单一医疗保健系统在COVID-19关闭之前和之后的查乳房镜像的经验
Allyson L Chesebro1, Nita Amornsiripanitch1, Zhou Lan1
1Brigham and Women's Hospital, Department of Radiology, 75 Francis St., Boston, MA 02115, United States of America; Harvard Medical School, 25 Shattuck St., Boston, MA 02115, United States of America.
Clinical imaging
|June 16, 2023
概括
COVID-19 显著影响了查乳房造影量,导致关闭后进行的乳房造影持续下降. 这一趋势持续了两年多,需要针对癌症早期检测进行有针对性的宣传.
科学领域:
- 放射学与公共卫生 放射学与公共卫生
- 瘤学和流行病学.
背景情况:
- 随着COVID-19的流行,包括封锁在内的广泛的公共卫生措施被推行,从而扰乱了例行医疗检查.
- 了解这些干扰对癌症查的长期影响对于公共卫生战略至关重要.
研究的目的:
- 为了评估COVID-19大流行对查乳房扫描量趋势的纵向影响.
- 评估国家强制性COVID-19关闭之前和之后查乳房图片利用的变化.
主要方法:
- 一项回顾性研究分析了COVID-19关闭之前 (2016年10月至2020年3月) 和之后 (2020年6月至2022年11月) 的查乳房图量.
- 对季节性,人口增长和患者人口统计学进行调整,以比较体积趋势.
主要成果:
- 关闭后,整体查性乳房造影量减少了每月5次乳房造影,而此前每月增加了65次.
- 亚组分析显示,大多数年龄组 (<70岁),白人和黑人人口,所有保险类型,患有严重COVID-19风险因素的妇女和医院查的持续下降趋势.
结论:
- 在COVID-19关闭后两年多的时间里,大多数患者群体的查乳房图像数量趋势继续下降.
- 研究结果强调需要加强教育和宣传,以减轻对乳腺癌查的长期影响.
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