Diagnòstic de l'acció exterior de l'Ajuntament de Barcelona

Sol·licitant de l'informe: Direcció de Serveis de Justícia Global i Cooperació Internaciona

Estratègia d'Acció Exterior de l'Ajuntament de Barcelona

Sol·licitant de document: Direcció de Serveis de Justícia Global i Cooperació Internaciona

Cities in the EU recovery process : Localizing the Next Generation EU

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Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

Repensar las ciudades globales desde el municipalismo internacional y el derecho a la ciudad

Vivimos en la era de las ciudades: más de la mitad de la población mundial vive en zonas urbanas y las predicciones apuntan que esta tendencia se incrementará en las próximas décadas. Vivimos también en la era de la globalización: el mundo de hoy está inevitablemente interconectado y sujeto a interdependencias que obligan a pensar y actuar fuera de los marcos teóricos y políticos convencionales. La urbanización del planeta se está produciendo a una velocidad sin precedentes. Si bien hace solo 70 años la población urbana mundial estaba en torno el 20%, actualmente más de la mitad de la población mundial se concentra en ciudades y regiones metropolitanas. Y las previsiones apuntan a que esta tendencia aumentará hasta llegar a dos tercios de los habitantes del globo en 2050

Cities and international law: legally invisible or rising soft-power actors?

Traditional state-centric international law does not recognise local government as “subjects” of international law. But this is merely one understanding of international law, which is in itself not static. A pluralist, multistakeholder understanding recognises the increased engagement of local governments with international law and governance in the last decades. Meanwhile, even traditional international law has the tools to recognise – albeit very slowly – new actors that emerge in the field and declare them to enjoy legal personality. Legal personality is then determined by the assessment of the de facto engagement of the new actor in the international legal system. This means that local governments, deliberately or not, have been taking just the right steps by accumulating experience and demonstrating fluency and competence in implementing, negotiating and contesting international law; and accustoming other, more traditional actors of the international community to their presence in the field

Cities and international law: legally invisible or rising soft-power actors?

Traditional state-centric international law does not recognise local government as “subjects” of international law. But this is merely one understanding of international law, which is in itself not static. A pluralist, multistakeholder understanding recognises the increased engagement of local governments with international law and governance in the last decades. Meanwhile, even traditional international law has the tools to recognise – albeit very slowly – new actors that emerge in the field and declare them to enjoy legal personality. Legal personality is then determined by the assessment of the de facto engagement of the new actor in the international legal system. This means that local governments, deliberately or not, have been taking just the right steps by accumulating experience and demonstrating fluency and competence in implementing, negotiating and contesting international law; and accustoming other, more traditional actors of the international community to their presence in the field

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

AimThe 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.MethodsThis 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.ResultsOverall, 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 ConclusionOne 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