COVID-19 大流行严重影响了全球医疗保健系统，导致各种医疗治疗（特别是癌症护理）出现严重延误和挑战。本研究旨在利用国家癌症数据库 (NCDB) 的数据，调查大流行对美国结直肠癌手术干预的影响。我们对 NCDB 进行了回顾性分析，其中包括接受结肠手术的成年患者以及 2019 年（新冠疫情之前）和 2020 年（新冠疫情）的直肠癌。我们检查了各种人口统计和临床变量，包括患者特征、肿瘤分期、手术方法和社会经济因素。分析包括 105,517 名患者，显示大流行第一年的手术病例减少了 17.3%。与2019年接受治疗的患者相比，2020年接受手术的患者表现出更晚期的临床和病理肿瘤分期。诊断后，没有报告治疗延迟的情况。在大流行期间接受手术的患者、非裔美国患者、未投保和医疗补助受益人的结肠癌和直肠癌分期较严重，收入较低的个人则承受着晚期结肠癌的负担。COVID-19 大流行对结直肠癌手术的影响不仅仅是病例数下降，导致晚期疾病患者患病率升高。这项研究强调了癌症护理方面日益加剧的差异，特别是对弱势群体的影响。 COVID-19 大流行给结直肠癌手术留下了重大而持久的影响，加剧了患者和医疗保健系统面临的挑战。为了理解延迟筛查、诊断和治疗的长期后果，必须进行全面的研究，因为未来的医疗保健规划必须考虑流行病相关中断的意外影响。版权所有 © 2024 美国外科医生学会。由 Wolters Kluwer Health, Inc. 出版。保留所有权利。

The COVID-19 pandemic has severely affected healthcare systems globally, resulting in significant delays and challenges in various medical treatments, particularly in cancer care. This study aims to investigate the repercussions of the pandemic on surgical interventions for colorectal cancer in the United States, using data from the National Cancer Database (NCDB).We conducted a retrospective analysis of the NCDB, encompassing adult patients who underwent surgical procedures for colon and rectal cancer in 2019 (pre-COVID) and 2020 (COVID). We examined various demographic and clinical variables, including patient characteristics, tumor staging, surgical approaches, and socioeconomic factors.The analysis included 105,517 patients, revealing a 17.3% reduction in surgical cases during the initial year of the pandemic. Patients who underwent surgery in 2020 displayed more advanced clinical and pathological tumor stages compared to those treated in 2019. After diagnosis, no delay was reported in the treatment. Patients operated during the pandemic, African American patients, uninsured and Medicaid beneficiaries had worse stage colon and rectal cancer, and individuals with lower incomes bore the burden of advanced colon cancer.The impact of the COVID-19 pandemic on colorectal cancer surgery transcends a mere decline in case numbers, resulting in a higher prevalence of patients with advanced disease. This study underscores the exacerbated disparities in cancer care, particularly affecting vulnerable populations. The COVID-19 pandemic has left a significant and enduring imprint on colorectal cancer surgery, intensifying the challenges faced by patients and healthcare systems. Comprehensive studies are imperative to comprehend the long-term consequences of delayed screenings, diagnoses, and treatments, as healthcare planning for the future must consider the unintended repercussions of pandemic-related disruptions.Copyright © 2024 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.