在一个单一的高等中心进行结肠直肠癌幸存者计划:在COVID-19之后,服务提供是否发生了变化?
Rachael Menadue1, Lea Tiffany1, Shriranshini Satheakeerthy2
1Department of Colorectal Surgery, Western Health, Melbourne, Australia.
概括
结直肠癌 (CRC) 患者的术后监测在COVID-19大流行期间没有显示任何变化. 然而,12个月CT扫描在流行后增加,而结肠镜和CEA测试的采用率对于较低阶段的CRC仍然很低.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 公共卫生 公共卫生
背景情况:
- 术后监测对于结直肠癌 (CRC) 幸存者护理至关重要.
- 在COVID-19大流行之前和之后,评估非转移性CRC患者的监测吸收变化至关重要.
研究的目的:
- 评估非转移性结肠直肠癌 (CRC) 患者手术后监测摄取量的变化.
- 为了比较维多利亚州COVID-19流行前和后的监视实践.
主要方法:
- 包括I-III期结肠直肠癌 (CRC) 患者,他们在维多利亚州西部健康医院接受治疗手术.
- 监测协议:每三个月进行一次临床审查,在18个月之前进行癌胚抗原 (CEA) 测试,在12个月后进行CT成像和结肠镜检查.
主要成果:
- 与I阶段患者相比,III阶段患者对临床审查,CEA测试和12个月CT扫描的接受率更高.
- 结肠镜监测率在所有阶段都始终很低.
- 在COVID-19大流行后,12个月的CT扫描吸收量显著增加 (87%),与COVID前 (73.1%) 和COVID期间 (76%) 相比.
- 在研究期间,CEA的摄入量,临床审查和结肠镜检查没有显著变化.
- 在18个月死亡率或整体复发率方面没有发现显著差异.
结论:
- 低阶段结肠直肠癌 (CRC) 患者的监测吸收率较低,特别是CEA血液检测和结肠镜检查.
- 对于CRC患者的生存护理提供在COVID-19大流行之前和之后保持一致.
- 虽然大流行后CT扫描的普及率有所增加,但整体监测策略需要优化,特别是在较低阶段的疾病中.
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