COVID-19大流行对甲状腺癌手术的影响
Max L Lee1, Uchechukwu C Megwalu2, Andrey Finegersh2
1Stanford University School of Medicine, Stanford, CA 94305, USA.
Current oncology (Toronto, Ont.)
|June 26, 2024
概括
由于COVID-19大流行,甲状腺癌的诊断减少了,特别是在早期 (cT1) 疾病中. 然而,与2019年相比,甲状腺癌的治疗时间在2020年仍然相似,这表明流行病资源配置有利于高级病例.
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:
- 2020年,COVID-19大流行严重扰乱了全球的医疗保健服务.
- 这种干扰导致癌症诊断和治疗的延迟,引发了对患者结果的担忧.
- 甲状腺癌在早期常常增长缓慢,这促使人们对大流行对晚期疾病呈现和管理的影响进行调查.
研究的目的:
- 评估早期COVID-19流行病对甲状腺癌的临床表现和治疗时间表的影响.
- 为了比较2019年和2020年诊断的甲状腺癌患者的人口和临床特征.
主要方法:
- 利用国家癌症数据库 (NCDB) 进行回顾性分析.
- 包括在2019年和2020年在癌症委员会认可的场所接受治疗的56 011名被诊断为初级甲状腺癌的患者.
- 采用千二测试和回归分析来比较患者组.
主要成果:
- 甲状腺癌诊断的显著下降发生在2019年和2020年之间.
- 诊断的最大下降是在cT1 (早期) 甲状腺癌患者中观察到的.
- 在2019年和2020年之间,治疗时间 (诊断到治疗和手术到放射性治疗) 没有发现显著差异.
结论:
- 尽管疫情期间甲状腺癌诊断总体减少,但治疗间隔仍然保持一致.
- 研究结果表明,在COVID-19大流行期间,潜在的资源优先分配给患有晚期甲状腺癌的患者.
- 需要进一步的研究,以充分了解与流行病相关的医疗保健中断对甲状腺癌护理的长期影响.
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