Colorectal cancer follow-up after surgical resection since the COVID-19 pandemic: first steps towards out-of-hospital follow-up?

Background: The COVID-19 pandemic impacted outpatient clinic services globally. It is unknown how the pandemic affected the follow-up of surgically treated colorectal cancer (CRC) patients. This population-based study aimed to assess the trends in CRC follow-up consultations before and during the COVID-19 pandemic in the Netherlands. Materials and methods: Nationwide health care activities data between January 2018 and July 2021 were merged with patient-level data from the Netherlands Cancer Registry of stage I-III CRC patients treated with surgical resection. The number of follow-up consultations per patient per year was calculated, and between-group differences were assessed with descriptive statistics. Trends in the number and setting of follow-up consultations were assessed using joinpoint regression analyses. Out-of-hospital follow-up was defined as written, telephone or video consultations. Results: In total, 42 970 CRC patients were included. The median number of follow-up consultations per year per patient was 2.9 (interquartile range: 2.0-4.7). The median number of follow-up consultations increased with disease stage ( Conclusions: This population-based study showed a great increased use of out-of-hospital consultations during CRC follow-up, which predominantly corresponded to the severity of the COVID-19 pandemic. Future studies should assess whether the use of out-of-hospital follow-up consultations has persisted after the pandemic.