COVID-19对胃肠道恶性瘤手术的影响:手术体积已经恢复了吗?
Alexander Manzella1,2, Mariam F Eskander1,2, Miral S Grandhi1,2
1Rutgers Robert Wood Johnson Medical School, 195 Little Albany Street, ET834, New Brunswick, NJ, 08901, USA.
概括
在美国,COVID-19大流行大大减少了胃肠道 (GI) 癌症手术. 食道和直肠癌手术的数量持续下降,而胃癌和结肠癌手术的数量暂时下降,但恢复.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 流行病学 流行病学
背景情况:
- 随着COVID-19大流行,医疗保健受到影响,包括癌症查和治疗.
- 胃肠道 (GI) 癌症手术取决于受大流行影响的程序,如内镜和新辅助疗法 (NAT).
研究的目的:
- 评估COVID-19大流行对美国胃肠道瘤手术全国率的影响.
主要方法:
- 在2019年3月至2022年3月期间,利用Vizient临床数据库®进行瘤手术 (食道,胃,结肠,直肠).
- 采用对照图分析操作量趋势和威尔科克森排名总和测试进行疫情前与疫情期间的比较.
主要成果:
- 分析了95,912次手术:食管5.8%,胃6.3%,结肠77.5%,直肠10.4%.
- 在9个月内,食道手术显著下降 (p=0.002).
- 在13个月内,直肠操作显著下降 (p=0.018).
- 胃和结肠手术显示过渡性下降,但反弹到大流行前的水平.
结论:
- 随着COVID-19的流行,美国的胃肠道瘤手术数量发生了重大变化.
- 食道和直肠癌手术经历了显著的,持久的减少.
- 胃癌和结肠癌手术表现出弹性,暂时下降,随后恢复.
相关概念视频
01:21Inflammatory Bowel Disease V: Surgical Management
164
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
164
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
106
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
106
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
330
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
330
01:29Appendicitis-II: Diagnostic Studies and Management
91
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
91