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자료유형
학술저널
저자정보
임지하 (Department of Surgery Samsung Medical Center Sungkyunkwan University School of Medicine) 이우용 (삼성서울병원) 윤성현 (삼성서울병원) 김희철 (삼성서울병원) 조용범 (성균관대학교) 허정욱 (삼성서울병원) 박윤아 (Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul) 신정경 (Department of Surgery Samsung Medical Center Sungkyunkwan University School of Medicine Seoul)
저널정보
대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.37 No.4
발행연도
2021.8
수록면
253 - 258 (6page)
DOI
10.3393/ac.2021.00269.0038

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Purpose: Coronavirus disease 2019 (COVID-19) has affected many parts of daily life and healthcare, including cancer screening and diagnosis. The purpose of this study was to determine whether there was an upshift in the colorectal cancer stage at diagnosis due to delays related to the COVID-19 outbreak.Methods: From January to June of each year from 2017 to 2020, a total of 3,229 patients who were first diagnosed with colorectal cancer were retrospectively reviewed. Those enrolled from 2017 to 2019 were classified as the ‘pre-COVID’ group, and those enrolled in 2020 were classified as the ‘COVID’ group. The primary outcome was the rate of stage IV disease at the time of diagnosis.Results: There was no statistically significant difference in the proportion of stage IV patients between the pre-COVID and COVID groups (P=0.19). The median preoperative carcinoembryonic antigen level in the COVID group was higher than in the pre-COVID group in all stages (all P<0.05). In stage I, II patients who underwent radical surgery, the lymphatic invasion was more presented in COVID patients (P=0.009).Conclusion: We did not find significant stage upshifting in colorectal cancer during the COVID-19 outbreak. However, there were more initially unresectable stage IV colorectal cancer patients with a low conversion rate to resectable status, and more patients had factors related to poor prognosis. These results may become more apparent over time, so it is vital not to neglect cancer screening to not delay the diagnosis during the COVID-19 epidemic.

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