AI Article Synopsis
- This study focused on how Italian gastroenterologists manage patients with hereditary colorectal cancer syndromes and how the SARS-CoV-2 pandemic impacted their practices.
- Among the 121 clinicians surveyed, many gathered family histories for genetic risk assessment, but only a small percentage utilized online predictive tools or offered specialized endoscopy and surgeries.
- The pandemic led to reduced clinician workloads and delays in surveillance for nearly half of the respondents, highlighting the urgent need to resume endoscopic surveillance to prevent serious health consequences.
Article Abstract
Background: Hereditary colorectal cancer syndromes require timely endoscopic surveillance.
Methods: This study evaluated the approach of Italian gastroenterologists to the management of such patients. It then assessed the impact of SARS-CoV-2. All members affiliated with the leading Italian gastroenterology societies (AIGO, SIED, and SIGE) received an online questionnaire.
Results: One hundred and twenty-one clinicians from 96 centers answered, not necessarily experts in the field (mean age 50.26 ± 11.22 years). Many collected family history for genetic risk assessment (74.4%), but only 14.0% used an online predictive software. 65.6% discussed cases in multidisciplinary units. Genetic analysis was available to most centers, but only a few hospitals offered dedicated endoscopy (19.0%), outpatient clinics (33.9%), or surgeries (23.1%). Since the start of the SARS-CoV-2 pandemic, the number of clinicians with a high volume of patients decreased (from 38.8% to 28.1%). Almost half of the responders (45.5%) reported a delay in the surveillance (median: 4-12 months). Ultimately, 30.6% detected one interval colorectal cancer in at least one of their patients.
Conclusion: The SARS-CoV-2 pandemic directly affected the surveillance of hereditary colorectal cancer syndromes in Italy. Endoscopic surveillance should resume in all centers to avoid the possible long-term consequences of its interruption, especially for inherited colorectal cancer syndromes.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9393779 | PMC |
| http://dx.doi.org/10.1159/000524393 | DOI Listing |
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