CovidSurg-Cancer is an international, multicentre, observational cohort study designed to evaluate the 30-day COVID-19 infection rates in elective cancer surgery during the COVID-19 pandemic. Centres can elect to include one or more cancer types in the study, in any combination, depending on local expertise and capacity. During the pilot study, investigators should enrol patients with confirmed diagnoses of: - Colorectal cancer - Oesophagogastric cancer As a rapid response study to the COVID-19 pandemic, included cancer types will evolve throughout the course of the CovidSurg-Cancer study period, for example, to include breast, liver, pancreatic, gynaecological, urological cancers, or sarcomas.
The rapid emergence of the COVID-19 virus has led to a global impact on elective surgical
care.
We have very little evidence to guide us. The magnitude and effects of these changes are
uncertain. The safety of operating on patients electively with the risks of COVID-19
postoperative pneumonia is unknown.
High-quality data will allow policy planning at regional and hospital level for both this
outbreak and future pandemics. CovidSurg-Cancer will run in parallel to CovidSurg (which is
capturing outcomes of patients undergoing surgery for all indications with concurrent
COVID-19).
The primary aim is to evaluate the 30-day COVID-19 infection rates in elective cancer surgery
during the COVID-19 pandemic.
Secondary aims include; comparison of the 30-day postoperative mortality rate in cancer
surgery patients that develop COVID-19 infection versus those who do not; an exploration of
the scale of resource constraints related to the COVID-19 pandemic, and their impact on
outcomes of elective cancer surgery; to explore variation in the selection of patients for
continuing elective cancer surgery during the COVID-19 pandemic; to evaluate the impact of
the COVID-19 pandemic on treatment pathways for cancers with a decision for surgical
resection with curative intent.
This investigator-led, non-commercial, non-interventional study is extremely low to zero
risk. This study does not collect any patient identifiable information and data will not be
analysed at hospital-level.
Procedure: Elective Cancer Surgery
Planned, curative cancer surgery
Centre Inclusion Criteria:
- Any centre performing elective cancer surgery
Inclusion Criteria (patient):
- Adults (age ≥18 years) with a confirmed diagnosis of an included cancer type
- Decision made for surgical management with a curative intent
Exclusion Criteria:
- Surgery planned with non-curative intent
- Planned neoadjuvant therapy without a firm date for surgery, or awaiting restaging
Hospital del Henares
Madrid, Spain
Investigator: Ana Minaya-Bravo
Investigator: Ana Minaya-Bravo
Aneel Bhangu
+44 1216272949
A.A.Bhangu@bham.ac.uk
Dmitri Nepogodiev
+44 1216272949
D.Nepogodiev@bham.ac.uk
Aneel Bhangu, Principal Investigator
University of Birmingham