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Impact of the COVID-19 Pandemic on Access to Cancer Surgery: Analysis of Surgical Wait Times in British Columbia, Canada.
Shojaei, Delaram; Bakos, Brendan; Loree, Jonathan; Mah, Allison; So, Alan; McGahan, Colleen; Phang, Terry P; Brown, Carl James.
Afiliación
  • Shojaei D; Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
  • Bakos B; BC Cancer, Vancouver, British Columbia, Canada.
  • Loree J; BC Cancer, Vancouver, British Columbia, Canada.
  • Mah A; Division of Medical Oncology, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
  • So A; Division of Infectious Diseases, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
  • McGahan C; Department of Urologic Sciences, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
  • Phang TP; BC Cancer, Vancouver, British Columbia, Canada.
  • Brown CJ; Department of Surgery, St. Paul's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Disaster Med Public Health Prep ; 17: e565, 2023 Dec 22.
Article en En | MEDLINE | ID: mdl-38131186
ABSTRACT

OBJECTIVE:

As coronavirus disease 2019 (COVID-19) spread, efforts were made to preserve resources for the anticipated surge of COVID-19 patients in British Columbia, Canada. However, the relationship between COVID-19 hospitalizations and access to cancer surgery is unclear. In this project, we analyze the impact of COVID-19 patient volumes on wait time for cancer surgery.

METHODS:

We conducted a retrospective study using population-based datasets of regional surgical wait times and COVID-19 patient volumes. Weekly median wait times for urgent, nonurgent, cancer, and noncancer surgeries, and maximum volumes of hospitalized patients with COVID-19 were studied. The results were qualitatively analyzed.

RESULTS:

A sustained association between weekly median wait time for priority and other cancer surgeries and increase hospital COVID-19 patient volumes was not qualitatively discernable. In response to the first phase of COVID-19 patient volumes, relative to pre-COVID-19 pandemic levels, wait time were shortened for urgent cancer surgery but increased for nonurgent surgeries. During the second phase, for all diagnostic groups, wait times returned to pre-COVID-19 pandemic levels. During the third phase, wait times for all surgeries increased.

CONCLUSION:

Cancer surgery access may have been influenced by other factors, such as policy directives and local resource issues, independent of hospitalized COVID-19 patient volumes. The initial access limitations gradually improved with provincial and institutional resilience, and vaccine rollout.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: COVID-19 / Neoplasias Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Disaster Med Public Health Prep Asunto de la revista: SAUDE PUBLICA Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: COVID-19 / Neoplasias Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Disaster Med Public Health Prep Asunto de la revista: SAUDE PUBLICA Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos