在COVID-19大流行期间,癌症患者的访问和住院减少. 一个系统的审查和元分析
Marco Angelini1, Federica Teglia1, Giulia Casolari1
1Department of Medical and Surgical Sciences, University of Bologna, Via Massarenti 9, 40138 Bologna, Italy.
概括
在全球范围内,COVID-19大流行大大减少了癌症患者的访问和住院. 瘤服务的减少可能会对患者的结果和未来的疾病负担产生负面影响.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在全球范围内,COVID-19大流行导致许多非紧急瘤服务的推迟.
- 评估大流行对癌症治疗机会的影响对于了解潜在的长期后果至关重要.
研究的目的:
- 估计COVID-19流行病对癌症患者访问和入院的全球影响.
- 量化疫情期间与疫情前时期相比,瘤服务利用率的变化.
主要方法:
- 2020年1月至2021年12月期间发表的研究的系统审查和元分析.
- 在大流行之前和期间提取有关瘤诊所和住院病人的数据.
- 计算加权平均百分比变化和按地理区域,时间和环境进行分层分析.
主要成果:
- 从2020年1月到10月,癌症诊所的平均相对下降率为37.8%,住院病人的平均下降率为26.3%.
- 时间趋势显示出U形曲线,访问的最低点在2020年4月,入院者在2020年5月.
- 类似的模式在所有地理区域和研究环境中都是一致的.
结论:
- 由于COVID-19大流行,癌症护理服务大幅减少.
- 推迟和取消瘤服务可能会对患者的结果产生不利影响,并增加未来的癌症负担.
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