在COVID-19疫情期间肌肉骨瘤管理如何变化:来自日本肌肉骨瘤专业医院全国问卷调查的数据
Takeshi Morii1, Shintaro Iwata2, Kensaku Yamaga3
1Department of Orthopaedic Surgery, School of Medicine, Kyorin University, 6-20-2 Shinkawa, Mitaka-shi 181-8611, Tokyo, Japan.
Current oncology (Toronto, Ont.)
|August 27, 2025
概括
随着COVID-19大流行,日本的肌肉骨瘤治疗严重受损,影响了门诊服务和手术. 直接感染患者是改变骨和软组织瘤治疗策略的主要原因.
科学领域:
- 癌症学
- 流行病学
- 医疗保健管理
背景情况:
- 关于COVID-19对日本骨和软组织瘤治疗的影响的数据有限.
- 之前的研究主要集中在疫情期间的临床实践变化上.
研究的目的:
- 调查COVID-19大流行对日本肌肉骨瘤治疗的影响.
- 确定影响治疗策略变化的因素.
主要方法:
- 全国针对肌肉骨瘤的医院进行网络调查.
- 评估COVID-19相关事件,治疗延迟和管理策略的修改.
主要成果:
- 78家医院响应,报告了患者感染 (28.2%),疫情集群 (48.7%) 和工作人员感染 (53.8%).
- 患者转诊显著下降;手术治疗比化疗或放射治疗更受影响.
- 48.7% 的医院推迟或取消了手术; 20.5% 的医院延长了随访间隔.
结论:
- 随着COVID-19大流行,肌肉骨瘤服务,特别是门诊护理和手术受到严重影响.
- 患者直接感染与机构治疗政策的修改有显著联系.
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