• Int J Surg Protoc · Jan 2020

    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, and Christos Kontovounisios.
    • Imperial College London, Department of Surgery and Cancer, Chelsea & Westminster Campus, 369 Fulham Rd, Chelsea, London SW10 9NH, United Kingdom.
    • Int J Surg Protoc. 2020 Jan 1; 23: 15-19.

    IntroductionCOVID-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 AnalysisThis 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 DisseminationThis 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 DetailsNil.© 2020 The Authors. Published by Elsevier Ltd on behalf of Surgical Associates Ltd.

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