@article{411b0a9943af4899a1a7c7ed9be62fc1,
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 = "COVID-19, Colon, Colorectal surgery, Coronavirus Infections, Covid19 outbreak, Digestive System Surgical Procedures, Disease Outbreaks, Elective Surgical Procedures, Humans, Italy, Pandemics, Pneumonia, Viral, Rectum, Surveys and Questionnaires, Time Factors, COVID-19, Colon, Colorectal surgery, Coronavirus Infections, Covid19 outbreak, Digestive System Surgical Procedures, Disease Outbreaks, Elective Surgical Procedures, Humans, Italy, Pandemics, Pneumonia, Viral, Rectum, Surveys and Questionnaires, Time Factors",
author = "Giuseppe Brisinda and Roberto Persiani and Clementi, {Maria Elisabetta} and Liverani, {Antonio Maria Nicola} and Marinella Viola and Marco Catarci and Marco Caricato and Baiocchi, {Gian Luca} and Francesco Crafa and Stefano Scabini 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 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",
year = "2020",
doi = "10.1007/s13304-020-00760-3",
language = "English",
volume = "72",
pages = "249--257",
journal = "Updates in Surgery",
issn = "2038-131X",
publisher = "Milano : Springer-Verlag Italia",
}