2020年COVID-19大流行期间的癌症发病率,阶段转变和生存率:比利时的一项基于人口的研究
Hanna M Peacock1, Mira Van Meensel1, Bart Van Gool1
1Belgian Cancer Registry, Brussels, Belgium.
International journal of cancer
|May 10, 2024
概括
2020年,COVID-19大流行导致比利时的癌症诊断减少了5000多例. 这导致诊断延迟,影响了几种常见癌症的癌症阶段和存活率.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在全球范围内,COVID-19大流行严重扰乱了医疗保健服务.
- 这种破坏引起了人们对其对癌症诊断,分期和患者结果的影响的担忧.
- 比利时在2020年经历了癌症诊断的显著下降.
研究的目的:
- 量化COVID-19大流行对2020年比利时癌症发病率,阶段分布和生存率的影响.
- 将2020年观察到的癌症数据与基于大流行前趋势的预测进行比较.
- 分析11种常见癌症类型的变化.
主要方法:
- 利用了所有比利时的强制性癌症登记数据.
- 采用波桑计数模型来预测2020年的癌症发病率,阶段和1年相对存活率.
- 将预测值与观察到的2020年数据进行比较,并考虑背景趋势.
主要成果:
- 观察到宫癌,前列腺癌,头癌,结肠直肠癌,膀癌和乳腺癌的发病率明显降低.
- 在2020年下半年,这些癌症的诊断显示出有限的恢复.
- 宫癌,前列腺癌,膀癌,卵巢癌和输卵管癌的阶段分布发生了变化,早期诊断下降.
- 一年相对存活率低于肺癌和结直肠癌的预测.
- 到2020年底,癌症诊断的数量比预期少了5000多例.
结论:
- 2020年,COVID-19大流行导致比利时的癌症诊断大幅减少.
- 观察到阶段转移,可能是由于诊断访问问题和患者的犹.
- 持续监测癌症发病率,癌症阶段和癌症存活率在后疫情时代至关重要.
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