Outcomes from elective colorectal cancer surgery during the SARS‐CoV‐2 pandemic

Abstract

Aim

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic.

Method

This was an international cohort study of patients undergoing elective resection of colon or rectal cancer without preoperative suspicion of SARS-CoV-2. Centres entered data from their first recorded case of COVID-19 until 19 April 2020. The primary outcome was 30-day mortality. Secondary outcomes included anastomotic leak, postoperative SARS-CoV-2 and a comparison with prepandemic European Society of Coloproctology cohort data.

Results

From 2073 patients in 40 countries, 1.3% (27/2073) had a defunctioning stoma and 3.0% (63/2073) had an end stoma instead of an anastomosis only. Thirty-day mortality was 1.8% (38/2073), the incidence of postoperative SARS-CoV-2 was 3.8% (78/2073) and the anastomotic leak rate was 4.9% (86/1738). Mortality was lowest in patients without a leak or SARS-CoV-2 (14/1601, 0.9%) and highest in patients with both a leak and SARS-CoV-2 (5/13, 38.5%). Mortality was independently associated with anastomotic leak (adjusted odds ratio 6.01, 95% confidence interval 2.58–14.06), postoperative SARS-CoV-2 (16.90, 7.86–36.38), male sex (2.46, 1.01–5.93), age >70 years (2.87, 1.32–6.20) and advanced cancer stage (3.43, 1.16–10.21). Compared with prepandemic data, there were fewer anastomotic leaks (4.9% versus 7.7%) and an overall shorter length of stay (6 versus 7 days) but higher mortality (1.7% versus 1.1%).

Conclusion

Surgeons need to further mitigate against both SARS-CoV-2 and anastomotic leak when offering surgery during current and future COVID-19 waves based on patient, operative and organizational risks.

Metadata

Item Type:	Article
Authors/Creators:	Glasbey, JC Nepogodiev, D Simoes, JFF Omar, OM Venn, ML Evans, JP Futaba, K Knowles, CH Minaya‐Bravo, A Mohan, H Chand, M Pockney, P Di Saverio, S Smart, N Vallance, A Vimalachandran, D Wilkin, RJW Siaw‐Acheampong, K Benson, RA Bywater, E Chaudhry, D Dawson, BE Glasbey, JC Gujjuri, RR Heritage, E Jones, CS Kamarajah, SK Khatri, C Khaw, RA Keatley, JM Knight, A Lawday, S Mann, HS Marson, EJ McLean, KA Mckay, SC Mills, EC Nepogodiev, D Pellino, G Picciochi, M Taylor, EH Tiwari, A Trout, IM Venn, ML Smart, NJ Minaya‐Bravo, A Evans, JP Gallo, G Moug, S Pata, F Vallance, A Vimalchandran, D Pockney, P Di Saverio, S Abbott, TEF Abukhalaf, S Adamina, M Ademuyiwa, AO Agarwal, A Akkulak, M Alameer, E Alderson, D Alakaloko, F Albertsmeiers, M Alser, O Alshaar, M Alshryda, S Arnaud, AP Magne Augestad, K Ayasra, F Azevedo, J Bankhead‐Kendall, BK Barlow, E Beard, D Benson, RA Blanco‐Colino, R Brar, A Minaya‐Bravo, A Breen, KA Bretherton, C Lima Buarque, I Burke, J Caruana, EJ Chaar, M Chakrabortee, S Christensen, P Cox, D Cukier, M Cunha, MF Davidson, GH Desai, A Drake, TM Edwards, JG https://orcid.org/0000-0002-7935-5327 Elhadi, M Emile, S Farik, S Fiore, M Edward Fitzgerald, J Ford, S Garmanova, T Gallo, G Ghosh, D Gomes, MAG Grecinos, G Griffiths, EA Gründl, M Halkias, C Harrison, EM Hisham, I Hutchinson, PJ Hwang, S Isik, A Jenkinson, MD Jonker, P Kaafarani, HMA Keller, D Kolias, A Kruijff, S Lawani, I Lederhuber, H Leventoglu, S Litvin, A Loehrer, A Löffler, MW Lorena, AM Modolo, MM Major, P Martin, J Mashbari, HN Mazingi, D Metallidis, S Minaya‐Bravo, A Mohan, HM Moore, R Moszkowicz, D Moug, S Ng‐Kamstra, JS Maimbo, M Negoi, I Niquen, M Ntirenganya, F Olivos, M Oussama, K Outani, O Dione Parreno‐Sacdalanm, M Pata, F Rivera, JPC Pinkney, TD Plas, W Pockney, P Qureshi, A Radenkovic, D Ramos‐De la Medina, A Roberts, K Roslani, AC Rutegård, M Santos, I Satoi, S Sayyed, R Schache, A Schnitzbauer, AA Seyi‐Olajide, JO Sharma, N Shaw, R Shu, S Soreide, K Spinelli, A Stewart, GD Sund, M Sundar, S Tabiri, S Townend, P Tsoulfas, G Ramshorst, GH Vidya, R Vimalachandran, D Warren, OJ Wedderburn, D Wright, N Alurralde, C Caram, EL Eskinazi, D Badra, R García, JS Lucchini, SM Cecire, J Salindera, S Sutherland, A Ahn, JH Chen, S Gauri, N Jang, S Jia, F Mulligan, C Yang, W Ye, G Zhang, H Moss, J Richards, T Thian, A Vo, UG Bagraith, K Chan, E Ho, D Jeyarajan, E Jordan, S Nolan, GJ Von Papen, M Wullschleger, M Egoroff, N Gani, J Lott, N Pockney, P Phan, D Townend, D Bong, C Gundara, J Bowman, S Guerra, GR Dudi‐Venkata, NN Kroon, HM Sammour, T Mitchell, D Swinson, B Messner, F Öfner, D Emmanuel, K Grechenig, M Gruber, R Harald, M Öhlberger, L Presl, J Wimmer, A Barker, D Boyce, R Doyle, A Eastmond, A Gill, R O’Shea, M Padmore, G Paquette, N Phillips, E St. John, S Walkes, K Flamey, N Pattyn, P Oosterlinck, W Van den Eynde, J Van den Eynde, R Sokolov, M Boutros, M Caminsky, NG Ghitulescu, G Demyttenaere, S Garfinkle, R Nessim, C Stevenson, J Bačić, G Karlović, D Kršul, D Zelić, M Bakmaz, B Ćoza, I Dijan, E Katusic, Z Mihanovic, J Rakvin, I Frantzeskou, K Gouvas, N Kokkinos, G Papatheodorou, P Pozotou, I Stavrinidou, O Yiallourou, A Martinek, L Skrovina, M Szubota, I Ebbehøj, AL Krarup, P Schlesinger, N Smith, H AL Sayed, M Ashoush, F Elazzazy, E Essam, E Eweda, M Hassan, E Metwalli, M Qatora Mourad, M Sabry, MSA Samih, A Samir Abdelaal, A Shehata, S Shenit, K Attia, D Kamal, N Osman, N Alaa, S Hamza, HM Melghazaly, S Mohammed, MM Nageh, MA Saad, MM Yousof, EA Eldaly, AS Amira, G Sallam, I Sherief, M Sherif, A Ghaly, G Hamdy, R Morsi, A Salem, H Sherif, G Abdeldayem, H Abdelkader Salama, I Balabel, M Fayed, Y Sherif, AE Kauppila, JH Sarjanoja, E Helminen, O Huhta, H Beyrne, C Jouffret, L Marie‐Macron, L Lakkis, Z Manfredelli, S Chebaro, A El Amrani, M Lecolle, K Piessen, G Pruvot, FR Zerbib, P Ballouhey, Q Barrat, B Taibi, A Bergeat, D Merdrignac, A Le Roy, B Perotto, LO Scalabre, A Aimé, A Ezanno, A Malgras, B Bouche, PA Tzedakis, S Cotte, E Glehen, O Kepenekian, V Passot, G D’Urso, A Mutter, D Seeliger, B Bonnet, S Denet, C Fuks, D Laforest, A Pourcher, G Seguin‐givelet, A Tribillon, E Duchalais, E Bork, U Fritzmann, J Praetorius, C Weitz, J Welsch, T Beyer, K Kamphues, C Lauscher, JC Loch, FN Schineis, C Becker, R Jonescheit, J Pergolini, I Reim, D Boeker, C Hakami, I Mall, J Albertsmeier, M Kappenberger, A Schiergens, T Werner, J Nowak, K Reinhard, T Kleeff, J Michalski, C Ronellenfitsch, U Bertolani, E Königsrainer, A Löffler, MW Quante, M Steidle, C Überrück, L Yurttas, C Izbicki, J Nitschke, C Perez, D Uzunoglu, FG Antonakis, P Contis, I Dellaportas, D Gklavas, A Konstadoulakis, M Memos, N Papaconstantinou, I Polydorou, A Theodosopoulos, T Vezakis, A Antonopoulou, MI Manatakis, DK Tasis, N Arkadopoulos, N Danias, N Economopoulou, P Frountzas, M Kokoropoulos, P Larentzakis, A Michalopoulos, N Parasyris, S Selmani, J Sidiropoulos, T Vassiliu, P Bouchagier, K Klimopoulos, S Paspaliari, D Stylianidis, G Baxevanidou, K Bouliaris, K Chatzikomnitsa, P Efthimiou, M Giaglaras, A Kalfountzos, C Koukoulis, G Ntziovara, AM Petropoulos, K Soulikia, K Tsiamalou, I Zervas, K Zourntou, S Baloyiannis, I Diamantis, A Perivoliotis, K Tzovaras, G Christidis, P Ioannidis, O Loutzidou, L Karaitianos, I Tsirlis, T Charalabopoulos, A Liakakos, T Baili, E Schizas, D Spartalis, E Syllaios, A Zografos, C Athanasakis, E Chrysos, E Tsiaoussis, I Xenaki, S Xynos, E Futaba, K Ho, MF Hon, SF Mak, TWC Ng, SSM Foo, CC Banky, B Suszták, N Bhat, GA Chowdri, NA Mehraj, A Parray, F Shah, ZA Wani, R Ahmed, Z Bali, R Laharwal, A Mahmood, M Mir, I Mohammad, Z Muzamil, J Rashid, A Aremu, M Canas‐Martinez, A Cullivan, O Murphy, C Owens, P Pickett, L Corrigan*, M Daly, A Fleming, C Jordan, P Killeen, S Lynch, N O’Brien, N Syed, WAS Vernon, L Fahey, BA Larkin, JO Mccormick, P Mehigan, BJ Mohan, H Shokuhi, P Smith, J Bashir, Y Bass, GA Connelly, TM Creavin, B Earley, H Elliott, JA Gillis, AE Kavanagh, DO Neary, PC O’Riordan, JM Reynolds, IS Rice, D Ridgway, PF Umair, M Whelan, M Corless, K Finnegan, L Fowler, A Hogan, A Lowery, A McKevitt, K Ryan, É Coffey, JC Cunningham, RM Devine, M Nally, D Peirce, C Hardy, NP Neary, PM O’Malley, S Ryan, M Macina, S Mariani, NM Opocher, E Pisani Ceretti, A Bianco, F Marino, MV Mirabella, A Vaccarella, G Agostini, C Alemanno, G Bartolini, I Bergamini, C Bruscino, A Vincenti, R Di Bella, A Fortuna, L Maltinti, G Muiesan, P Prosperi, P Ringressi, MN Risaliti, M Taddei, A Tucci, R Campagnaro, T Guglielmi, A Pedrazzani, C Rattizzato, S Ruzzenente, A Turri, G Bellora, P D’Aloisio, G Ferrari, M Francone, E Gentilli, S Nikaj, H Bianchini, M Chiarugi, M Coccolini, F Di Franco, G Furbetta, N Gianardi, D Guadagni, S Morelli, L Palmeri, M Tartaglia, D Anania, G Carcoforo, P Chiozza, M De Troia, A Koleva Radica, M Portinari, M Sibilla, MG Urbani, A Fabbri, N Feo, CV Gennari, S Parini, S Righini, E Annessi, V Castro Ruiz, C Montella, MT Zizzo, M Grossi, U Novello, S Romano, M Rossi, S Zanus, G Esposito, G Frongia, F Pisanu, A Podda, M Belluco, C Lauretta, A Montori, G Moras, L Olivieri, M Feo, CF Perra, T Porcu, A Scanu, AM Aversano, A Carbone, F Delrio, P Di Lauro, K Fares Bucci, A Rega, D Spiezio, G Calabrò, M Farnesi, F Lunghi, EG Muratore, A Pipitone Federico, NS De Palma, GD Luglio, G Pagano, G Tropeano, FP Baldari, L Boni, L Cassinotti, E Cosimelli, M Fiore, M Guaglio, M Sorrentino, L Agnes, A Alfieri, S Belia, F Biondi, A Cozza, V D’Ugo, D De Simone, V Litta, F Lorenzon, L Marra, AA Marzi, F Parello, A Persiani, R Ratto, C Rosa, F Scrima, O Sganga, G Belli, A Izzo, F Patrone, R Carrano, FM Carvello, MM Di Candido, F Maroli, A Spinelli, A Aprile, A Batistotti, P Massobrio, A Pertile, D Scabini, S Soriero, D De Manzoni Garberini, A Federico, P Maida, P Marra, E Marte, G Petrillo, A Tammaro, P Tufo, A Berselli, M Borroni, G Cocozza, E Conti, L Desio, M Rizzi, A Baldi, C Corbellini, C Sampietro, GM Baldini, E Capelli, P Conti, L Isolani, SM Ribolla, M Bondurri, A Colombo, F Ferrario, L Guerci, C Maffioli, A Armao, T Ballabio, M Bisagni, P Gagliano, A Longhi, M Madonini, M Pizzini, P Mochet, S Usai, A Bianco, F Incollingo, P Mancini, S Marino Cosentino, L Sagnotta, A Nespoli, LC Tamini, N Anastasi, A Bartalucci, B Bellacci, A Canonico, G Capezzuoli, L Di Martino, C Ipponi, P Linari, C Montelatici, M Nelli, T Spagni, G Tirloni, L Vitali, A Abate, E Casati, M Casiraghi, T Laface, L Schiavo, M Arminio, A Cotoia, A Lizzi, V Vovola, F Vergari, R D’Ugo, S Depalma, N Spampinato, MG Brachini, G Chiappini, A Cicerchia, PM Cirillo, B De Toma, G Fiori, E Fonsi, GB Iannone, I La Torre, F Lapolla, P Meneghini, S Mingoli, A Sapienza, P Zambon, M Capolupo, GT Mazzotta, E Gattolin, A Migliore, M Rimonda, R Sasia, D Travaglio, E Cervellera, M Gori, A Sartarelli, L Tonini, V Chessa, A Fiorini, A Norcini, C Colletti, G Confalonieri, M Costanzi, A Frattaruolo, C Mari, G Monteleone, M De Nardi, P Parise, P Vignali, A Belvedere, A Bernante, P Jovine, E Neri, J Parlanti, D Pezzuto, AP Poggioli, G Rottoli, M Tanzanu, M Violante, T Borghi, F Cianflocca, D Di Maria Grimaldi, S Donati, D Gelarda, E Giraudo, G Giuffrida, MC Marano, A Palagi, S Pellegrino, L Peluso, C Testa, V Agresta, F Prando, D Zese, M Armatura, G Frena, A Scotton, G Gallo, G Sammarco, G Vescio, G Di Marzo, F Fontana, T Kanemitsu, Y Moritani, K Al Abdallah, M Ayasra, F Ayasra, Y Qasem, A Fahmawee, T Hmedat, A Obeidat, K Abou Chaar, MK Al‐Masri, M Al‐Najjar, H Alawneh, F Alkadeeki, G Al Maadany, FS Aldokali, N Senossi, O Subhi, MT Burgan, D Kamoka, E Kilani, AI Ellojli, I Kredan, A Bradulskis, S Dainius, E Kubiliute, E Kutkevičius, J Parseliunas, A Subocius, A Venskutonis, D Rasoaherinomenjanahary, F Razafindrahita, JB Samison, LH Hamdan, KH Ibrahim, MR Tan, JA Thanapal, MR Amin Sahid, N Hayati, F Jayasilan, J Sriram, RK Che Jusoh Subramaniam, SMA Hussain, AH Mohamed Sidek, AS Mohd Yunus, MF Soh, JY Wong, M Zakaria, AD Zakaria, Z Fathi, NQ Xavier, RG Roslani, AC Buerba, GA Mercado, MÁ Posadas‐Trujillo, OE Salgado‐Nesme, N Sarre, C Amrani, L El Ahmadi, B El Bouazizi, Y Majbar, AM Benkabbou, A Mohsine, R Souadka, A Hompes, R Meima‐van Praag, EM Pronk, AJM Sharabiany, S Grotenhuis, B Hartveld, L Posma‐Bouman, L Derksen, T Franken, J Oosterling, S Konsten, J Van Heinsbergen, M Olaogun, J Abdur‐Rahman, L Adeyeye, A Bello, J Olasehinde, O Popoola, A Jamal, A Kerawala, AA Memon, AS Nafees Ahmed, R Rai, L Ayub, B Ramesh, P Sayyed, R Butt, UI Kashif, M Qureshi, A Farooka, MW Ayyaz, M Ayubi, A Waqar, SH Major, P Azevedo, C Machado, D Mendes, F De Sousa, X Fernandes, U Ferreira, C Guidi, G Marçal, A Marques, R Martins, D Vaz Pereira, R Vieira, B Almeida, JI Ferraz, I Ribeiro, CG Lima da Silva, C Lopes, L Marialva, J Pereira, C Almeida‐Reis, R Ribeiro, A Tavares, F Teixeira, M Correia de Sá, T Costa, MJMA Fernandes, V Machado, N Nunes Coelho, M Afonso, J Santos, R Saraiva, P Silva, R Tavares, F Teixeira, M Almeida, AC Amaral, MJ Andrade, R Camacho, C Costa, M Lázaro, A Nogueira, O Oliveira, A Ruivo, A Silva, M Simões, J Devezas, V Jácome, F Nogueiro, J Pereira, A Santos‐Sousa, H Vaz, S Pinto, J Tojal, A Cardoso, P Cardoso, N Domingos, JC Henriques, P Manso, MI Martins dos Santos, G Martins, R Morais, H Pereira, R Revez, T Ribeiro, R Ribeiro, VI Soares, AP Sousa, S Teixeira, J Amorim, E Baptista, VH Cunha, MF Bandovas, JP Borges, N Chumbinho, B Figueiredo de Barros, I Frade, S Gomes, J Kam da Silva Andrade, A Pereira Rodrigues, A Pina, S Silva, N Silveira Nunes, I Sousa, R Azevedo, P Costeira, B Cunha, C Garrido, R Miranda, P Peralta Ferreira, M Sousa Fernandes, M Galvão, D Vieira, A Patrício, B Santos, PMDD Vieira Paiva Lopes, AC Cunha, R Faustino, A Freitas, A Mendes, JR Parreira, R Abreu da Silva, A Claro, M Costa Santos, D Deus, AC Grilo, JV Borges, F Corte Real, J Henriques, S Lima, MJ Matos Costa, P Brito da Silva, F Caiado, A Fonseca, F Ângelo, M Baiao, JM Martins Jordão, D Vieira Caroço, T Baía, C Canotilho, R Correia, AM Ferreira Pinto, AP Peyroteo, M Videira, JF Kassir, R Sauvat, F Bezede, C Chitul, A Ciofic, E Cristian, D Grama, F Bonci, E Gata, V Titu, S Garmanova, T Kazachenko, E Markaryan, D Rodimov, S Tsarkov, P Tulina, I Litvina, Y Provozina, A Agapov, M Galliamov, E Kakotkin, V Kubyshkin, V Kamalov, A Semina, E Alshahrani, M Alsharif, F Eskander, M Alharthi, M Aljiffry, M Basendowah, M Malibary, N Nassif, M Saleem, A Samkari, A Trabulsi, N Al Awwad, S Alghamdi, M Alnumani, T Al Habes, H Alqannas, M Alyami, M Alzamanan, M Cortés Guiral, D Elawad, A AlAamer, O Alselaim, N Al‐Khayal, K Alhassan, N Alobeed, O Alshammari, S Bin Nasser, A Bin Traiki, T Nouh, T Zubaidi, AM Aleksić, L Antic, A Barisic, G Ceranic, M Grubač, Ž Jelenkovic, J Kecmanović, D Kmezić, S Knezevic, D Krivokapic, Z Latinčić, S Markovic, V Matić, S Miladinov, M Pavlov, M Pejovic, I Tadic, B Vasljević, J Velickovic, D Buta, M Cvetkovic, A Gacic, S Goran, M Jeftic, N Markovic, I Milanović, M Nikolic, S Pejnovic, L Savković, N Stevic, D Vucic, N Zegarac, M Karamarkovic, A Kenic, M Kovacevic, B Krdzic, I Lieske, B Almgla, N Boutall, A Herman, A Kloppers, C Nel, D Rayamajhi, S Paniagua García Señorans, M Vigorita, V Acrich, E Baena Sanfeliu, E Barrios, O Golda, T Santanach, C Serrano‐Navidad, M Sorribas Grifell, M Vives, RV Escolà, D Jiménez, A Cayetano Paniagua, L Gómez Fernández, L Collera, P Diaz Del Gobbo, R Farre Font, R Flores Clotet, R Gómez Díaz, CJ Guàrdia, N Guariglia, CA Osorio, A Sanchez Jimenez, R Sanchon, L Soto Montesinos, C Alonso‐Lamberti, L García‐Quijada, J Jimenez Miramón, J Jimenez, V Jover, JM Leon, R Rodriguez, JL Salazar, A Valle Rubio, A Aguado, H Bravo Infante, R De Lacy, FB Lacy, AM Otero, A Turrado‐Rodriguez, V Valverde, S Anula, R Cano‐Valderrama, O Del Campo Martín, M Díez‐Valladares, L Domínguez, I Dziakova, J García Alonso, M García Romero, E Gómez Latorre, L Muguerza, JM Pizarro, MJ Saez Carlin, P Sánchez del Pueblo, C Sánchez‐Pernaute, A Sanz Ortega, G Sanz‐Lopez, R Torres, A Garcés‐Albir, M Lopez, F Martín‐Arévalo, J Moro‐Valdezate, D Pla‐Marti, V Beltrán de Heredia, J De Andrés Asenjo, B Gómez Sanz, T Jezieniecki, C Nuñez Del Barrio, H Ortiz de Solórzano Aurusa, FJ Romero de Diego, A Ruiz Soriano, M Trujillo Díaz, J Vázquez Fernández, A Lora‐Cumplido, P Sosa, MV Gonzalez‐Gonzalez, E Minaya Bravo, AM Alonso de la Fuente, N Jimenez Toscano, M Grau‐Talens, EJ Martin‐Perez, B Benavides Buleje, JA Carrasco Prats, M Giménez FrancésFrancés, C Muñoz Camarena, JM Parra Baños, PA Peña, E Ramirez Faraco, M Ruiz‐Marín, M Valero Soriano, M Estaire Gómez, M Fernández Camuñas, Á Garcia Santos, EP Jimenez Higuera, E Martínez‐Pinedo, C Muñoz‐Atienza, V Padilla‐Valverde, D Picón Rodríguez, R Sánchez‐García, S Sanchez‐Pelaez, D Colombari, RC Del Valle, E Fernández, M Lozano Lominchar, P Martín, L Rey Valcarcel, C Zorrilla Ortúzar, J Alcaide Matas, F García Pérez, JM Troncoso Pereira, P Mora‐Guzmán, I Achalandabaso Boira, M Sales Mallafré, R Marín, H Prieto Calvo, M Villalabeitia Ateca, I De Andres Olabarria, U Durán Ballesteros, M Fernández Pablos, FJ Ibáñez‐Aguirre, FJ Sanz Larrainzar, A Ugarte‐Sierra, B Correa Bonito, A Delgado Búrdalo, L Di Martino, M García Septiem, J Maqueda González, R Martin‐Perez, E Calvo Espino, P Guillamot Ruano, P Colao García, L Díaz Pérez, D Esteban Agustí, E Galindo Jara, P Gutierrez Samaniego, M Hernandez Bartolome, MA Serrano González, J Alonso Poza, A Diéguez, B García‐Conde, M Hernández‐García, M Losada, M Alvarez, E Chavarrias, N Gegúndez Simón, A Gortázar, S Guevara, J Prieto Nieto, MI Ramos‐Martín, P Rubio‐Perez, I Saavedra, J Urbieta, A Cantalejo diaz, M De Miguel Ardevines, MDC Duque‐Mallén, V Gascon Ferrer, I González‐Nicolás Trébol, MT Gracia‐Roche, C Herrero Lopez, M Martinez German, A Matute, M Sánchez Fuentes, N Sánchez‐Rubio, M Saudí, S Blazquez Martin, A Diez Alonso, M Hernandez, P Mendoza‐Moreno, F Ovejero Merino, E Vera Mansilla, C Acebes García, F Bailón, M Bueno Cañones, AD Choolani Bhojwani, E Marcos‐Santos, P Miguel, T Pacheco Sánchez, D Pérez‐Saborido, B Sanchez Gonzalez, J Tejero‐Pintor, FJ Cano, A Capitan‐Morales, L Cintas Catena, J Gomez‐Rosado, J Oliva Mompean, F Pérez Sánchez, MA Río Lafuente, FD Torres Arcos, C Valdes‐Hernandez, J Cholewa, H Frasson, M Martínez Chicote, C Sancho‐Muriel, J Abad Gurumeta, A Abad‐Motos, A Martínez‐Hurtado, E Ripollés‐Melchor, J Ruiz Escobar, A Cuadrado‐García, A Garcia‐Sancho Tellez, L Heras Aznar, J Maté, P Ortega Vázquez, I Picardo, AL Rojo López, JA Sanchez Cabezudo Noguera, F Serralta de Colsa, D Cagigas Fernandez, C Caiña Ruiz, R Gomez Ruiz, M Martínez‐Pérez, P Poch, C Santarrufina Martinez, S Valbuena Jabares, V Blas Laina, JL Cros, B Escartin, J Garcia Egea, J Nogués, A Talal El‐Abur, I Yánez, C Cagigal Ortega, EP Cervera, I Díaz Peña, P Gonzalez, J Marqueta De Salas, M Perez Gonzalez, M Ramos Bonilla, A Rodríguez Gómez, L Blanco‐Colino, R Espin‐Basany, E Pellino, G Arulanantham, A Bandara, GBKD Jayarajah, U Ravindrakumar, S Rodrigo, VSD Srishankar, S Ali Adil, AK Älgå, A Heinius, G Nordberg, M Pieniowski, E Löfgren, N Rutegård, M Arigoni, M Bernasconi, M Christoforidis, D Di Giuseppe, M La Regina, D Mongelli, F Chevallay, M Dwidar, O Gialamas, E Sauvain, M Adamina, M Crugnale, AS Guglielmetti, L Peros, G Aghayeva, A Hamzaoglu, I Sahin, I Akaydin, E Aliyeva, Z Aytac, E Baca, B Ozben, V Ozmen, BB Arikan, AE Bilgin, IA Kara, H Karahasanoğlu, T Uras, C Dincer, HA Erol, T Alhamed, A Ergün, S OZcelık, MF Sanli, AN Uludağ, SS Velidedeoglu, M Zengin, AK Kara, Y Kocataş, A Azamat, IF Balik, E Buğra, D Bozkurt, MA Kulle, CB Gözal, K Güler, SA Köken, H Tatar, OC Utkan, NZ Yıldırım, A Yüksel, E Akin, E Altintoprak, F Cakmak, G Çelebi, F Demir, H Dikicier, E Firat, N Gönüllü, E Kamburoğlu, MB Küçük, IF Mantoglu, B Çolak, E Kucuk, GO Göksoy, B Bozkurt, E Mihmanli, M Tanal, M Yetkin, SG Akalin, M Arican, C Avci, EK Aydin, C Demirli Atıcı, S Emiroglu, M Kaya, T Kebabçı, E Kilinc, G Kirmizi, Y Öğücü, H Salimoğlu, S Sert, I Tugmen, C Tuncer, K Uslu, G Yeşilyurt, D Yildiz, A Lule, H Oguttu, B Agilinko, J Ahmeidat, A Bekheit, M Cheung, LK Kamera, BS Mignot, G Shaikh, S Sharma, P Al‐Mohammad, A Ali, S Ashcroft, J Baker, O Coughlin, P Davies, RJ Kyriacou, H Mitrofan, CG Morris, A Raby‐Smith, W Rooney, S Singh, A Tan, XS Townson, A Tweedle, E Angelou, D Choynowski, M McAree, B McCanny, A Neely, D Mosley, F Arrowsmith, L Campbell, W Grove, T Kontovounisios, C Warren, O Clifford, R Eardley, N Krishnan, E Manu, N Martin, E Roy Mahapatra, S Serevina, OL Smith, C Vimalachandran, D Emslie, K Labib, P Minto, G Natale, J Panahi, P Rogers, L Abubakar, A Akhter Rahman, MM Chan, E O’Brien, H Sasapu, K Ng, HJ Day, A Hunt, A Laskar, N Gupta, A Steinke, J Thrumurthy, S Massie, E McGivern, K Rutherford, D Wilson, M Handa, S Kaushal, M Kler, A Patel, P Redfern, J Tezas, S Aawsaj, Y Barry, C Blackwell, L Emerson, H Fisher, A Katory, M Mustafa, A Kretzmer, L Lalou, L Manku, B Parwaiz, I Stafford, J Abdelkarim, M Asqalan, A Gala, T Ibrahim, S Maw, A Mithany, R Morgan, R Sundaram Venkatesan, G Boulton, AJ Hardie, C McNaught, C Karandikar, S Naumann, D Ayorinde, J Chase, T Cuming, T Ghanbari, A Humphreys, L Tayeh, S Aboelkassem Ibrahim, A Evans, C Ikram, H Loubani, M Nazir, S Robinson, A Sehgal, T Wilkins, A Dixon, J Jha, M Thulasiraman, SV Viswanath, YKS Curl‐Roper, T Delimpalta, C Liao, CCL Velchuru, V Westwood, E Bond‐Smith, G Mastoridis, S Tebala, GD Verberne, C Bhatti, MI Boyd‐Carson, H Elsey, E Gemmill, E Herrod, P Jibreel, M Lenzi, E Saafan, T Sapre, D Sian, T Watson, N Athanasiou, A Burke, J Costigan, F Elkadi, H Johnstone, J Nahm, C Annamalai, S Ashmore, C Kourdouli, A Askari, A Cirocchi, N Kudchadkar, S Patel, K Sagar, J Talwar, R Abdalla, M Ismail, O Newton, K Stylianides, N Aderombi, A Bajomo, O Beatson, K Garrett, W Ng, V Al‐Habsi, R Divya, GS Keeler, B Egan, R Fabre, I Harries, R Li, Z Parkins, K Spencer, N Thompson, D Gemmell, C Grieco, C Hunt, L Mahmoud Ali, F Seebah, K Shaikh, I Sreedharan, L Youssef, M Shah, J McLarty, N Mills, S Shenfine, A Sahnan, K Michel, M Patil, S Ravindran, S Sarveswaran, J Scott, L Bhangu, A Cato, LD Kamal, M Kulkarni, R Parente, A Saeed, S Vijayan, D Kaul, S Khan, AH Khan, F Mukherjee, S Patel, M Sarigul, M Singh, S Adiamah, A Brewer, H Chowdhury, A Evans, J Humes, D Jackman, J Koh, A Lewis‐Lloyd, C Oyende, O Reilly, J Worku, D Bisset, C Moug, SJ Math, S Sarantitis, I Timbrell, S Vitone, L Faulkner, G Brixton, G Findlay, L Majkowska, A Manson, J Potter, R Bhalla, A Chia, Z Daliya, P Grimley, E Malcolm, FL Theophilidou, E Daniels, IR Fowler, G Massey, L McDermott, F Rajaretnam, N Beamish, A Magowan, D Nassa, H Price, C Smith, L Solari, F Tang, AM Williams, G Davies, E Hawkin, P Raymond, T Ryska, O Baron, RD Gahunia, S McNicol, F Russ, J Szatmary, P Thomas, A Jayasinghe, JD Knowles, C Ledesma, FS Minicozzi, A Navaratne, L Ramamoorthy, R Sohrabi, C Thaha, M Venn, M Atherton, R Brocklehurst, M McAleer, J Parkin, E Aladeojebi, A Ali, M Gaunt, A Hammer, C Stebbing, J Bhasin, S Bodla, AS Burahee, A Crichton, A Fossett, R Yassin, N Brown, S Lee, M https://orcid.org/0000-0001-9971-1635 Newman, T Steele, C Baker, A Konstantinou, C Ramcharan, S Wilkin, RJW Lawday, S Lyons, A Chung, E Hagger, R Hainsworth, A Karim, A Owen, H Ramwell, A Williams, K Hall, J Harris, G Royle, T Watson, LJ Asaad, P Brown, B Duff, S Khan, A Moura, F Wadham, B Mccluney, S Parmar, C Shah, S Babar, MS Goodrum, S Whitmore, H Balasubramaniam, D Jayasankar, B Kapoor, S Ramachandran, A Beech, N Chand, M Green, L Kiconco, H McEwen, R Pereca, J Gash, K Gourbault, L Maccabe, T Newton, C Baig, M Bates, H Dunne, N Khajuria, A Ng, V Sarma, DR Shortland, T Tewari, N Akhtar, MA Brunt, A McIntyre, J Milne, K Rashid, MM Sgrò, A Stewart, KE Turnbull, A Aguilar Gonzalez, M Talukder, S Eskander, P Hanna, M Olivier, J Magee, C Powell, S Flindall, I Hanson, A Mahendran, V Green, S Lim, M MacDonald, L Miu, V Onos, L Sheridan, K Young, R Alam, F Griffiths, O Houlden, C Kolli, VS Lala, AK Seymour, Z Haynes, A Hill, C Leede, E McElhinney, K Olson, KA Riley, C Thornhill, M Etchill, E Gabre‐Kidan, A Jenny, H Kent, A Ladd, MR Long, C Malapati, H Margalit, A Rapaport, S Rose, J Stevens, K Tsai, L Vervoort, D Yesantharao, P Bigelow, B Klaristenfeld, D Huynh, K Azam, M Choudhry, A Marx, W Abel, MK Boeck, M Chern, H Kornblith, L Nunez‐Garcia, B Ozgediz, D Glencer, A Sarin, A Varma, M Abbott, D Acher, A Aiken, T Barrett, J Foley, E Schwartz, P Zafar, SN Hawkins, A Maiga, A Bhat, MA Fahey, BA Uyanik, MS
Copyright, Publisher and Additional Information:	© 2020 The Association of Coloproctology of Great Britain and Ireland.
Keywords:	cancer; colon cancer; COVID-19; pandemic; rectal cancer; SARS-CoV-2; surgery; surgical oncology
Dates:	Published: March 2021 Published (online): 17 December 2020 Accepted: 5 October 2020
Institution:	The University of Sheffield
Academic Units:	The University of Sheffield > Sheffield Teaching Hospitals
Depositing User:	Symplectic Sheffield
Date Deposited:	24 Mar 2022 16:38
Last Modified:	25 Mar 2022 10:30
Status:	Published
Publisher:	Wiley
Refereed:	Yes
Identification Number:	10.1111/codi.15431
Related URLs:	Author
Open Archives Initiative ID (OAI ID):	oai:eprints.whiterose.ac.uk:184834

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Outcomes from elective colorectal cancer surgery during the SARS‐CoV‐2 pandemic

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