{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T12:04:16Z","timestamp":1753272256659,"version":"3.40.5"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,4,8]],"date-time":"2022-04-08T00:00:00Z","timestamp":1649376000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100012750","name":"Eastern Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012750","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>As coronavirus (COVID\u201019) cases continue to rise, healthcare workers have been working overtime to ensure that all patients receive care in a timely manner. Our study aims to identify the impact and outcomes of COVID\u201019 on colorectal cancers presentations across the five major colorectal units in Melbourne, Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a retrospective study from a prospectively collected database from the binational colorectal cancer audit (BCCA) registry, as well as inpatient records. All patients with colorectal cancer between Pre\u2010COVID\u201019 period (1 July 2018\u20132030 June 2019) and COVID\u201019 period (1 July 2020\u20132030 June 2021) were compared. Benign pathology and other cancer types were excluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 1609 patients were included in the study (700 Pre\u2010COVID\u201019 period, 906 COVID\u201019 period). During COVID\u201019 period, there was a higher proportion of emergency surgery (28.1% vs. 19.8%; <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.001), a higher nodal (<jats:italic>P<\/jats:italic>\u00a0=\u20090.024) and metastatic stage (<jats:italic>P<\/jats:italic>\u00a0=\u20090.018) at presentation, but no increase in the rate of return to operating theatres (<jats:italic>P<\/jats:italic>\u00a0=\u20090.240), inpatient death (<jats:italic>P<\/jats:italic>\u00a0=\u20090.019) or 30\u2010day readmission (<jats:italic>P<\/jats:italic>\u00a0=\u20090.000). There was also no difference in the post\u2010operative surgical complications (<jats:italic>P<\/jats:italic>\u00a0=\u20090.118). Utility of neoadjuvant therapy did not increase during the pandemic (<jats:italic>P<\/jats:italic>\u00a0=\u20090.613).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The heightened measures in the healthcare system ensured CRC patients still received their surgery in a timely fashion. With the current rise in the new strain of COVID\u201019 (Omicron), we have to continue to come up with new strategies to provide timely access to CRC care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.17603","type":"journal-article","created":{"date-parts":[[2022,4,8]],"date-time":"2022-04-08T08:38:16Z","timestamp":1649407096000},"page":"1110-1116","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Melbourne colorectal collaboration: a multicentre review of the impact of <scp>COVID<\/scp>\u201019 on colorectal cancer in Melbourne, Australia"],"prefix":"10.1111","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9548-9720","authenticated-orcid":false,"given":"Michelle Zhiyun","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery Northern Hospital  Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yeng Kwang","family":"Tay","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Monash Health  Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wiliam MK","family":"Teoh","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Monash Health  Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph CH","family":"Kong","sequence":"additional","affiliation":[{"name":"Division of Cancer Surgery Peter MacCallum Cancer Centre  Melbourne, Victoria Australia"},{"name":"Department of Colorectal Surgery Alfred Hospital  Melbourne, Victoria Australia"},{"name":"Central Clinical School Alfred Hospital, Monash University  Melbourne, Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Carne","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Alfred Hospital  Melbourne, Victoria Australia"},{"name":"Central Clinical School Alfred Hospital, Monash University  Melbourne, Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Basil","family":"D'Souza","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Northern Hospital  Victoria Australia"},{"name":"Department of Colorectal Surgery St Vincent's Hospital  Melbourne, Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raaj","family":"Chandra","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Eastern Health, Boxhill Hospital  Melbourne, Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Bui","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Northern Hospital  Victoria Australia"},{"name":"Department of Colorectal Surgery Austin Hospital  Melbourne, Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Melbourne Colorectal Collaboration","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,4,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-020-04712-5"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-020-04645-z"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-020-03647-2"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(20)30096-6"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clcc.2020.05.011"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.17071"},{"key":"e_1_2_7_8_1","unstructured":"Surgical services policies and guides. 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