在COVID-19大流行期间,美国军事卫生系统的宫癌查
S Ahmed Hussain1, Michael Dore2, Kelsey Van Bokkem1
1Gynecologic Surgery and Obstetrics, Naval Medical Center Portsmouth, Portsmouth, USA.
Cureus
|December 27, 2024
概括
宫癌查 (CCS) 率在COVID-19大流行期间在美国军事卫生系统显著下降. 这种减少凸显了在卫生危机期间保持基本预防服务的必要性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 在瘤学瘤学.
背景情况:
- 由于COVID-19大流行,医疗保健系统需要改变,包括约会限制.
- 宫癌查 (CCS) 是一个关键的预防性服务.
- 流行病对美国军事卫生系统 (MHS) 中心血管疾病的影响以前没有报告.
研究的目的:
- 在COVID-19大流行期间,评估MHS内CCS率的变化.
- 为了比较大流行时代的CCS率与大流行前的数据.
主要方法:
- 追溯队列研究的设计.
- 从2020年2月2022年2月 (大流行) 到2013年1月2020年1月 (大流行前) 的CCS率的比较.
- 使用中断时间序列和回归方法进行分析.
主要成果:
- 观察到充分查的患者的统计学上显著下降.
- 充分查率从疫情前的77.9%下降到2021年2月的70.0%.
- 大流行前的平均CCS率 (75.5%) 与大流行期间的平均水平 (73.3%) 有显著差异,表明有17,452名患者接受过不充分的查.
结论:
- 由于COVID-19大流行,MHS内部的CCS大幅减少.
- 这些发现与全国趋势一致,即在大流行期间癌症查减少.
- 强调在公共卫生危机期间确保获得基本预防性护理的重要性.
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