两年后的COVID-19:一项生态研究评估了对巴西乳腺癌查计划的影响
Marcelo Antonini1, André Mattar2,3, Denise Joffily Pereira da Costa Pinheiro1
1Hospital do Servidor Público Estadual, Francisco Morato de Oliveira, São Paulo, Brazil.
Cancer control : journal of the Moffitt Cancer Center
|November 21, 2024
概括
由于COVID-19大流行,巴西的乳房造影显著减少,导致更先进的乳腺癌诊断. 这凸显了早期检测和诊断的潜在延迟.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 放射学 放射学是一门学科.
背景情况:
- 在全球范围内,COVID-19大流行扰乱了医疗保健服务.
- 乳房扫描对早期发现乳腺癌至关重要.
研究的目的:
- 为了评估大流行对巴西乳房扫描检查的影响.
- 分析乳腺成像报告和数据系统 (BIRADS) 结果,癌症诊断率和阶段的变化.
主要方法:
- 使用巴西国家查计划 (2015-2023) 的回顾性数据进行的生态观测研究.
- 分析了来自DATASUS - SISCAN数据库的1500多万张乳房图片.
- 专注于对50-69岁妇女进行查性乳房造影.
主要成果:
- 与大流行前的水平相比,2020年的乳房造影减少了39.6%,而2021年的乳房造影减少了12.6%.
- 流行病后观察到的BIRADS类别4和5的比率增加.
- 疫情后转向诊断更先进的乳腺癌阶段 (III和IV).
结论:
- 这场大流行导致了乳腺癌查和乳腺癌诊断的重大中断.
- 延迟检测和诊断可能有助于识别更先进的疾病阶段.
- 需要采取紧急战略,以减轻与流行病相关的查中断的长期影响.
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