COVID-19 パンデミックの間,筋骨格腫瘍の管理がどのように変化したか:日本における筋骨格腫瘍を専門とする病院の全国的なアンケート調査からのデータ
Takeshi Morii1, Shintaro Iwata2, Kensaku Yamaga3
1Department of Orthopaedic Surgery, School of Medicine, Kyorin University, 6-20-2 Shinkawa, Mitaka-shi 181-8611, Tokyo, Japan.
Current oncology (Toronto, Ont.)
|August 27, 2025
まとめ
COVID-19 パンデミックは,外科サービスや手術に影響を及ぼし,日本における筋骨髄腫瘍学的ケアを大幅に混乱させました. 直接的な患者感染は,骨および軟組織腫瘍の治療戦略の変化の主な原因でした.
科学分野:
- 腫瘍学
- 流行病学について
- 医療管理
背景:
- COVID-19が日本における骨および軟組織腫瘍の治療に及ぼす影響に関するデータは限られている.
- 以前の研究は,大体,パンデミック中の臨床実践の変化に焦点を当てていた.
研究 の 目的:
- COVID-19のパンデミックが日本における運動器系腫瘍の治療に及ぼす影響を調査する.
- 治療戦略の変更に影響を与える要因を特定する.
主な方法:
- 筋肉骨の腫瘍を専門とする病院の全国的なウェブベースの調査
- COVID-19に関連するイベント,治療の遅延,管理戦略の修正を評価した.
主要な成果:
- 78の病院が患者感染 (28.2%),アウトブレイククラスター (48.7%) およびスタッフ感染 (53.8%) を報告した.
- 患者の紹介は著しく減少し,化学療法や放射線治療よりも外科治療の方が影響を受けた.
- 病院の48.7%が手術を延期または中止し,20%が追跡期間を延長した.
結論:
- COVID-19 パンデミックは,特に診療外科の診療や外科手術などの筋骨髄腫瘍学サービスを大幅に妨げました.
- 患者の直接感染は,施設での治療方針の変更と有意に関連していました.
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