冠状病毒大流行对子宫癌查评估的影响
Frederik A Stuebs1, Annika S Behrens2, Anja Seibold2
1Department of Gynecology and Obstetrics, Erlangen University Hospital, Comprehensive Cancer Center Erlangen-European Metropolitan Area of Nuremberg (CCC ER-EMN), Friedrich Alexander University of Erlangen-Nuremberg, Erlangen, Germany; frederik.stuebs@uk-erlangen.de.
In vivo (Athens, Greece)
|February 28, 2024
概括
尽管COVID-19造成的全球医疗保健中断,但德国的宫癌查显示,结肠镜检查和HPV检测的数量增加. 这些上可能与新的国家查计划有关,而不仅仅是大流行.
科学领域:
- 妇科 妇科 妇科 妇科
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- COVID-19大流行严重扰乱了全球医疗保健,影响了宫癌检查等常规查.
- 虽然许多国家报告了查率的下降,但德国的数据仍然未经审查.
- 这项研究通过评估大流行对德国宫癌查的影响来弥补这一差距.
研究的目的:
- 分析在德国COVID-19大流行期间的镜检查,细胞学,人类乳头瘤病毒 (HPV) 检测和组织学方面的变化.
- 将大流行年 (2020-2022) 和大流行前 (2018-2019) 年的查数据进行比较.
- 评估大流行对德国子宫癌查服务的整体影响.
主要方法:
- 从2018年1月到2022年12月的镜检查,细胞学,HPV测试和组织学数据的回顾性分析.
- 对抗疫情前两年的 (2018-2019) 查活动与三年的 (2020-2022) 查活动的比较.
- 包含了对5579名妇女进行的6518次大肠镜检查的数据.
主要成果:
- 大肠镜检查,细胞检查和高风险HPV (hrHPV) 测试数量在大流行期间 (2020-2022) 增加.
- 每年的活检数量保持稳定,宫内皮质瘤 (CIN) III/HSIL的检测率保持一致.
- 检测到的宫癌的数量略有增加,从2018年的15 (6.6%) 增加到2022年的22 (7.4%).
结论:
- 与大流行前水平相比,2021年和2022年宫癌查活动,包括结肠镜和诊断测试,增加了.
- 这些增长恰逢德国新组织的国家查计划的实施.
- 查指标的观察到的上升很可能归因于新的查计划,而不是仅仅与流行病相关的因素.
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