[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-378032-105":59,"doc-detail-378032-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","diagnosis-treatment-and-outcome-of-patients-with-oesophagogastric-cancer-during-the-covid-19-pandemic-national-study","Diagnosis, treatment, and outcome of patients with oesophagogastric cancer during the COVID-19 pandemic: national study","","Background: The national response to COVID-19 significantly affected cancer services. This study evaluated how Scotland’s first nationwide lockdown influenced diagnosis timing, management decisions, and outcomes for patients with oesophagogastric cancers. Methods: A retrospective cohort of consecutive new patients was identified from NHS Scotland multidisciplinary team records between October 2019 and September 2020, comparing pre-lockdown versus post-lockdown periods. Electronic health records were reviewed and outcomes compared. Results: 958 patients were included; delayed gastroscopy, more emergency presentations, worse performance status, higher stage, increased non-curative treatment, and reduced overall survival were observed after lockdown.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/diagnosis-treatment-and-outcome-of-patients-with-oesophagogastric-cancer-during-the-covid-19-pandemic-national-study/378032/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/diagnosis-treatment-and-outcome-of-patients-with-oesophagogastric-cancer-during-the-covid-19-pandemic-national-study/378032.png","ImageObject",300,407,{"name":92,"@type":93},"Maya Linwood","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-25","2026-09-24",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What did the study investigate about COVID-19’s impact on cancer care?","Question",{"text":112,"@type":113},"It assessed how Scotland’s national lockdown affected diagnosis timing, management approaches, and clinical outcomes for patients with oesophagogastric cancers.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the study designed and what time period was analyzed?",{"text":117,"@type":113},"It was a retrospective cohort study of consecutive new patients treated through regional multidisciplinary teams in NHS Scotland from October 2019 to September 2020, comparing the period before versus after the first UK lockdown.",{"name":119,"@type":110,"acceptedAnswer":120},"What major outcome changes occurred after lockdown?",{"text":121,"@type":113},"After lockdown, patients were more likely to present as emergencies with worse performance status and more advanced disease, there was a shift toward non-curative treatment, and overall survival was lower.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},378032,1790318885,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},962084928432,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","BJS, 2023, 110, 456–461  \n[https://doi.org/10.1093/bjs/znad003](https://doi.org/10.1093/bjs/znad003)  \nAdvance Access Publication Date: 22 February 2023  \nOriginal Article  \nDiagnosis, treatment, and outcome of patients with oesophagogastric cancer during the COVID-19 pandemic: national study  \nMark A. Baxter1,2 , Khurram S. Khan3,4,* , Lewis S. Gall5, Catherine Samuelson6, Catherine McCollum5,  \nRongkagorn Chuntamongkol5, Lakshmi R. Narramneni7, ManafAl-Zuabi8, Gavin Bryce8, Hala E. J. Shareef2, Matthew Forshaw4,5 and Russell D. Petty1,2  \n1Division of Molecular and Clinical Medicine, Ninewells Hospital and Medical School, University of Dundee, Dundee, UK  \n2Tayside Cancer Centre, Ninewells Hospital and Medical School, NHS Tayside, Dundee, UK 3Department of Upper Gastrointestinal Surgery, University Hospital Hairmyres, East Kilbride, UK 4School of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK  \n5Department of Upper Gastrointestinal Surgery, Glasgow Royal Infirmary, Glasgow, UK 6Department of Oncology, Edinburgh Cancer Centre, Edinburgh, UK  \n7Department of Oncology, Aberdeen Royal Infirmary, Aberdeen, UK  \n8Department of Upper Gastrointestinal Surgery, University Hospital Wishaw, Wishaw, UK  \n*Correspondence to: Khurram S. Khan, Department of Upper Gastrointestinal Surgery, University Hospital Hairmyres, East Kilbride, UK (e-mail: khurram.khan@ [glasgow.ac.uk](glasgow.ac.uk))  \nPresented to the Annual Conference of the European Society for Medical Oncology, September 2022, and the Annual Conference of the Association of Upper Gastrointestinal Surgery of Great Britain and Ireland, September 2022  \nAbstract  \nBackground: The national response to COVID-19 has had a significant impact on cancer services. This study investigated the effect of national lockdown on diagnosis, management, and outcomes of patients with oesophagogastric cancers in Scotland.  \nMethods: This retrospective cohort study included consecutive new patients presenting to regional oesophagogastric cancer multidisciplinary teams in National Health Service Scotland between October 2019 and September 2020. The study interval was divided into before and after lockdown, based on the first UK national lockdown. Electronic health records were reviewed and results compared.  \nResults: Some 958 patients with biopsy-proven oesophagogastric cancer in 3 cancer networks were included: 506 (52.8 per cent) before and 452 (47.2 percent) after lockdown. Median age was 72 (range 25–95) years and 630 patients (65.7 percent) were men. There were 693 oesophageal (72.3 per cent) and 265 gastric (27.7 per cent) cancers. Median time to gastroscopy was 15 (range 0–337) days before versus 19 (0–261) days after lockdown (P \u003C 0.001) . Patients were more likely to present as an emergency after lockdown (8.5 per cent before versus 12.4 per cent after lockdown; P = 0.005), had poorer Eastern Cooperative Oncology group performance status, were more symptomatic, and presented with a higher stage of disease (stage IV: 49.8 per cent before versus 58.8 per cent after lockdown; P = 0.04) . There was a shift to treatment with non-curative intent (64.6 per cent before versus 77.4 per cent after lockdown; P \u003C 0.001) . Median overall survival was 9.9 (95 per cent c.i. 8.7 to 11.4) months before and 6.9 (5.9 to 8.3) months after lockdown (HR 1.26, 95 percent c.i. 1.09 to 1.46; P = 0.002) .  \nConclusion: This national study has highlighted the adverse impact of COVID-19 on oesophagogastric cancer outcomes in Scotland. Patients presented with more advanced disease and a shift towards treatment with non-curative intent was observed, with a subsequent negative impact on overall survival.  \nIntroduction  \nCOVID-19 was declared a pandemic by the WHO on 11 March 2020. The UK government instigated a national lockdown on 23 March 2020 in an attempt to limit virus transmission and minimize the impact on the National Health Service (NHS)1. Nevertheless, the need to shift capacity and resourc","cbCaikBhbNyFSUIS","https://ap.wps.com/l/cbCaikBhbNyFSUIS","pdf",205524,"English","# Abstract\n## Background\n## Methods\n## Results\n## Conclusion","[{\"question\":\"What did the study investigate about COVID-19’s impact on cancer care?\",\"answer\":\"It assessed how Scotland’s national lockdown affected diagnosis timing, management approaches, and clinical outcomes for patients with oesophagogastric cancers.\"},{\"question\":\"How was the study designed and what time period was analyzed?\",\"answer\":\"It was a retrospective cohort study of consecutive new patients treated through regional multidisciplinary teams in NHS Scotland from October 2019 to September 2020, comparing the period before versus after the first UK lockdown.\"},{\"question\":\"What major outcome changes occurred after lockdown?\",\"answer\":\"After lockdown, patients were more likely to present as emergencies with worse performance status and more advanced disease, there was a shift toward non-curative treatment, and overall survival was lower.\"}]","Diagnosis, treatment, and outcome of patients with oesophagogastric cancer during the COVID-19 pandemic: national study | PDF",1790228110,15]