CRC COVID: Colorectal cancer services during COVID-19 pandemic. Study protocol for service evaluation

Alona Courtney , Ann-Marie Howell , Najib Daulatzai , Nicos Savva , Oliver Warren , Sarah Mills , Shahnawaz Rasheed , Goel Milind , Nicholas Tekkis , Matthew Gardiner , Tinglong Dai , Bashar Safar , Jonathan E Efron , Ara Darzi , Paris Tekkis , Christos Kontovounisios
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Abstract

Introduction

COVID-19 has had an impact on the provision of colorectal cancer care. The aim of the CRC COVID study is to describe the changes in colorectal cancer services in the UK and USA in response to the pandemic and to understand the long-term impact.

Methods and analysis

This study comprises 4 phases. Phase 1 is a survey of colorectal units that aims to evaluate adherences and deviations from the best practice guidelines during the COVID-19 pandemic. Phase 2 is a monthly prospective data collection of service provision that aims to determine the impact of the service modifications on the long-term cancer specific outcomes compared to the national standards. Phase 3 aims to predict costs attributable to the modifications of the CRC services and additional resources required to treat patients whose treatment has been affected by the pandemic. Phase 4 aims to compare the impact of COVID-19 on the NHS and USA model of healthcare in terms of service provision and cost, and to propose a standardised model of delivering colorectal cancer services for future outbreaks.

Ethics and dissemination

This study is a service evaluation and does not require HRA Approval or Ethical Approval in the UK. Local service evaluation registration is required for each participating centre. In the USA, Ethical Approval was granted by the Research and Development Committee. The results of this study will be disseminated to stakeholders, submitted for peer review publications, conference presentations and circulated via social media.

Registration details

Nil.

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CRC COVID: COVID-19大流行期间的结直肠癌服务。服务评估的研究方案
covid -19对结直肠癌护理的提供产生了影响。CRC COVID研究的目的是描述英国和美国应对大流行的结直肠癌服务的变化,并了解其长期影响。方法与分析本研究分为四个阶段。第一阶段是对结直肠单位的调查,旨在评估在COVID-19大流行期间遵守和偏离最佳实践指南的情况。第二阶段是每月收集服务提供的前瞻性数据,旨在确定与国家标准相比,服务修改对长期癌症特定结果的影响。第三阶段的目的是预测由于CRC服务的改变而产生的费用,以及治疗受大流行影响的患者所需的额外资源。第4阶段旨在比较COVID-19对NHS和美国医疗保健模式在服务提供和成本方面的影响,并提出一种为未来疫情提供结直肠癌服务的标准化模式。伦理和传播本研究是一项服务评估,在英国不需要HRA批准或伦理批准。每个参与中心都需要进行本地服务评估注册。在美国,研究与发展委员会批准了伦理批准。这项研究的结果将分发给利益相关者,提交同行评审出版物、会议报告,并通过社交媒体传播。登记detailsNil。
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期刊介绍: IJS Protocols is the first peer-reviewed, international, open access journal seeking to publish research protocols across across the full breadth of the surgical field. We are aim to provide rapid submission to decision times whilst maintaining a high quality peer-review process.
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