Evidence map›Paper›PMID 35152794›Full record

ArticleTumori2023

Consequences of the COVID-19 pandemic on the diagnosis and treatment of gastric cancer in referral centers in Italy.

Leonardo Solaini, Maria Bencivenga, Fausto Rosa, Alessia D'ignazio, Elisabetta Marino, Silvia Ministrini, Silvia Sofia, Michele Sacco, Gianni Mura, Emanuele Rausa and 8 more

Open access · greenAbstract read
In one paragraph

Article in Tumori, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.0field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 9 institutions in 1 country.

Leonardo SolainiDepartment of Medical and Surgical Sciences, University of Bologna, Morgagni-Pierantoni Hospital, Forlì, Italy.ORCID 0000-0002-5031-9285
Maria BencivengaGeneral and Upper GI Surgery Division, University of Verona, Verona, Italy.
Fausto RosaDigestive Surgery, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Alessia D'ignazioDepartment of Surgery, Policlinico le Scotte- University of Siena, Siena, Italy.
Elisabetta MarinoDepartment of Surgery, Santa Maria della Misericordia Hospital, University of Perugia, Perugia, Italy.ORCID 0000-0001-8454-503X
Silvia MinistriniClinica Chirurgica, Università di Brescia, Brescia, Italy.
Silvia SofiaSurgical Oncology and Digestive Surgery, Department of Oncology, University of Turin, San Luigi University Hospital, Orbassano, Turin, Italy.ORCID 0000-0003-1145-078X
Michele SaccoGeneral and Upper GI Surgery Division, University of Verona, Verona, Italy.
Gianni MuraDepartment of Surgery, Azienda USl Toscana SudEst- Arezzo, Arezzo, Italy.ORCID 0000-0002-4521-3101
Emanuele RausaGeneral Surgery 1, ASST Papa Giovanni XXIII, Bergamo, Italy.
Marco De PrizioDepartment of Surgery, Azienda USl Toscana SudEst- Arezzo, Arezzo, Italy.
Luigina GraziosiDepartment of Surgery, Santa Maria della Misericordia Hospital, University of Perugia, Perugia, Italy.
Maurizio DegiuliSurgical Oncology and Digestive Surgery, Department of Oncology, University of Turin, San Luigi University Hospital, Orbassano, Turin, Italy.
Guido Alberto Massimo TiberioClinica Chirurgica, Università di Brescia, Brescia, Italy.
Sergio AlfieriDigestive Surgery, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Daniele MarrelliDepartment of Surgery, Policlinico le Scotte- University of Siena, Siena, Italy.
Paolo MorgagniDepartment of Surgery, Morgagni-Pierantoni Hospital, Forlì, Italy.
Giorgio ErcolaniDepartment of Medical and Surgical Sciences, University of Bologna, Morgagni-Pierantoni Hospital, Forlì, Italy.
Ospedale G.B. Morgagni - L.Pierantoni · ITAzienda Usl 8 Arezzo · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Brescia · ITUniversity of Perugia · ITUniversity of Siena · ITUniversity of Turin · ITUniversity of Verona · ITOspedale Papa Giovanni XXIII · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe coronavirus pandemic had a major impact in Italy. The Italian health system's re-organization to face the emergency may have led to significant consequences especially in the diagnosis and treatment of malignancies. This study aimed to assess the impact of the pandemic in the diagnosis and treatment of gastric cancer in nine Gruppo Italiano RIcerca Cancro Gastrico (GIRCG) centers.

methodsAll patients assessed for gastric adenocarcinoma at nine GIRCG centers between January 2019 and November 2020 were included. Patients were grouped according to the date of "patient 1's" diagnosis in Italy: preCOVID versus COVID. Clinico-pathological and outcome differences between the two groups were analyzed.

resultsA total of 632 patients were included in the analysis (205 in the COVID group). The cT4 weighted ratios were higher in 2020 from April to September, with the greatest differences in May, August and September. The cM+ weighted ratio was significantly higher in July 2020. The mean number of gastrectomies had the greatest reduction in March and May 2020 compared with 2019. The median times from diagnosis to chemotherapy, to complete diagnostic work-up or to operation were longer in 2019. The median time from the end of chemotherapy to surgery was 17 days longer in the preCOVID group.

conclusionsA greater number of advanced or metastatic cases were diagnosed after the spread of SARS-CoV-2 infection, especially after the "full lockdown" periods. During the pandemic, once gastric cancer patients were referred to one of the centers, a shorter time to complete the diagnostic work-up or to address them to the best treatment option was required.

Indexed as

COVID-19Stomach NeoplasmsCommunicable Disease ControlCOVID-19 TestingHumansItalyPandemicsReferral and ConsultationSARS-CoV-2Advanced gastric cancerCoronavirusGastrectomyGastric cancerPandemicSurgery

Identifiers

PMID35152794
PMCPMC9895277
OpenAlexW4213131239

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.