与COVID-19相关的中断对国家肠癌查计划的实现影响
Matthew P Irwin1,2,3, Trisha Dutta4, Maxwell A Jambor5
1Department of Colorectal Surgery, Bankstown-Lidcombe Hospital, South Western Sydney Local Health District, Sydney, New South Wales, Australia.
ANZ journal of surgery
|February 12, 2024
概括
由于COVID-19的干扰,澳大利亚国家肠癌查计划 (NBCSP) 的参与减少,导致估计有98-111例额外的结直肠癌死亡. 建议针对农村和较低社会经济水平的地区进行有针对性的追赶查.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 癌症查 癌症查
背景情况:
- 结肠直肠癌是澳大利亚癌症死亡的主要原因.
- 国家肠癌查计划 (NBCSP) 旨在通过每两年一次的便隐性血液检测进行早期检测.
- 预计COVID-19将破坏查计划和结肠镜服务.
研究的目的:
- 分析COVID-19中断对NBCSP的影响.
- 评估这些干扰对结直肠癌死亡率的影响.
主要方法:
- 比较NBCSP参与,结肠镜检查的时间,以及COVID-19大流行前和期间的死亡率.
- 利用经过验证的微模拟模型来确定对死亡率的影响.
主要成果:
- 在COVID-19期间,NBCSP参与率下降了6%,对农村和较低社会经济水平的地区产生了不成比例的影响.
- 在120天内进行结肠镜检查的比例增加了14.5%.
- 估计有98-111例额外的结直肠癌死亡与大流行期间结直肠镜检查减少3%有关.
结论:
- 这项研究提供了对COVID-19对NBCSP的影响的全面分析.
- 追赶查应针对农村和较低社会经济水平地区的个人.
- 需要改善转诊途径和结肠镜检查能力,因为只有不到三分之二的查阳性患者能及时接受结肠镜检查.
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