{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T02:27:25Z","timestamp":1740104845237,"version":"3.37.3"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T00:00:00Z","timestamp":1709078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Methods<\/jats:title><jats:p>This retrospective observational study analyzes how the COVID\u201019 pandemic affected surgical oncology healthcare in a large sample from Piedmont, Northern Italy. Patients admitted for regular hospitalization were included (<jats:italic>n\u2009<\/jats:italic>=\u200999\u2009651). Data from 2020 were compared to the averages from 2016 to 2019, stratified by tumor site, year, month, and admission method, using interrupted time series analysis post\u2010March 2020.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In 2020, oncological surgeries decreased by 12.3% (<jats:italic>n\u2009<\/jats:italic>=\u200917\u2009923) compared to the 2016\u20132019 average (<jats:italic>n<\/jats:italic>\u2009=\u200920\u2009432), notably dropping post\u2010March (incidence rate ratio\u2009=\u20090.858;<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). The greatest reduction was observed for breast (\u221219.2%), colon (\u221218.2%), bladder (\u221217.5%), kidney (\u221214.2%), and prostate (\u221214%) surgeries. There was a huge reduction in nonemergency admissions (\u221213.6%), especially for colon (\u221223.8%), breast (\u221219.4%), and bladder (\u221218.7%). The proportion of hospitalizations with emergency access increased (<jats:italic>p\u2009<\/jats:italic>&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The COVID\u201019 pandemic led to a significant decrease in cancer surgeries in Piedmont in 2020, with an increase in the proportion of admissions through emergency access.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The research provides valuable insights for comparing data with other regions and evaluating the effectiveness of efforts to recover lost surgical procedures. These findings can be useful to policymakers in developing coordinated measures and more efficient access strategies to healthcare services in any future emergency situations.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.27606","type":"journal-article","created":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T05:22:57Z","timestamp":1709184177000},"page":"1165-1170","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of the pandemic on surgical oncology in Piedmont, Italy: A retrospective observational study"],"prefix":"10.1002","volume":"129","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9472-3263","authenticated-orcid":false,"given":"Giuseppina","family":"Lo Moro","sequence":"first","affiliation":[{"name":"Department of Public Health and Pediatric Sciences University of Turin Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2642-3602","authenticated-orcid":false,"given":"Paolo","family":"Ragusa","sequence":"additional","affiliation":[{"name":"Department of Public Health and Pediatric Sciences University of Turin Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Previti","sequence":"additional","affiliation":[{"name":"Department of Public Health and Pediatric Sciences University of Turin Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Comandone","sequence":"additional","affiliation":[{"name":"Rete Oncologica del Piemonte e della Valle d'Aosta A.O.U. City of Health and Science of Turin Turin Italy"},{"name":"Department of Oncology San Giovanni Bosco Hospital Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Airoldi","sequence":"additional","affiliation":[{"name":"Rete Oncologica del Piemonte e della Valle d'Aosta A.O.U. City of Health and Science of Turin Turin Italy"},{"name":"Oncology Unit 2 A.O.U. City of Health and Science of Turin Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimo","family":"Aglietta","sequence":"additional","affiliation":[{"name":"Rete Oncologica del Piemonte e della Valle d'Aosta A.O.U. City of Health and Science of Turin Turin Italy"},{"name":"Department of Oncology University of Turin Turin Italy"},{"name":"Candiolo Cancer Institute FPO\u2010IRCCS Candiolo TO Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberta","family":"Siliquini","sequence":"additional","affiliation":[{"name":"Department of Public Health and Pediatric Sciences University of Turin Turin Italy"},{"name":"Molinette Hospital A.O.U. City of Health and Science of Turin Turin Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,28]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"World Health Organization. WHO Coronavirus (COVID\u201019) Dashboard [Internet].https:\/\/covid19.who.int"},{"issue":"2","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","DOI":"10.1177\/00368504211019854","article-title":"COVID\u201019 pandemic: a\u00a0review of the global lockdown and its far\u2010reaching effects","volume":"04","author":"Onyeaka H","year":"2021","journal-title":"Sci Prog"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13193-021-01478-3"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.26193"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(21)00493-9"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/eci.13623"},{"issue":"3","key":"e_1_2_9_8_1","first-page":"248","article-title":"The impact of COVID\u201019 pandemic on emergency services","volume":"34","author":"Muselli M","year":"2022","journal-title":"Ann Ig"},{"key":"e_1_2_9_9_1","unstructured":"Ministero della Salute Direzione Generale della Programmazione Sanitaria. Trasmissione \u2018Linee di indirizzo per la rimodulazione dell ' attivit\u00e0 programmata differibile corso di emergenza da COVID\u201019\u2019."},{"key":"e_1_2_9_10_1","unstructured":"Italy: WHOCoronavirus Disease (COVID\u201019) Dashboard With Vaccination Data [Internet].https:\/\/covid19.who.int"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.986743"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-00982-4"},{"key":"e_1_2_9_13_1","unstructured":"OECD. Strengthening the frontline: How primary health care helps health systems adapt during the COVID 19 pandemic [Internet].2021https:\/\/www.oecd.org\/coronavirus\/policy-responses\/strengthening-the-frontline-how-primary-health-care-helps-health-systems-adapt-during-the-covid-19-pandemic-9a5ae6da\/"},{"key":"e_1_2_9_14_1","unstructured":"GimbeF. Report 1\/2021. Impatto della pandemia COVID\u201019 sull'erogazione di prestazioni sanitarie [Internet].\u00a0https:\/\/www.gimbe.org\/pagine\/1247\/it\/report-12021-impatto-della-pandemia-covid19-sullerogazione"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17093025"},{"key":"e_1_2_9_16_1","unstructured":"ICD \u2010 ICD\u20109\u2010CM\u2014International Classification of Diseases Ninth Revision Clinical Modification [Internet].2023.https:\/\/www.cdc.gov\/nchs\/icd\/icd9cm.htm"},{"issue":"1","key":"e_1_2_9_17_1","first-page":"348","article-title":"Interrupted time series regression for the evaluation of public health interventions: a tutorial","volume":"46","author":"Bernal JL","year":"2017","journal-title":"Int J Epidemiol"},{"key":"e_1_2_9_18_1","unstructured":"Popolazione e Aree geografiche ed amministrative del Piemonte [Internet]Regione Piemonte.https:\/\/www.regione.piemonte.it\/web\/amministrazione\/finanza-programmazione-statistica\/statistica\/popolazione-aree-geografiche-amministrative-piemonte"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(20)30217-5"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2022.2617"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.21614\/chirurgia.115.4.469"},{"issue":"11","key":"e_1_2_9_22_1","first-page":"2329","article-title":"Impact of COVID\u201019 pandemic on oncological surgery activities: a retrospective study from a Southern Italian region","volume":"10","author":"Di Martino G","year":"2022","journal-title":"Healthcare (Switzerland)"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2021.105439"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0253875"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina58101322"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004081"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.25122\/jml-2022-0087"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19042224"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzab088"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.3390\/cancers14051229"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12029-021-00752-5"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/onco.13560"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-020-03333-6"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.4251\/wjgo.v14.i8.1490"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.4143\/crt.2018.386"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol13040012"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1080\/13685538.2020.1774748"}],"container-title":["Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jso.27606","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T07:30:11Z","timestamp":1731483011000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jso.27606"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,28]]},"references-count":36,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1002\/jso.27606"],"URL":"https:\/\/doi.org\/10.1002\/jso.27606","archive":["Portico"],"relation":{},"ISSN":["0022-4790","1096-9098"],"issn-type":[{"type":"print","value":"0022-4790"},{"type":"electronic","value":"1096-9098"}],"subject":[],"published":{"date-parts":[[2024,2,28]]},"assertion":[{"value":"2023-11-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}