2020年におけるCOVID-19のパンデミックの主要ながんの診断,治療,予後に対する影響
Yaxiong Tang1, Lede Lin1, Zeyu Han1
1Department of Urology, West China Hospital, Sichuan University, Chengdu, China.
International journal of surgery (London, England)
|August 27, 2025
まとめ
COVID-19 パンデミックは,がんの新規診断を,しばしば後期段階で減少させましたが,治療のタイミングは影響を受けませんでした. いくつかの癌は生存率が低いため,さらなる研究が必要である.
科学分野:
- 腫瘍学
- 流行病学
- 公衆衛生
背景:
- COVID-19のパンデミックは2020年に世界的な医療システムに大きく影響しました.
- 癌治療の経路と患者の治療結果は 前例のない課題に直面しました
- 主要な癌型に対するパンデミックの特定の影響に関するデータは限られている.
研究 の 目的:
- 2020年の6つの主要ながんの診断,治療,生存に対するCOVID-19のパンデミックの影響を評価する.
- 診断時の癌の段階と腫瘍のグレードの変化を分析する.
- 治療の遅延とがん特有の生存率 (CSS) を評価する.
主な方法:
- 分析のために,サーベイランス,疫学,および最終結果 (SEER) -22およびSEER -17のデータセットを使用した.
- 新しいがん症例と診断特性の年間変化を評価した.
- ステージ,グレード,人口統計的要因を分析するためにロジスティック回帰モデルを使用しました.
- 診断から治療までの評価された時間と,がん特異生存率 (CSS).
主要な成果:
- 2020年には肺,乳腺,前立腺,大腸,臓,子宮がんの新規診断が減少した.
- 6つの癌のうち5つの癌は 進行した段階でより頻繁に診断されました
- 患者は高度な腫瘍を持つ可能性が高く,大きな都市部に居住する人は少ない.
- 診断から治療までの間隔の有意な遅延は観察されなかった.
- 結腸癌はCSSが悪化する傾向を示し,他のものは安定したままでした.
結論:
- パンデミックはがん診断の減少につながり,しばしば後期段階であり,患者の人口統計学的影響も様々でした.
- 治療のタイミングは維持されたが,一部のがんは潜在的にマイナス生存傾向を示した.
- がん特異的な生存に対する長期的な効果を完全に確認するには,より長い追跡が必要である.
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