The effects of the COVID-19 pandemic on the diagnosis and prognosis of melanoma 2 years after the pandemic in two Romanian counties

  • 0Department of Dermatology, "Iuliu Hațieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.

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Summary

This summary is machine-generated.

The COVID-19 pandemic significantly impacted melanoma diagnosis, leading to fewer cases and poorer prognostic factors in Romania. This suggests a lasting effect on skin cancer detection and patient outcomes.

Area Of Science

  • Dermatology
  • Oncology
  • Epidemiology

Background

  • The COVID-19 pandemic caused widespread healthcare disruptions globally.
  • Melanoma diagnosis and management were negatively affected, impacting patient outcomes.

Purpose Of The Study

  • To investigate the long-term effects of the COVID-19 pandemic on melanoma diagnosis.
  • To analyze the impact on melanoma prognosis and patient outcomes.

Main Methods

  • Retrospective cohort study of histopathologically confirmed melanoma cases (March 2019 - February 2023).
  • Comparison of pre-pandemic, pandemic, and post-pandemic periods.
  • Analysis of patient characteristics, diagnostic rates, and histological features using statistical tests.

Main Results

  • Annual melanoma diagnoses decreased by 31.37% and 23.75% in the first and second post-pandemic years.
  • Diagnostic rates dropped by 14.9% and 5.4% post-pandemic compared to the pandemic period.
  • Prognostic factors worsened post-pandemic, with increased Breslow index, mitotic rate, ulceration, and thicker melanomas.

Conclusions

  • The COVID-19 pandemic has a lasting negative impact on melanoma diagnosis in Romania.
  • Delayed diagnosis leads to advanced stages and unfavorable prognostic factors.
  • Further global research is essential to understand the pandemic's long-term effects on melanoma.

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