period

Overview on the performance of Brazilian broilers (1990 to 2009)

This article describes the genetic evolution of commercial broilers between 1990 and 2009, considering live performance, in particular, in terms of weight gain and feed conversion ratio. In order to determine if the assumption that the relationship between body weight gain and feed conversion ratio is increasing and positive, information on all broiler strains reared in Brazil were collected from several companies present in five Brazilian regions. This survey aimed at evaluating broiler live performance as a function of genetic improvement with time. Broiler performance improved, as shown by the statistical differences obtained for the following parameters: livability, live weight, daily weight gain, feed conversion ratio, and production efficiency index between 1990 and 2009. However, live weight gain and feed conversion ratio are emphasized due to the significant differences found along the studied period

Effect of dietary organic selenium and zinc on the internal egg quality of quail eggs for different periods and under different temperatures

The objective of this study was to evaluate the internal quality of eggs of Japanese quails fed diets supplemented with chelated selenium and zinc. The experiment was carried out for 120 days, and 144 birds were divided in random blocks into four treatments (control; 0.3 ppm Se; 60 ppm Zn and 0.3 ppm Se + 60 ppm Zn). Ten, 14, 18, and 22 weeks after the beginning of lay, eggs were collected and stored under two different temperatures (environmental temperature or refrigeration) and for 10, 20, and 30 days. Eggs were analyzed for: Haugh units (HU), albumen height (AH), yolk index (YI), and albumen index (AI). Parameters were only statistically influenced by the interaction between dietary treatment and storage time. It was concluded that the addition of organic Se and Zn influenced internal egg quality when eggs were stored up to 20 days, independently of storage temperature, suggesting that the combined supplementation of organic Se and Zn improve internal egg quality and extend egg shelf life