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COVID-19 related pancreatic cancer surveillance disruptions amongst high-risk individuals
- Source :
- Pancreatology
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- BACKGROUND: COVID-19 pandemic-related disruptions to EUS-based pancreatic cancer surveillance in high-risk individuals remain uncertain. METHODS: Analysis of enrolled participants in the CAPS5 Study, a prospective multicenter study of pancreatic cancer surveillance in high-risk individuals. RESULTS: Amongst 693 enrolled high-risk individuals under active surveillance, 108 (16%) had an EUS scheduled during the COVID-19 pandemic-related shutdown (median length of 78 days) in the spring of 2020, with 97% of these procedures being canceled. Of these canceled surveillance EUSs, 83% were rescheduled in a median of 4.1 months, however 17% were not rescheduled after 6 months follow-up. Prior history of cancer was associated with increased likelihood of rescheduling. To date no pancreatic cancer has been diagnosed among those whose surveillance was delayed. CONCLUSIONS: COVID-19 delayed pancreatic cancer surveillance with no adverse outcomes in efficiently rescheduled individuals. However, 1 in 6 high-risk individuals had not rescheduled surveillance, indicating the need for vigilance to ensure timely surveillance rescheduling.
- Subjects :
- 2019-20 coronavirus outbreak
Pediatrics
medicine.medical_specialty
Coronavirus disease 2019 (COVID-19)
Adverse outcomes
Endocrinology, Diabetes and Metabolism
media_common.quotation_subject
Shutdown
Article
03 medical and health sciences
0302 clinical medicine
Pancreatic cancer
medicine
EUS
media_common
Surveillance
Hepatology
business.industry
Gastroenterology
COVID-19
Cancer
medicine.disease
Multicenter study
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
business
Vigilance (psychology)
Subjects
Details
- ISSN :
- 14243903
- Volume :
- 21
- Database :
- OpenAIRE
- Journal :
- Pancreatology
- Accession number :
- edsair.doi.dedup.....33ef73fa300a0de85bd0d9fbfdbc31c0