Colorectal surgery in Italy during the Covid19 outbreak: a survey from the iCral study group.

The Italian ColoRectal Anastomotic Leakage (iCral) study group; Marco Caricato; Gian Luca Baiocchi; Francesco Crafa; Stefano Scabini; Giuseppe Brisinda; Marco Clementi; Giuseppe Sica; Paolo Delrio; Graziano Longo; Gabriele Anania; Nicolò de Manzini; Pietro Amodio; Andrea Lucchi; Gianandrea Baldazzi; Gianluca Garulli; Alberto Patriti; Felice Pirozzi; Maurizio Pavanello; Alessandro Carrara; Roberto Campagnacci; Andrea Liverani; Andrea Muratore; Walter Siquini; Raffaele De Luca; Stefano Mancini; Felice Borghi; Mariantonietta Di Cosmo; Roberto Persiani; Corrado Pedrazzani; Matteo Scaramuzzi; Marco Scatizzi; Nereo Vettoretto; Mauro Totis; Andrea Gennai; Pierluigi Marini; Massimo Basti; Massimo Viola; Giacomo Ruffo; Marco Catarci

doi:10.1007/s13304-020-00760-3

Colorectal surgery in Italy during the Covid19 outbreak: a survey from the iCral study group.

The Italian ColoRectal Anastomotic Leakage (iCral) study group, Marco Caricato, Gian Luca Baiocchi, Francesco Crafa, Stefano Scabini, Giuseppe Brisinda, Marco Clementi, Giuseppe Sica, Paolo Delrio, Graziano Longo, Gabriele Anania, Nicolò de Manzini, Pietro Amodio, Andrea Lucchi, Gianandrea Baldazzi, Gianluca Garulli, Alberto Patriti, Felice Pirozzi, Maurizio Pavanello, Alessandro CarraraRoberto Campagnacci, Andrea Liverani, Andrea Muratore, Walter Siquini, Raffaele De Luca, Stefano Mancini, Felice Borghi, Mariantonietta Di Cosmo, Roberto Persiani, Corrado Pedrazzani, Matteo Scaramuzzi, Marco Scatizzi, Nereo Vettoretto, Mauro Totis, Andrea Gennai, Pierluigi Marini, Massimo Basti, Massimo Viola, Giacomo Ruffo, Marco Catarci

Research output: Contribution to journal › Article › peer-review

Abstract

Background: The COVID19 pandemic had a deep impact on healthcare facilities in Italy, with profound reorganization of surgical activities. The Italian ColoRectal Anastomotic Leakage (iCral) study group collecting 43 Italian surgical centers experienced in colorectal surgery from multiple regions performed a quick survey to make a snapshot of the current situation. Methods: A 25-items questionnaire was sent to the 43 principal investigators of the iCral study group, with questions regarding qualitative and quantitative aspects of the surgical activity before and after the COVID19 outbreak. Results: Two-thirds of the centers were involved in the treatment of COVID19 cases. Intensive care units (ICU) beds were partially or totally reallocated for the treatment of COVID19 cases in 72% of the hospitals. Elective colorectal surgery for malignancy was stopped or delayed in nearly 30% of the centers, with less than 20% of them still scheduling elective colorectal resections for frail and comorbid patients needing postoperative ICU care. A significant reduction of the number of colorectal resections during the time span from January to March 2020 was recorded, with significant delay in treatment in more than 50% of the centers. Discussion: Our survey confirms that COVID19 outbreak is severely affecting the activity of colorectal surgery centers participating to iCral study group. This could impact the activity of surgical centers for many months after the end of the emergency.

Original language	English
Pages (from-to)	249-257
Journal	Updates Surg.
Volume	72
Issue number	2
DOIs	https://doi.org/10.1007/s13304-020-00760-3
Publication status	Published - Jun 2020

Keywords

Colorectal surgery
Covid19 outbreak

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10.1007/s13304-020-00760-3

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group, T. I. C. A. L. S., Caricato, M., Baiocchi, G. L., Crafa, F., Scabini, S., Brisinda, G., Clementi, M., Sica, G., Delrio, P., Longo, G., Anania, G., de Manzini, N., Amodio, P., Lucchi, A., Baldazzi, G., Garulli, G., Patriti, A., Pirozzi, F., Pavanello, M., ... Catarci, M. (2020). Colorectal surgery in Italy during the Covid19 outbreak: a survey from the iCral study group. Updates Surg., 72(2), 249-257. https://doi.org/10.1007/s13304-020-00760-3

group, TICALS, Caricato, M, Baiocchi, GL, Crafa, F, Scabini, S, Brisinda, G, Clementi, M, Sica, G, Delrio, P, Longo, G, Anania, G, de Manzini, N, Amodio, P, Lucchi, A, Baldazzi, G, Garulli, G, Patriti, A, Pirozzi, F, Pavanello, M, Carrara, A, Campagnacci, R, Liverani, A, Muratore, A, Siquini, W, De Luca, R, Mancini, S, Borghi, F, Di Cosmo, M, Persiani, R, Pedrazzani, C, Scaramuzzi, M, Scatizzi, M, Vettoretto, N, Totis, M, Gennai, A, Marini, P, Basti, M, Viola, M, Ruffo, G & Catarci, M 2020, 'Colorectal surgery in Italy during the Covid19 outbreak: a survey from the iCral study group.', Updates Surg., vol. 72, no. 2, pp. 249-257. https://doi.org/10.1007/s13304-020-00760-3

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title = "Colorectal surgery in Italy during the Covid19 outbreak: a survey from the iCral study group.",

abstract = "Background: The COVID19 pandemic had a deep impact on healthcare facilities in Italy, with profound reorganization of surgical activities. The Italian ColoRectal Anastomotic Leakage (iCral) study group collecting 43 Italian surgical centers experienced in colorectal surgery from multiple regions performed a quick survey to make a snapshot of the current situation. Methods: A 25-items questionnaire was sent to the 43 principal investigators of the iCral study group, with questions regarding qualitative and quantitative aspects of the surgical activity before and after the COVID19 outbreak. Results: Two-thirds of the centers were involved in the treatment of COVID19 cases. Intensive care units (ICU) beds were partially or totally reallocated for the treatment of COVID19 cases in 72% of the hospitals. Elective colorectal surgery for malignancy was stopped or delayed in nearly 30% of the centers, with less than 20% of them still scheduling elective colorectal resections for frail and comorbid patients needing postoperative ICU care. A significant reduction of the number of colorectal resections during the time span from January to March 2020 was recorded, with significant delay in treatment in more than 50% of the centers. Discussion: Our survey confirms that COVID19 outbreak is severely affecting the activity of colorectal surgery centers participating to iCral study group. This could impact the activity of surgical centers for many months after the end of the emergency.",

keywords = "Colorectal surgery, Covid19 outbreak",

author = "group, {The Italian ColoRectal Anastomotic Leakage (iCral) study} and Marco Caricato and Baiocchi, {Gian Luca} and Francesco Crafa and Stefano Scabini and Giuseppe Brisinda and Marco Clementi and Giuseppe Sica and Paolo Delrio and Graziano Longo and Gabriele Anania and {de Manzini}, Nicol{\`o} and Pietro Amodio and Andrea Lucchi and Gianandrea Baldazzi and Gianluca Garulli and Alberto Patriti and Felice Pirozzi and Maurizio Pavanello and Alessandro Carrara and Roberto Campagnacci and Andrea Liverani and Andrea Muratore and Walter Siquini and {De Luca}, Raffaele and Stefano Mancini and Felice Borghi and {Di Cosmo}, Mariantonietta and Roberto Persiani and Corrado Pedrazzani and Matteo Scaramuzzi and Marco Scatizzi and Nereo Vettoretto and Mauro Totis and Andrea Gennai and Pierluigi Marini and Massimo Basti and Massimo Viola and Giacomo Ruffo and Marco Catarci",

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doi = "10.1007/s13304-020-00760-3",

language = "English",

volume = "72",

pages = "249--257",

journal = "Updates Surg.",

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publisher = "Springer-Verlag Italia",

number = "2",

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TY - JOUR

T1 - Colorectal surgery in Italy during the Covid19 outbreak: a survey from the iCral study group.

AU - group, The Italian ColoRectal Anastomotic Leakage (iCral) study

AU - Caricato, Marco

AU - Baiocchi, Gian Luca

AU - Crafa, Francesco

AU - Scabini, Stefano

AU - Brisinda, Giuseppe

AU - Clementi, Marco

AU - Sica, Giuseppe

AU - Delrio, Paolo

AU - Longo, Graziano

AU - Anania, Gabriele

AU - de Manzini, Nicolò

AU - Amodio, Pietro

AU - Lucchi, Andrea

AU - Baldazzi, Gianandrea

AU - Garulli, Gianluca

AU - Patriti, Alberto

AU - Pirozzi, Felice

AU - Pavanello, Maurizio

AU - Carrara, Alessandro

AU - Campagnacci, Roberto

AU - Liverani, Andrea

AU - Muratore, Andrea

AU - Siquini, Walter

AU - De Luca, Raffaele

AU - Mancini, Stefano

AU - Borghi, Felice

AU - Di Cosmo, Mariantonietta

AU - Persiani, Roberto

AU - Pedrazzani, Corrado

AU - Scaramuzzi, Matteo

AU - Scatizzi, Marco

AU - Vettoretto, Nereo

AU - Totis, Mauro

AU - Gennai, Andrea

AU - Marini, Pierluigi

AU - Basti, Massimo

AU - Viola, Massimo

AU - Ruffo, Giacomo

AU - Catarci, Marco

PY - 2020/6

Y1 - 2020/6

N2 - Background: The COVID19 pandemic had a deep impact on healthcare facilities in Italy, with profound reorganization of surgical activities. The Italian ColoRectal Anastomotic Leakage (iCral) study group collecting 43 Italian surgical centers experienced in colorectal surgery from multiple regions performed a quick survey to make a snapshot of the current situation. Methods: A 25-items questionnaire was sent to the 43 principal investigators of the iCral study group, with questions regarding qualitative and quantitative aspects of the surgical activity before and after the COVID19 outbreak. Results: Two-thirds of the centers were involved in the treatment of COVID19 cases. Intensive care units (ICU) beds were partially or totally reallocated for the treatment of COVID19 cases in 72% of the hospitals. Elective colorectal surgery for malignancy was stopped or delayed in nearly 30% of the centers, with less than 20% of them still scheduling elective colorectal resections for frail and comorbid patients needing postoperative ICU care. A significant reduction of the number of colorectal resections during the time span from January to March 2020 was recorded, with significant delay in treatment in more than 50% of the centers. Discussion: Our survey confirms that COVID19 outbreak is severely affecting the activity of colorectal surgery centers participating to iCral study group. This could impact the activity of surgical centers for many months after the end of the emergency.

AB - Background: The COVID19 pandemic had a deep impact on healthcare facilities in Italy, with profound reorganization of surgical activities. The Italian ColoRectal Anastomotic Leakage (iCral) study group collecting 43 Italian surgical centers experienced in colorectal surgery from multiple regions performed a quick survey to make a snapshot of the current situation. Methods: A 25-items questionnaire was sent to the 43 principal investigators of the iCral study group, with questions regarding qualitative and quantitative aspects of the surgical activity before and after the COVID19 outbreak. Results: Two-thirds of the centers were involved in the treatment of COVID19 cases. Intensive care units (ICU) beds were partially or totally reallocated for the treatment of COVID19 cases in 72% of the hospitals. Elective colorectal surgery for malignancy was stopped or delayed in nearly 30% of the centers, with less than 20% of them still scheduling elective colorectal resections for frail and comorbid patients needing postoperative ICU care. A significant reduction of the number of colorectal resections during the time span from January to March 2020 was recorded, with significant delay in treatment in more than 50% of the centers. Discussion: Our survey confirms that COVID19 outbreak is severely affecting the activity of colorectal surgery centers participating to iCral study group. This could impact the activity of surgical centers for many months after the end of the emergency.

KW - Colorectal surgery

KW - Covid19 outbreak

U2 - 10.1007/s13304-020-00760-3

DO - 10.1007/s13304-020-00760-3

M3 - Article

VL - 72

SP - 249

EP - 257

JO - Updates Surg.

JF - Updates Surg.

SN - 2038-131X

IS - 2

ER -

Colorectal surgery in Italy during the Covid19 outbreak: a survey from the iCral study group.

Abstract

Keywords

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