在COVID-19大流行之前和期间,新的癌症诊断
Kathleen M Decker1,2,3, Allison Feely3, Oliver Bucher3
1Paul Albrechtsen Research Institute CancerCare Manitoba, Winnipeg, Manitoba, Canada.
JAMA network open
|September 5, 2023
概括
起初,COVID-19大流行导致加拿大曼尼托巴省的癌症诊断率下降,到2021年12月,癌症病例显著减少,达到692例. 解决乳腺癌,结肠癌和肺癌的缺陷至关重要.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,COVID-19疫情造成了严重的医疗保健中断.
- 这些干扰可能影响了癌症查,诊断和治疗.
- 了解大流行对癌症发病率的影响对于公共卫生规划至关重要.
研究的目的:
- 为了调查COVID-19流行病与加拿大曼尼托巴省癌症发病率之间的联系.
- 为了量化疫情期间癌症诊断率的变化.
- 为了确定受流行病相关干扰影响最大的特定癌症类型.
主要方法:
- 一项基于人口的横截面研究,使用来自曼尼托巴癌症登记处 (2015-2021) 的数据.
- 间断时间序列分析以评估癌症发病率的变化.
- 癌症诊断被按类型和年龄分组进行详细分析.
主要成果:
- 2020年4月,总体癌症发病率下降了23%.
- 观察到乳腺癌 (46%),结肠癌 (35%),直肠癌 (47%) 和肺癌 (2020年12月份为11%) 的显著减少.
- 到2021年12月,估计有692例癌症病例的缺陷被确定,乳腺癌,结肠癌和肺癌显示出最大的缺陷.
结论:
- 起初,COVID-19大流行减少了癌症诊断,大多数地点都出现了恢复.
- 癌症诊断的重大累积缺陷,特别是高致死率癌症,需要紧急关注.
- 研究结果强调,需要制定策略,以减轻未来医疗保健中断对癌症护理的影响.
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