[Strategies to advance recovery (STAR) protocol implemented colorectal cancer patients during the COVID-19 pandemic]

Rev Med Chil. 2021 Feb;149(2):203-209. doi: 10.4067/s0034-98872021000200203.
[Article in Spanish]

Abstract

Background: SARS-CoV-2 hampered the resolution of multiple diseases, including cancer.

Aim: To show that a multidisciplinary program of Strategies to Advance Recovery (STAR) can be implemented in a public hospital in Chile, despite the global pandemic and state of a national catastrophe, to provide a solution to cancer patients.

Material and methods: A retrospective descriptive study, of patients requiring an elective resolution of a colorectal cancer. Patients met the inclusion criteria, established in the STAR program. A total of 24 perioperative interventions were performed in the protocol. Demographic variables, days of hospitalization, complications, mortality, and readmissions were described.

Results: The 24 interventions of the protocol were successfully implemented, although some partially. Sixteen patients aged 53 to 83 years (50% women) were operated. The median length of hospitalization was four days (range 2 to 9). Four complications were recorded, all were grade I or II according to the Clavien-Dindo classification. Two patients were readmitted. There were no reoperations or mortality. One patient was infected with coronavirus, diagnosed at the time of readmission.

Conclusions: The STAR protocol reduces the length of hospital stay. In a pandemic context such as COVID-19 it becomes a useful resource and can be implemented in cancer patients, as herein reported.

MeSH terms

  • Aged
  • Aged, 80 and over
  • COVID-19*
  • Colorectal Neoplasms* / surgery
  • Enhanced Recovery After Surgery
  • Female
  • Humans
  • Length of Stay
  • Male
  • Middle Aged
  • Pandemics
  • Retrospective Studies