The authors note that extrapolating from the historical data to determine what this means for patients whose surgery has been delayed during the pandemic is challenging. Those who delayed surgery during the study period were a highly selective group -- they may not be representative of the wide swath of patients whose surgery was delayed due to the pandemic. In addition, the research team was only able to look at outcomes of three to four years -- understanding the longer-term effects of surgical delays may provide more meaningful insights for patients and clinicians.
"Anxiety for both surgeons and patients alike stems from the unknown -- what does a delay in surgery mean for our patients?" said Minami. "We sought to help address questions about outcomes. Ideally, we'd like to have randomized, controlled studies, but under the circumstances, we needed to take the more unconventional approach by looking at retrospective data."
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This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Minami reports research support (to institution) from Conquer Cancer Foundation (Young Investigator Award, 2020-2021) and American College of Surgeons (Faculty Research Fellowship, 2020-2022). Additional disclosures can be found in the paper.
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