在COVID-19大流行期间,便检测,结肠镜利用和结肠直肠瘤检测的反弹
Michael J Langevin1, Christopher D Jensen2, Amy R Marks2
1Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, California, USA.
The American journal of gastroenterology
|January 6, 2025
概括
在大流行期间,结肠直肠癌 (CRC) 查下降,但在2021年强反弹. 大多数患者群体恢复了查率,在流行后的CRC测试中表现出弹性.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着COVID-19大流行,常规癌症查,包括结直肠癌 (CRC) 查,受到严重影响.
- 关于流行后CRC检测率的恢复和瘤检测的数据有限.
研究的目的:
- 在COVID-19大流行期间和之后,评估CRC查测试的利用和在大型卫生系统中检测结直肠瘤.
- 将2020-2021年的查和检测率与大流行前 (2019) 的水平进行比较.
- 为了确定不同的人口分组之间的查恢复的任何差异.
主要方法:
- 追溯队列研究的设计.
- 对便免疫化学测试 (FIT) 和结肠镜利用率,FIT阳性率和瘤检测率的分析.
- 从2019年到2021年,每年收集Kaiser Permanente北加利福尼亚州的可接受查的患者 (50-75岁) 的数据.
- 数据按性别,年龄,种族/族裔和喜欢的口语分层.
主要成果:
- 与2019年相比,在2020年观察到CRC测试 (FIT和结肠镜),FIT阳性和瘤检测的显著减少.
- 2021年发生了CRC查和瘤检测的强反弹,接近或超过2019年的水平.
- 大多数人口亚群,包括种族/族裔少数群体和语言偏好群体,在2021年显示出可比的恢复率.
- 白人个人和那些有英语语言偏好的人在恢复到基线查水平方面略有滞后.
结论:
- 随着大流行相关的下降,CRC查和瘤检测在2021年表现出强的复苏.
- 这项研究表明,在重大干扰后,卫生系统可以有效地恢复查率,在这个队列中观察到的长期差异最小.
- 需要进行进一步的长期研究,以确定大流行引起的查变化对未来CRC结果的最终影响.
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