自COVID-19大流行以来,乳腺癌患者是否呈现出更高的阶段?
Ashley Cairns1, Inez Inman1, Allison Perko1
1Division of Breast Surgery, Department of General Surgery, Wake Forest School of Medicine, Winston-Salem, NC, USA.
The American surgeon
|June 1, 2023
概括
由于COVID-19大流行,乳腺癌查延迟,导致晚期诊断. 在COVID时代被诊断出患有更先进的乳腺癌的患者与大流行前相比.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- "COVID-19"大流行严重扰乱了医疗保健服务,包括癌症查和诊断.
- 延迟的乳房扫描查建议可能会影响乳腺癌被检测到的阶段.
研究的目的:
- 分析乳腺癌呈现的阶段,以便在COVID-19大流行之前和期间进行外科咨询.
- 为了比较乳腺癌患者的人口结构差异和癌症阶段,COVID-19前后查建议.
主要方法:
- 从外科注册表 (2019-2021) 中对1107名乳腺癌患者进行了回顾性分析.
- 在COVID前和COVID时代期间,患者人口统计和癌症诊断阶段的比较.
- 使用比例分析和加权阶段严重程度得分来比较整体阶段.
主要成果:
- 在前COVID和COVID时代组之间没有观察到显著的人口差异.
- 乳腺癌患者在COVID时代出现了统计学上更高的疾病阶段 (P = .0027).
- 第三阶段或更大的乳腺癌的发生率从COVID前的7.79%增加到COVID时代的12.3% (P = .016).
结论:
- COVID-19 流行病对乳腺癌诊断的阶段产生了负面影响,导致更晚期的疾病.
- 呈现阶段的增加凸显了需要采取干预措施来解决延迟诊断和获得护理的问题.
- 需要进一步努力,以减轻阶段迁移的影响,并确保平等获得乳腺癌治疗.
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