俄罗斯的COVID-19和癌症检测
1National Medical Research Center for Hematology, Novy Zykovski Lane, 4a, 125167 Moscow, Russia.
Cancers
|May 11, 2024
概括
COVID-19封锁没有影响乳腺,前列腺,脏或甲状腺癌死亡率. 2020年查强度降低没有影响两年后的死亡率,证实了广泛的癌症查过度诊断.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 过度诊断是对乳腺,前列腺,脏和甲状腺癌的大规模癌症查的一个重要问题.
- 在全球范围内,COVID-19大流行导致预期的癌症查强度减少.
- 在封锁期间减少查对癌症发病率和死亡率的影响需要调查.
研究的目的:
- 分析COVID-19封锁期间减少癌症查强度对特定癌症死亡率的影响.
- 评估在隔离后的几年里,查测试遵守率和癌症死亡率之间的关系.
主要方法:
- 利用俄罗斯国家癌症登记处从2000年到2022年间的累计数据.
- 分析了乳腺癌,前列腺癌,癌和甲状腺癌可检测的发病率和死亡率的趋势.
- 将封锁期间 (2020) 的数据与流行病前和流行病后的数据进行比较.
主要成果:
- 没有观察到COVID-19封锁对乳腺,前列腺,脏或甲状腺癌的死亡率产生明显影响.
- 在2020年,在封锁期间,可检测的癌症发病率显著下降.
- 到2022年,可检测的发病率恢复到大流行前的水平,死亡率没有随后增加.
结论:
- 2020年跳过查测试不太可能影响两年后 (2022) 的癌症死亡率.
- 这些发现支持这样一个假设,即过度诊断是一般健康人群广泛查的结果.
- 持续监测对于了解长期影响和完善查策略至关重要.
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