TY - JOUR
AU - McKay, Siobhan C.
AU - Pathak, Samir
AU - Wilkin, Richard J.W.
AU - Kamarajah, Sivesh K.
AU - Wigmore, Stephen J.
AU - Rees, Jonathan
AU - Dunne, Declan F.J.
AU - Garcea, Giuseppe
AU - Ahmad, Jawad
AU - de Liguori Carino, Nicola
AU - Sultana, Asma
AU - Silva, Mike
AU - Lykoudis, Pavlos
AU - Nasralla, David
AU - Milburn, James
AU - Shah, Nehal
AU - Kocher, Hemant M.
AU - Bhogal, Ricky
AU - Baron, Ryan D.
AU - Navarro, Alex
AU - Halle-Smith, James
AU - Al-Sarireh, Bilal
AU - Sen, Gourab
AU - Jamieson, Nigel B.
AU - Briggs, Christopher
AU - Stell, David
AU - Aroori, Somaiah
AU - Bowles, Matthew
AU - Kanwar, Aditya
AU - Harper, Simon
AU - Menon, Krishna
AU - Prachalias, Andreas
AU - Srinivasan, Parthi
AU - Frampton, Adam E.
AU - Jones, Claire
AU - Arshad, Ali
AU - Tait, Iain
AU - Spalding, Duncan
AU - Young, Alastair L.
AU - Durkin, Damien
AU - Ghods-Ghorbani, Manijeh
AU - Sutcliffe, Robert P.
AU - Roberts, Keith
PY - 2021
DA - March
TI - Impact of SARS-CoV-2 pandemic on pancreatic cancer services and treatment pathways: United Kingdom experience
JO - HPB
DO - http://dx.doi.org/10.1016/j.hpb.2021.03.003
AB - Introduction: The SARS-CoV-2 pandemic presented healthcare providers with an extreme challenge to provide cancer services. The impact upon the diagnostic and treatment capacity to treat pancreatic cancer is unclear. This study aimed to identify national variation in treatment pathways during the pandemic. Methods: A survey was distributed to all United Kingdom pancreatic specialist centres, to assess diagnostic, therapeutic and interventional services availability, and alterations in treatment pathways. A repeating methodology enabled assessment over time as the pandemic evolved. Results: Responses were received from all 29 centres. Over the first six weeks of the pandemic, less than a quarter of centres had normal availability of diagnostic pathways and a fifth of centres had no capacity whatsoever to undertake surgery. As the pandemic progressed services have gradually improved though most centres remain constrained to some degree. One third of centres changed their standard resectable pathway from surgery-first to neoadjuvant chemotherapy. Elderly patients, and those with COPD were less likely to be offered treatment during the pandemic. Conclusion: The COVID-19 pandemic has affected the capacity of the NHS to provide diagnostic and staging investigations for pancreatic cancer. The impact of revised treatment pathways has yet to be realised.
PB - Elsevier
UR - http://eprints.gla.ac.uk/237219/
KW - Coronavirus (COVID-19)
KW - Hospital care
ER