11 research outputs found
Satellite and Ground Remote Sensing Techniques to Trace the Hidden Growth of a Lava Flow Field: The 2014-15 Effusive Eruption at Fogo Volcano (Cape Verde)
- Author
- Publication venue
- 'MDPI AG'
- Publication date
- 12/07/2018
- Field of study
Fogo volcano erupted in 2014–2015 producing an extensive lava flow field in the summit caldera that destroyed two villages, Portela and Bangaeira. The eruption started with powerful explosive activity, lava fountains, and a substantial ash column accompanying the opening of an eruptive fissure. Lava flows spreading from the base of the eruptive fissure produced three arterial lava flows. By a week after the start of the eruption, a master lava tube had already developed within the eruptive fissure and along the arterial flow. In this paper, we analyze the emplacement processes based on observations carried out directly on the lava flow field, remote sensing measurements carried out with a thermal camera, SO2 fluxes, and satellite images, to unravel the key factors leading to the development of lava tubes. These were responsible for the rapid expansion of lava for the ~7.9 km length of the flow field, as well as the destruction of the Portela and Bangaeira villages. The key factors leading to the development of tubes were the low topography and the steady magma supply rate along the arterial lava flow. Comparing time-averaged discharge rates (TADR) obtained from satellite and Supply Rate (SR) derived from SO2 flux data, we estimate the amount and timing of the lava flow field endogenous growth, with the aim of developing a tool that could be used for hazard assessment and risk mitigation at this and other volcanoes.This research received no external funding.Published11156V. Pericolosità vulcanica e contributi alla stima del rischioJCR Journa
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Volcanic ash as a resource for future research on Earth and the Moon
- Author
- Publication venue
- Blackwell Publishing Ltd
- Publication date
- 01/07/2023
- Field of study
When a volcano erupts, it is often associated with destruction, particularly damage to infrastructure and loss of life. But these natural events also offer unexpected research opportunities, leading to serendipitous discoveries. This was the case for the volcanic events that made the headlines during 19 September to 25 December 2021, on the Canarian Island of La Palma. Rather than viewing the voluminous ash that erupted as a waste material needing to be removed as soon as possible, we saw the many possibilities that this remarkable material could offer science and engineering. Sustainability is a word that is commonly used in connection with geology these days. Here we present some possibilities of how the La Palma ash can be re‐purposed for use on this planet but also help us to develop new ideas for the future living on the Moon
Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study
- Author
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- '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
Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.
- Author
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- 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
Tephra sedimentation and grainsize associated with pulsatory activity: the 2021 Tajogaite eruption of Cumbre Vieja (La Palma, Canary Islands, Spain)
- Author
- Biasse Sébastien
- Bonadonna Costanza
- Di Maio Luigia Sara
- Dominguez Lucia
- Freret-Lorgeril Valentin
- Fries Allan Alexis
- Gabellini Pietro
- Lemus Jonathan
- Martin-Lorenzo Alba
- Pastore Camille Naomi
- Perez Nemesio M.
- Pistolesi Marco
- Reyes Hardy Maria-Paz
- Rodriguez Fatima
- Romero Jorge E.
- Rossi Eduardo
- Voloschina Marija
- Zanon Vittorio
- Publication venue
- Publication date
- 01/01/2023
- Field of study
Long-lasting eruptions are of complex characterization and are typically associated with challenging risk assessment and crisis management due to the usual occurrence of multiple interacting hazards evolving at different temporal and spatial scales (e.g., lava, tephra, and gas). The 2021 Tajogaite eruption of Cumbre Vieja (La Palma) demonstrated how even hybrid events that are mostly effusive can be associated with widespread and impacting tephra deposits as a result of a complex interplay among gas flux, conduit geometry, and magma feeding rate. In this novel study, direct observations, syn-eruptive and post-eruptive sampling, and statistical analysis of pulsatory activity have been combined to provide new insights into eruption dynamics. They show how rapid gas segregation and high magma ascent rate modulated the gas flux at multiple vents, resulting in short-time fluctuations among the different explosive styles (ash-poor gas puffing, Strombolian, violent Strombolian, and lava fountaining) and unsteady tephra ground accumulation. Various size-selective sedimentation processes were also observed, including particle aggregation and ash fingers, which have impacted the overall tephra dispersal. In fact, even though both local and total grainsize distributions of selected layers, units, and of the whole tephra blanket are unimodal with a low fine-ash content, grainsize analysis of 154 samples suggests no correlation of particles &lt;63 μm with distance from vents. Our analyses demonstrate the need to include a detailed characterization of all products of hybrid eruptions for a comprehensive interpretation of eruptive dynamics and to use multiple classification strategies that can capture eruptive styles at different temporal scales.</p
Defining the twig fungal communities of Fraxinus species and Fraxinus excelsior genotypes with differences in susceptibility to ash dieback
- Author
- Adame-Alvarez
- Adiphol Dilokpimol
- Albrectsen
- Altschul
- Arnold
- Bates
- Bokulich
- Bonferroni
- CABI
- Caporaso
- Chatchai Kosawang
- Christian
- Cleary
- Coleman-Derr
- Cross
- David B. Collinge
- Drenkhan
- Dvorak
- Edgar
- Ek-Ramos
- Erik Dahl Kjær
- Ferraz
- Fones
- Ganley
- Gomes
- Gonzalez-Teuber
- Hauptman
- Helle Sørensen
- Hietala
- Hinsinger
- Husson
- Jumpponen
- Kosawang
- Kowalski
- Kowalski
- Kowalski
- Kowalski
- Kõljalg
- Lamit
- Lea Vig McKinney
- Lene Rostgaard Nielsen
- Lobo
- Martin
- Materatski
- McKinney
- Mishra
- Nemesio-Gorriz
- Nielsen
- Oksanen
- Perez-Izquierdo
- Qin
- R Core Team
- Raghavendra
- Rodriguez
- Saikkonen
- Saucedo-Garcia
- Schlegel
- Schlegel
- Scholtysik
- Schumacher
- Sun
- Wang
- Warton
- Zimmerman
- Publication venue
- 'Elsevier BV'
- Publication date
- Field of study
Outpatient Parenteral Antibiotic Treatment for Infective Endocarditis: A Prospective Cohort Study From the GAMES Cohort
- Author
- Abad N. F.
- Acebal J. G.
- Adan I.
- Adell M. M.
- Alcolea E. C.
- Almazan A. J.
- Almela M.
- Alonso A.
- Alonso L. J.
- Alonso M. D.
- Alvarez García Nemesio
- Alvarez M.
- Alvarez V. A.
- Ambrosioni J.
- Antorrena I.
- Araji O.
- Aramburu J.
- Arana J. C. G.
- Arguero V. L.
- Arnaiz A.
- Asenjo M. A.
- Asensio M. T.
- Azcarate P.
- Azqueta M.
- Bailon I. R.
- Bajo P. M.
- Balbin J. A.
- Ballesta A. P.
- Barquero J. M.
- Baston V. R.
- Belaustegui M. C.
- Bellido C. M.
- Bermejo J.
- Blanco J. R.
- Blanco M. A. R.
- Blanco R.
- Blasco A. C.
- Blazquez A.
- Boado M. V.
- Bodro M.
- Bonet L. V.
- Bordes E. R. D.
- Bouza E.
- Bravo-Ferrer Acosta José María
- Brunet M.
- Caballero G. C.
- Cabrera V. S.
- Calvo F. E.
- Caro J. A. G.
- Carrasco R.
- Carrizo E.
- Cartana R.
- Castelo Corral Laura María
- Castillo C. A.
- Castro B.
- Celemin D.
- Centella T.
- Ciezar A. P.
- Climent V.
- Costas C.
- Crespo A.
- Cruz A. F.
- Cuenca Castillo Jose Joaquin
- Cuende A. M.
- de Alarcon A.
- de Benito N.
- de Cueto M.
- de la Hera J.
- de la Maria C. G.
- de Zarate Z. O.
- del Rio A.
- Delia M. A.
- Diez J. G.
- Dominguez F.
- Dominguez G. G.
- Duran M. D.
- Echeverria T.
- Escobar E. M.
- Espin M. J. D.
- Esteban A. R.
- Falces C.
- Farinas M. C.
- Farinas-Alvarez C.
- Fernandez A. L.
- Fita G.
- Fraile L. I.
- Freire A. O.
- Fuerte A.
- Fuster D.
- Galvez E. H.
- Gaminde E.
- Garaizabal E. E.
- Garcia D. V.
- Garcia E.
- Garcia I.
- Garcia R. R.
- Garcia-Alvarez L.
- Garcia-Leoni M. E.
- Garcia-Valls L.
- Gelabert A. V.
- Georgieva R. I.
- Goenaga M. A.
- Goikoetxea J.
- Gomez M. A. M.
- Gonzalez J.
- Gonzalez M. V.
- Gonzalez-Ramallo V.
- Guallar C. A.
- Gurgui M.
- Gutierrez J. M. A.
- Gutierrez-Cuadra M.
- Haro J. L.
- Hermida J. M.
- Hernandez M. K.
- Hernandez-Meneses M.
- Hidalgo-Tenorio C.
- Hualde A. M.
- Idigoras P.
- Iglesias J. M. R.
- Iqbal-Mirza S. Z.
- Iribarren J. A.
- Iruretagoyena J. R.
- Izquierdo R. G.
- Jambrina R. C.
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- Zuazabal J. I.
- Publication venue
- Publication date
- 01/01/2019
- Field of study
BACKGROUND: Outpatient parenteral antibiotic treatment (OPAT) has proven efficacious for treating infective endocarditis (IE). However, the 2001 Infectious Diseases Society of America (IDSA) criteria for OPAT in IE are very restrictive. We aimed to compare the outcomes of OPAT with those of hospital-based antibiotic treatment (HBAT). METHODS: Retrospective analysis of data from a multicenter, prospective cohort study of 2000 consecutive IE patients in 25 Spanish hospitals (2008-2012) was performed. RESULTS: A total of 429 patients (21.5%) received OPAT, and only 21.7% fulfilled IDSA criteria. Males accounted for 70.5%, median age was 68 years (interquartile range [IQR], 56-76), and 57% had native-valve IE. The most frequent causal microorganisms were viridans group streptococci (18.6%), Staphylococcus aureus (15.6%), and coagulase-negative staphylococci (14.5%). Median length of antibiotic treatment was 42 days (IQR, 32-54), and 44% of patients underwent cardiac surgery. One-year mortality was 8% (42% for HBAT; P < .001), 1.4% of patients relapsed, and 10.9% were readmitted during the first 3 months after discharge (no significant differences compared with HBAT). Charlson score (odds ratio [OR], 1.21; 95% confidence interval [CI], 1.04-1.42; P = .01) and cardiac surgery (OR, 0.24; 95% CI, .09-.63; P = .04) were associated with 1-year mortality, whereas aortic valve involvement (OR, 0.47; 95% CI, .22-.98; P = .007) was the only predictor of 1-year readmission. Failing to fulfill IDSA criteria was not a risk factor for mortality or readmission. CONCLUSIONS: OPAT provided excellent results despite the use of broader criteria than those recommended by IDSA. OPAT criteria should therefore be expanded
Outcomes after perioperative SARS-CoV-2 infection in patients with proximal femoral fractures: an international cohort study
- Author
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- Publication venue
- 'BMJ'
- Publication date
- 01/01/2021
- Field of study
Objectives Studies have demonstrated high rates of mortality in people with proximal femoral fracture and SARS-CoV-2, but there is limited published data on the factors that influence mortality for clinicians to make informed treatment decisions. This study aims to report the 30-day mortality associated with perioperative infection of patients undergoing surgery for proximal femoral fractures and to examine the factors that influence mortality in a multivariate analysis. Setting Prospective, international, multicentre, observational cohort study. Participants Patients undergoing any operation for a proximal femoral fracture from 1 February to 30 April 2020 and with perioperative SARS-CoV-2 infection (either 7 days prior or 30-day postoperative). Primary outcome 30-day mortality. Multivariate modelling was performed to identify factors associated with 30-day mortality. Results This study reports included 1063 patients from 174 hospitals in 19 countries. Overall 30-day mortality was 29.4% (313/1063). In an adjusted model, 30-day mortality was associated with male gender (OR 2.29, 95% CI 1.68 to 3.13, p80 years (OR 1.60, 95% CI 1.1 to 2.31, p=0.013), preoperative diagnosis of dementia (OR 1.57, 95% CI 1.15 to 2.16, p=0.005), kidney disease (OR 1.73, 95% CI 1.18 to 2.55, p=0.005) and congestive heart failure (OR 1.62, 95% CI 1.06 to 2.48, p=0.025). Mortality at 30 days was lower in patients with a preoperative diagnosis of SARS-CoV-2 (OR 0.6, 95% CI 0.6 (0.42 to 0.85), p=0.004). There was no difference in mortality in patients with an increase to delay in surgery (p=0.220) or type of anaesthetic given (p=0.787). Conclusions Patients undergoing surgery for a proximal femoral fracture with a perioperative infection of SARS-CoV-2 have a high rate of mortality. This study would support the need for providing these patients with individualised medical and anaesthetic care, including medical optimisation before theatre. Careful preoperative counselling is needed for those with a proximal femoral fracture and SARS-CoV-2, especially those in the highest risk groups. Trial registration number NCT0432364
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
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- Abbott D
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- Abd Elazeem HAS
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- Abdeldayem H
- Abdelkarem MM
- Abdelkarim M
- Abdelmajeed A
- Abdelrahman A
- Abdelrahman S
- Abdelsamed A
- Abdou M
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- Yunus MMF
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- Zafar SN
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- Zambon M
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- 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
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
- Agarwal Amit USA
- Aguado López Héctor Spain
- Aguilar Werner Chile
- AguilarMartínez María Del Mar AM Spain
- Aguilera Asuncion Spain
- Ahmed Jamil UK
- Aiello Domenico Italy
- Akagi Tomonori Japan
- Akcakaya Adem Turkey
- Akhtar Khalid I Pakistan
- Akiba Ricardo Brazil
- Akrami Majid Iran
- Akyol Cihangir Turkey
- Al-Radjid Jamiri Philippines
- Alaamer Ohood H Saudi Arabia
- Alapati Kishore India
- Alasari Sami Saudi Arabia
- Albastaki Sara UAE
- Albergaria Diogo Portugal
- Alconchel Felipe Spain
- Alerta-Torre Andrea J Philippines
- 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
- Altaf Kiran K UK
- Althebaity Rasha Saudi Arabia
- Altinel Yuksel Turkey
- Altiparmak Basak Turkey
- Altomare Donato F Italy
- Alvandipour Mina Iran
- Alvarez-Gallego Mario Spain
- Alyami Mohammad Saudi Arabia
- Amado Sandra Portugal
- Amato Antonio Italy
- Amodio Pietro M Italy
- Ana-Maria Mușină Romania
- Andrade Luis Chile
- Andreas Kohler Switzerland
- Angelini Giulio Italy
- Angenete Eva Sweden
- Annicchiarico Alfredo Italy
- Antelo Galarza Renan Bolivia
- Anwer Mariyah Pakistan
- Aparício David J Portugal
- Arciniega Jose A Mexico
- Arenas Mara Belgium
- Arezzo Alberto Italy
- Argenio Giulio Italy
- Arnaud Alves AA France
- Arredondo Jorge Spain
- Arslan Baha Turkey
- Arya Shobhit UK
- Aselmann Heiko Germany
- Aumann Georg Germany
- Avanzolini Andrea Italy
- Avendano Rodolfo Chile
- Awedew Atalel F Ethiopia
- Ayantunde Abraham UK
- Aycan Ilker Turkey
- Aytac Erman Turkey
- Azevedo Constança TM Portugal
- Ba Am Iraq
- Bader Fg Germany
- Baehrle Markus Germany
- Bagaglini Giulia Italy
- Balaban Vladimir Russia
- Balciscueta Izaskun Spain
- Balciscueta Zutoia Spain
- Baldazzi Gianandrea Italy
- Balik Emre Turkey
- Bandolon Robert Philippines
- Barberis Andrea Italy
- Barisic Goran I Serbia
- Barrera Alejandro Chile
- Barros Inês MSF Portugal
- Basaran Betul Turkey
- Basilio Pedro C Brazil
- Bech Flemming Denmark
- Behboo Roubik Iran
- Behboudi Behnam Iran
- Beitia Ivan E Panama
- Bellato Vittoria Italy
- Bellolio Felipe Chile
- Benli Sami Turkey
- Bernal Jc Spain
- Bernante Paolo Italy
- Berrospi Francisco E Peru
- Bertelson Noelle USA
- Bevan Katharine UK
- Bhama Anuradha USA
- Bianco Francesco Italy
- Bievel Radulescu Raluca Romania
- Bintraiki Thamer Saudi Arabia
- Bisgin Tayfun Turkey
- Bislenghi Gabriele Belgium
- Blaslaina Juanluis Spain
- Bloom Itm UK
- Boehm Gabriele Germany
- Bogoni Selene Italy
- Bohlooli Mehrdad Iran
- Bondurri Andrea Italy
- Boni Luigi Italy
- Bonomi Alessandro Michele Italy
- Booning Nitikun Thailand
- Boonpipattanapong Teeranut Thailand
- Bordeianou Liliana USA
- Bossard Kerrie USA
- Botelho Maria Portugal
- Boto Carlos Portugal
- Bottini Corrado Italy
- Bouchagier Konstantinos Greece
- Boutall Adam South Africa
- Bowers Dan USA
- Bozbiyik Osman Turkey
- Brambilla Eduardo Brazil
- Brisinda Giuseppe Italy
- Brizzi Maria Pia Italy
- Brizzolari Marco Italy
- Brusciano Luigi Italy
- Bucci Luigi Italy
- Buchwald Pam Sweden
- Bugra Dursun Turkey
- Bui Andrew Australia
- Buldanlı Mehmet Zeki Turkey
- Bulut Orhan Denmark
- Cagigas Fernandez Carmen Spain
- Cai Yuankun China
- Calcerrada Alises Enrique Spain
- Caldes Pedro Portugal
- Calussi Marco Italy
- Calvo Espino Pablo Spain
- Campanelli Michela Italy
- Campbell Ken UK
- Campennì Paola Italy
- Canda Arasemre Turkey
- Capolupo Gabriella T Italy
- Caravana Jorge Portugal
- Carballo Federico HE Argentina
- Carbone Fabio Italy
- Carcamo Leonardo C Chile
- Cardoso Paulo Portugal
- Cariati Maria Italy
- Caricato Marco Italy
- Carmona Maria Spain
- Carpelan Holmstrom Monika Finland
- Carrino Francesco Italy
- Carrié Augusto J Argentina
- Cartucho Daniel DF Portugal
- Carvalho Marcia Portugal
- Carvas João M Portugal
- Casagranda Biagio Italy
- Casimiro Carlos Portugal
- Castro Anyely Dominican Republic
- Catiwala-An Michael T Philippines
- Caushaj Philip F USA
- Cavallo Debora Italy
- Cedermas Mariela Argentina
- Celayir Fevzi Turkey
- Celentano Valerio UK
- Cengiz Fevzi Turkey
- Chaisomboon Nopdanai Thailand
- Chenghua Luo China
- Cherepenin Mikhail Russia
- Chessa Antonella Italy
- Chierici Andrea France
- Chile
- Chok Aikyong Singapore
- Chouliaras Christos Greece
- Chowchankit Irin Thailand
- Christou Niki France
- Chun Hokyung South Korea
- Cillara Nicola Italy
- Cinza Margarida Portugal
- Cione Gianpiero Italy
- Cipe Gokhan Turkey
- Ciprian Duta Romania
- Cirocco William USA
- Citgez Bulent Turkey
- Clark Jill E USA
- Clementi Ilaria IC Italy
- Clerc Daniel Switzerland
- Clermonts Journal Pre-proof 39 Stefan HEM Netherlands
- Cobellis Luigi Italy
- Colak Tahsin Turkey
- Colao Garcia Laura Spain
- Colombo Francesco Italy
- Comba Andrea Italy
- Coret Franco Alba CFA Spain
- Correa Bonito Alba Spain
- Cosman Bard USA
- Costa Marta RP Portugal
- Costa Pereira Joaquim Portugal
- Costa Susana GS Portugal
- Cravero Francesca Italy
- Creavin Ben Ireland
- Cross Katie LR UK
- Cruz Arturo Spain
- Cui Junhui China
- Cunha Miguel F Portugal
- Curado Antonio Portugal
- Cózar Lozano Coral Spain
- D'Ugo Stefano Italy
- Dajti Irida Albania
- Dal Monte Giorgio Italy
- Dalessandro Antonio France
- Danelli Piergiorgio Italy
- Daniels Ian R UK
- Dar Asif M India
- Davies Richard J UK
- De Andrés Beatriz Spain
- De Angelis Marsilio Italy
- De Falco Nadia Italy
- De Luca Maurizio Italy
- De Luca Raffaele Italy
- De Marano Gaetano Italy
- De Nardi Paola Italy
- De Rosa Michele Italy
- De Santis Mariangela France
- De Silva Kaluthanthiri Patabanadi VR Sri Lanka
- De Simone Veronica Italy
- De Wilt Johannes HW Netherlands
- De-León-Rendón Jorge Luis Mexico
- Dean Phillip USA
- Deangelis Nicola France
- Dedemadi Georgia Greece
- Del Rio Paolo Italy
- Delgadillo Edgar Switzerland
- Delgadillo Xavier Switzerland
- Delibegovic Samir Bosnia and Herzegovina
- Delis S Greece
- Della Porta Massimiliano Italy
- Demey Karel Belgium
- Demirli Atıcı Semra Turkey
- Denoya Paula I USA
- Derebey Murat Turkey
- Devezas Vítor BS Portugal
- Dhaif Ali Bahrain
- Di Candido Francesca Italy
- Di Tanna Gian Luca
- Diaconescu Bogdan Romania
- Die Javier Spain
- Dieguez Beatriz Spain
- Dieter Hahnloser Switzerland
- Diez Alonso Manuel Spain
- Dimaren Ishmael Philippines
- Disimone Massimo Italy
- Doerner Johannes Germany
- Domingos Hugo VG Portugal
- Dominguez Rubén RD Paraguay
- Dorenbusch Michael USA
- Doulias Triantafyllos A UK
- Duff Sarah UK
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- 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