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回头看:乳腺辐射瘤学的国际实践模式从54个国家在COVID-19流行病的第一波浪潮期间的基于案例的调查

Oluwadamilola T Oladeru¹, Samantha A Dunn², Jian Li²

¹Department of Radiation Oncology, Mayo Clinic, Jacksonville, FL.

JCO global oncology

|July 20, 2023

概括

全球范围内,COVID-19改变了乳腺癌 (BC) 的辐射疗法 (RT). 虽然大多数实践保持不变,但转移性BC的息护理发生了重大转变,许多人采用了更短的RT课程.

科学领域:

在瘤学瘤学.
辐射瘤学辐射瘤学
流行病学流行病学

背景情况:

COVID-19大流行严重扰乱了全球医疗保健,影响了癌症护理的提供.
基于风险的资源配置导致了乳腺癌 (BC) 放射治疗 (RT) 的变化.

研究的目的:

调查早期COVID-19大流行期间国际乳腺癌辐射治疗实践的演变.
为了确定不同国家治疗建议的差异.

主要方法:

在2020年7月至11月期间,向放射瘤学家 (RO) 分发了一项由58个问题组成的国际调查.
分析了来自54个国家的1,103个RO的回复,评估了在假设情景下对各种BC阶段的RT决策中的变化.
统计分析,包括千平方和麦克纳马-博克测试,检查了大流行前和期间实践中的变化.

主要成果:

大约60%的RO报告RT建议没有变化,除了转移性BC,其中57.7%改变了息疗法 (P < .0005).
在这些报告变化中,省略,延迟或采用短期RT是常见的.
观察到对直肠道癌 in situ (DCIS) 和早期BC.的中度低分离的趋势.

结论:

早期的COVID-19流行病促使乳腺癌放射治疗模式在全球范围内发生了重大变化.
快速前进试验对超低分离的影响可能已经混了大流行对RT交付的独立影响.

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