乳腺癌手术等待时间和COVID-19:加拿大基于人口的分析
1Division of General Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Annals of surgical oncology
|January 24, 2026
概括
COVID-19大流行严重影响了乳腺癌 (BC) 手术等待时间,诊断至手术间隔较长,但后辅助治疗等待时间较短. 这突出了大流行期间BC护理的分类.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 外科手术的结果
背景情况:
- 由于COVID-19大流行导致手术室限制,需要对乳腺癌 (BC) 手术进行分拣.
- 这项研究调查了大流行病对BC外科等待时间的影响.
研究的目的:
- 为了评估COVID-19流行病对乳腺癌手术等待时间的影响.
- 分析不同流行病阶段新辅助疗法使用和手术时间的变化.
主要方法:
- 这是一项基于人口的队列研究,在2018年1月至2021年12月期间,在加拿大安大略省诊断出BC的37520名患者中进行.
- 患者被分为大流行前,大流行后和大流行前的三组.
- 时间到事件分析用于评估第一次BC手术的时间,对新辅助化疗 (NAC) 和新辅助内分泌疗法 (NET) 的子组分析.
主要成果:
- 与大流行前时期相比,每月接受BC手术的概率在即时和大流行期间显著下降.
- 与大流行前期相比,NAC和NET的使用在即时流行期间显著增加 (NAC:24.3%对14.4%;NET:12.4%对6.6%).
- 对于接受手术作为第一项治疗的患者,与大流行前和大流行期间 (1.2 个月) 相比,即时流行 (1.0 个月) 的中位等待时间最短.
结论:
- 由于COVID-19大流行,乳腺癌患者的诊断至手术时间更长.
- 疫情期间观察到新辅助疗法的使用增加.
- 尽管整体等待时间较长,但在新辅助疗法后的外科等待时间在即时流行期间较短,这表明了护理的分拣.
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