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Colorectal cancer is common with an annual prevalence of 6000. The majority can be cured and the five year survival rate is over 60%. In december 2019 reports came in about SARS-Cov-2, which later was named Covid-19. The World Health Organization classified it as a pandemic in March 2020. In Sweden the number of patients with Covid-19 increased mainly in the urban areas in March 2020. Care for patients with other diseases were affected and local changes from guidelines were adopted. In some regions and countries the indications for adjuvant and neoadjuvant treatment for colorectal cancer were somewhat changed. The number of patients diagnosed with colorectal cancer also decreased, as well as other types of cancer. The true effect on outcome with a delayed diagnosis remains unknown.
The aim of this study is to evaluate the effects of the Covid-19 pandemic on the diagnosis, treatment and survival of patients with colorectal cancer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients diagnosed before, during or after the pandemic | Patients with rectal cancer |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Diagnosed during or not during the pandemic | Other | We will create a group of patients that are diagnosed before and after the pandemic and one group diagnosed during the pandemic |
| Measure | Description | Time Frame |
|---|---|---|
| Yearly incidence of rectal cancer | The number of patients diagnosed yearly 2019, 2020, 2021 and 2022 | 2019-2022 |
| Measure | Description | Time Frame |
|---|---|---|
| Symptoms at diagnosis | Symptoms at diagnosis as reported by patients | 6 months prior diagnosis |
| Patient's delay | Delay from symptoms until doctors appointment |
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Inclusion Criteria:
Exclusion Criteria:
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All patients that are diagnosed with rectal cancer and identified in the Swedish ColoRectal Cancer Registry will be included. They will be contacted by phone and mail regarding a questionnaire.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Eva Angenete, MD. PhD | Contact | 0760514441 | eva.angenete@vgregion.se | |
| Anette Wedin, RN | Contact | anette.wedin@vgregion.se |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dept. of Surgery, Sahlgrenska University Hospital/Ostra | Recruiting | Gothenburg | SE 416 85 | Sweden |
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| ID | Term |
|---|---|
| D012004 | Rectal Neoplasms |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
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| 12 months prior diagnosis |
| Doctor's delay | Delay from doctor's appointment until diagnosis | 12 months prior diagnosis |
| Treatment changes | Any changes from the treatment plan due to covid-19 | Diagnosis and 12 months following |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |