揭开隐藏的后果:COVID-19对结肠直肠癌手术的初始影响
Davide Ferrari1,2, Tommaso Violante1,3, Courtney N Day4
1From the Divisions of Colon and Rectal Surgery (Ferrari, Violante, McKenna, Mathis, Dozois, Larson), Mayo Clinic, Rochester, MN.
由于COVID-19大流行,结肠直肠癌 (CRC) 手术减少了17.3%,导致更先进的诊断. 弱势群体,包括黑人患者和收入较低的人群,面临着更糟糕的结果和晚期CRC.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- COVID-19大流行严重破坏了全球医疗保健系统,影响了癌症护理.
- 医疗治疗的延迟和挑战,特别是癌症,是普遍存在的.
- 这项研究重点关注美国对结直肠癌 (CRC) 手术干预的影响.
研究的目的:
- 调查COVID-19大流行对美国结肠直肠癌 (CRC) 手术干预的影响.
- 分析在疫情期间手术病例数和患者瘤分期的变化.
- 为了识别由疫情加剧的CRC护理中的差异.
主要方法:
- 国家癌症数据库 (NCDB) 的回顾性分析.
- 包括2019年 (COVID前) 和2020年 (COVID) 接受了结肠和直肠癌手术的成年患者.
- 检查人口,临床,瘤阶段,手术和社会经济变量.
主要成果:
- 与2019年相比,2020年CRC手术病例的减少率为17.3%.
- 2020年接受手术的患者呈现出更先进的临床和病理瘤阶段.
- 诊断后没有报告治疗延迟.
- 黑人患者,无保险者和医疗补助受益者,以及低收入人士,承担了高级CRC的不成比例的负担.
结论:
- COVID-19大流行对CRC手术的影响包括病例数量的下降和疾病发病率的增加.
- 疫情加剧了癌症护理现有的差异,不成比例地影响了弱势群体.
- 与癌症查,诊断和治疗有关的流行病相关干扰的长期后果需要为未来的医疗保健规划进行进一步的综合研究.
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