在COVID-19期间的行为变化和晚期结直肠癌诊断:现实世界的调查分析分析
Shiki Fujino1,2,3, Norikatsu Miyoshi4,5, Rie Hayashi1
1Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2, Yamadaoka, Suita-City, Osaka, 565-0871, Japan.
BMC gastroenterology
|December 13, 2025
概括
COVID-19大流行导致结直肠癌患者的行为变化,导致护理延迟和先进诊断. 需要公共卫生策略来鼓励在健康危机期间定期检查和查.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 随着COVID-19大流行,医疗保健受到破坏,导致医院访问减少,诊断延迟.
- 这项研究调查了大流行期间关于结肠直肠癌护理的患者行为变化.
- 这项研究旨在确定脆弱人群,并评估对癌症进展的影响.
研究的目的:
- 在COVID-19大流行期间检查结直肠癌手术患者的行为转变.
- 为了确定患者群体表现出更高的易感性与大流行相关的医疗保健延迟.
- 评估行为变化与结直肠癌进展之间的相关性.
主要方法:
- 在大阪大学医院和米诺市医院 (2021年1月至2023年6月) 对结直肠癌手术患者进行了一项调查.
- 参与者报告了临床症状,医疗保健访问频率和查实践.
- 行为变化被定义为大流行引起的延期或取消医疗访问和查;数据被追溯收集.
主要成果:
- 在83名符合条件的患者中,8.4%的人表现出与大流行相关的行为变化.
- 在研究期间晚些时候,直肠出血更为普遍 (P=0.014).
- 女性更容易发生行为变化 (P=0.038),这些患者往往有更先进的疾病阶段 (P=0.062).
结论:
- 随着COVID-19的流行,患者的行为发生了重大变化,导致咨询延迟和癌症的晚期诊断.
- 调查结果强调了公共卫生倡议的必要性,促进一致的医疗检查和及时查.
- 在全球卫生紧急情况期间,需要特别注意脆弱人群,以减轻对癌症护理的负面影响.
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