{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T16:09:15Z","timestamp":1787242155464,"version":"build-2736575974"},"reference-count":54,"publisher":"Baishideng Publishing Group Inc.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Methodol"],"abstract":"<jats:p>BACKGROUND<\/jats:p>\n                  <jats:p>The first wave of coronavirus disease 2019 (COVID-19) pandemic in Spain lasted from middle March to the end of June 2020. Spanish population was subjected to lockdown periods and scheduled surgeries were discontinued or reduced during variable periods. In our centre, we managed patients previously and newly diagnosed with cancer. We established a strategy based on limiting perioperative social contacts, preoperative screening (symptoms and reverse transcription-polymerase chain reaction) and creating separated in-hospital COVID-19-free pathways for non-infected patients. We also adopted some practice modifications (surgery in different facilities, changes in staff and guidelines, using continuously changing personal protective equipment\u2026), that supposed new inconveniences.<\/jats:p>\n                  <jats:p>AIM<\/jats:p>\n                  <jats:p>To analyse cancer patients with a decision for surgery managed during the first wave, focalizing on outcomes and pandemic-related modifications.<\/jats:p>\n                  <jats:p>METHODS<\/jats:p>\n                  <jats:p>We prospectively included adults with a confirmed diagnosis of colorectal, oesophago-gastric, liver-pancreatic or breast cancer with a decision for surgery, regardless of whether they ultimately underwent surgery. We analysed short-term outcomes [30-d postoperative morbimortality and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection] and outcomes after 3 years (adjuvant therapies, oncological events, death, SARS-CoV-2 infection and vaccination). We also investigated modifications to usual practice.<\/jats:p>\n                  <jats:p>RESULTS<\/jats:p>\n                  <jats:p>From 96 included patients, seven didn\u2019t receive treatment that period and four never (3 due to COVID-19). Operated patients: 28 colon and 21 rectal cancers; laparoscopy 53.6%\/90.0%, mortality 3.57%\/0%, major complications 7.04%\/25.00%, anastomotic leaks 0%\/5.00%, 3-years disease-free survival (DFS) 82.14%\/52.4% and overall survival (OS) 78.57%\/76.2%. Six liver metastases and six pancreatic cancers: no mortality, one major complication, three grade A\/B liver failures, one bile leak; 3-year DFS 0%\/33.3% and OS 50.0%\/33.3% (liver metastases\/pancreatic carcinoma). 5 gastric and 2 oesophageal tumours: mortality 0%\/50%, major complications 0%\/100%, anastomotic leaks 0%\/100%, 3-year DFS and OS 66.67% (gastric carcinoma) and 0% (oesophagus). Twenty breast cancer without deaths\/major complications; 3-year OS 100% and DFS 85%. Nobody contracted SARS-CoV-2 postoperatively. COVID-19 pandemic\u2013related changes: 78.2% treated in alternative buildings, 43.8% waited more than 4 weeks, two additional colostomies and fewer laparoscopies.<\/jats:p>\n                  <jats:p>CONCLUSION<\/jats:p>\n                  <jats:p>Some patients lost curative-intent surgery due to COVID-19 pandemic. Despite practice modifications and 43.8% delays higher than 4 weeks, surgery was resumed with minimal changes without impacting outcomes. Clean pathways are essential to continue surgery safely.<\/jats:p>","DOI":"10.5662\/wjm.v14.i2.92612","type":"journal-article","created":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T20:29:34Z","timestamp":1718310574000},"source":"Crossref","is-referenced-by-count":4,"title":["Digestive and breast cancer patients managed during the first wave of COVID-19 pandemic: Short and middle term outcomes"],"prefix":"10.5662","volume":"14","author":[{"given":"Jacobo","family":"Tr\u00e9bol","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Carabias-Orgaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Carmen","family":"Esteban-Velasco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asunci\u00f3n","family":"Garc\u00eda-Plaza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Ignacio","family":"Gonz\u00e1lez-Mu\u00f1oz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Bel\u00e9n","family":"S\u00e1nchez-Casado","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe Carlos","family":"Parre\u00f1o-Manchado","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Egu\u00eda-Larrea","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Antonio","family":"Alc\u00e1zar-Montero","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2060","published-online":{"date-parts":[[2024,6,20]]},"reference":[{"key":"B1","unstructured":"Centro Nacional de Epidemiolog\u00eda.   Instituto de Salud Carlos III. Ministerio de Sanidad. Gobierno de Espa\u00f1a. Informes covid-19. Periodical reports. Report n\u00ba 182: Covid-19 in spain at 5th july 2023. Cited December 13, 2023. Available from: https:\/\/www.isciii.es\/QueHacemos\/Servicios\/VigilanciaSaludPublicaRENAVE\/EnfermedadesTransmisibles\/Paginas\/InformesCOVID-19.aspx"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.5209\/rgid.82948"},{"key":"B3","unstructured":"Instituto Nacional de Estad\u00edstica.   Banco de series temporales. Total Nacional. Cited 29 December 2023. Available from: https:\/\/www.ine.es\/consul\/serie.do?d=true&s=ECP320"},{"key":"B4","unstructured":"Centro Nacional de Epidemiolog\u00eda.   Instituto de Salud Carlos III. Ministerio de Sanidad. Gobierno de Espa\u00f1a. Informes covid-19. Periodical reports. Informes previos covid-19 profesionales sanitarios. Situaci\u00f3n hasta 10 de mayo de 2020 (actualizada a 29 de mayo de 2020). Online; cited December 13, 2023. Available from: https:\/\/www.isciii.es\/QueHacemos\/Servicios\/VigilanciaSaludPublicaRENAVE\/EnfermedadesTransmisibles\/Paginas\/Informes_Previos_COVID-19_Profesionales_Sanitarios_A%c3%b1o_2020.aspx"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11746"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11679"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-020-04592-9"},{"key":"B8","unstructured":"Tr\u00e9bol-L\u00f3pez J, Rodr\u00edguez-L\u00f3pez M, Bail\u00f3n-Cuadrado M, Toledano-Trincado M. Modificaci\u00f3n de las condiciones laborales y grado de afectaci\u00f3n de plantillas de cirug\u00eda general del sacyl durante la primera ola del sars-cov-2. Resultados de una encuesta. Rev Acircal. 2020; 7: 45-73. Cited Jan 7, 2024. Available from: https:\/\/www.acircalrevista.es\/2020_2_7_original1"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)31182-X"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-020-01893-0"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1007\/s12029-020-00372-5"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.005620"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1007\/s13193-020-01086-7"},{"key":"B14","unstructured":"Junta de Castilla y Le\u00f3n.   Datos abiertos, situaci\u00f3n epidemiol\u00f3gica del coronavirus (covid-19) en castilla y le\u00f3n. Situaci\u00f3n de hospitalizados por coronavirus en Castilla y Le\u00f3n. Cited Jan 10, 2024. Available from: https:\/\/analisis.datosabiertos.jcyl.es\/explore\/dataset\/situacion-de-hospitalizados-por-coronavirus-en-castilla-y-leon\/export"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-020-05648-2"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000027240"},{"key":"B17","unstructured":"NIHR Global Health Research Unit on Global Surgery. Globalsurg-covidsurg-cancer study webpage. Cited 27 December 2023. Available from: https:\/\/globalsurg.org\/cancercovidsurg\/"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2014.07.013"},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.1177\/1751143720950542"},{"key":"B20","unstructured":"Intensive Care Society.   CRTICON levels. Cited Jan 3, 2024. Available from: https:\/\/ics.ac.uk\/resource\/critcon-levels.html"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"B22","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2010.12.002"},{"key":"B23","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2010.10.001"},{"key":"B24","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2005.05.001"},{"key":"B25","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"B26","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"B27","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15560"},{"key":"B28","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znaa051"},{"key":"B29","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.20.01933"},{"key":"B30","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004455"},{"key":"B31","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15431"},{"key":"B32","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpb.2022.03.002"},{"key":"B33","doi-asserted-by":"publisher","DOI":"10.1186\/s13037-020-00262-6"},{"key":"B34","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000003859"},{"key":"B35","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-023-13119-w"},{"key":"B36","doi-asserted-by":"publisher","DOI":"10.1007\/s00535-023-02009-3"},{"key":"B37","doi-asserted-by":"publisher","DOI":"10.1111\/codi.16117"},{"key":"B38","doi-asserted-by":"publisher","DOI":"10.1111\/codi.15625"},{"key":"B39","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2020.12.015"},{"key":"B40","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001590"},{"key":"B41","doi-asserted-by":"publisher","DOI":"10.1111\/codi.14391"},{"key":"B42","doi-asserted-by":"publisher","DOI":"10.1111\/codi.14376"},{"key":"B43","unstructured":"Surveillance Research Program National Cancer Institute. SEER*explorer: An interactive website for seer cancer statistics [internet]. Cited Jan 26, 2024. Available from: https:\/\/seer.cancer.gov\/statistics-network\/explorer\/"},{"key":"B44","doi-asserted-by":"publisher","DOI":"10.1097\/sla.0000000000001693"},{"key":"B45","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000003451"},{"key":"B46","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31827241d5"},{"key":"B47","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11236"},{"key":"B48","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7032"},{"key":"B49","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10457"},{"key":"B50","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-017-5810-x"},{"key":"B51","doi-asserted-by":"publisher","DOI":"10.1093\/bjsopen\/zrad101"},{"key":"B52","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-023-11441-w"},{"key":"B53","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2010.06.119"},{"key":"B54","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2013.07.017"}],"container-title":["World Journal of Methodology"],"original-title":[],"link":[{"URL":"https:\/\/www.wjgnet.com\/2222-0682\/full\/v14\/i2\/92612.htm","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.wjgnet.com\/2222-0682\/full\/v14\/i2\/92612.htm","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,13]],"date-time":"2024-06-13T20:31:08Z","timestamp":1718310668000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.wjgnet.com\/2222-0682\/full\/v14\/i2\/92612.htm"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,20]]},"references-count":54,"journal-issue":{"issue":"2"},"alternative-id":["92612"],"URL":"https:\/\/doi.org\/10.5662\/wjm.v14.i2.92612","relation":{},"ISSN":["2222-0682"],"issn-type":[{"value":"2222-0682","type":"print"}],"subject":[],"published":{"date-parts":[[2024,6,20]]}}}