在癌症检测中从COVID-19相关中断中恢复
Uriel Kim1,2,3,4, Johnie Rose2,3,4, Bryan T Carroll2,5
1Department of Internal Medicine, Cedars-Sinai Medical Center, Los Angeles, California.
JAMA network open
|October 14, 2024
概括
由于COVID-19大流行,癌症诊断在2020年大幅下降,但在2021年基本恢复. 需要进一步恢复,以解决大流行期间癌症检测不足的问题.
科学领域:
- 流行病学 流行病学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- "COVID-19"大流行严重扰乱了医疗保健,影响了癌症的诊断和治疗.
- 癌症仍然是美国的主要死亡原因,因此及时诊断至关重要.
研究的目的:
- 评估COVID-19大流行 (2020-2021) 的前两年癌症检测中断和恢复情况.
- 根据人口学子组和社区特征分析癌症发病率.
主要方法:
- 使用来自监测,流行病学和最终结果 (SEER) 计划 (2000-2021) 的全国代表性癌症发病率数据进行横截面研究.
- 流行病学分析比较2020年和2021年的预期与观察到的癌症发病率.
- 根据性别,种族/族裔,年龄和县级农村地区的分组分析.
主要成果:
- 总共包括了15831912名患者. 2020年,观察到的癌症发病率比预期低8.6%,到2021年累计出现127931例癌症病例.
- 癌症发病率在2021年基本上恢复了 (比预期差了0.2%),但在农村地区仍然处于低迷状态 (-4.9%).
- 肺部,前列腺癌和黑色素瘤在诊断中显示出最大的累积缺陷.
结论:
- 癌症发病率在2020年经历了显著的破坏,但在2021年显示有意义的恢复.
- 尽管康复,但在大流行期间,大量癌症病例未被诊断出来,需要持续监测和干预.
- 农村人口的发病率需要进一步关注,以确保公平的癌症检测.
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