全球危机对结肠直肠癌的治疗有什么影响? - - 苏格兰和瑞士在COVID-19大流行期间的描述性研究
B Wiesler1, M Worni1,2, P Studer2
1Clarunis, Department of Visceral Surgery, University Digestive Health Care Center, St. Clara Hospital and University Hospital Basel, Basel, Switzerland.
World journal of surgery
|March 2, 2026
概括
在苏格兰和瑞士,COVID-19流行病对结直肠癌的治疗产生了不同的影响. 苏格兰在诊断和治疗方面出现了延迟,而瑞士的影响很小,这凸显了医疗保健系统的弹性.
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:
- 由于COVID-19大流行,欧洲的医疗保健系统受到严重破坏.
- 国家医疗保健系统对大流行病对癌症治疗的影响的反应尚不清楚.
- 瑞士和苏格兰呈现出对比的医疗保健系统结构,提供了一个独特的比较.
研究的目的:
- 评估COVID-19大流行对结直肠癌 (CRC) 诊断和外科治疗的影响.
- 为了比较瑞士和苏格兰不同的医疗保健系统中的这些影响.
主要方法:
- 苏格兰和瑞士的回顾性队列研究 (2019年1月 - 2023年2月).
- 包括所有被诊断患有结直肠癌 (CRC) 的患者.
- 主要结局:从诊断到治疗的时间和诊断时的UICC阶段,与封锁前,期间和后相比.
主要成果:
- 从诊断到治疗的中位时间在两国封锁期间保持稳定,但在苏格兰封锁后增加.
- 苏格兰在封锁期间CRC诊断和治疗的数量有所下降,第四阶段诊断增加了42%.
- 瑞士在流行病后的治疗时间仅略有增加,没有观察到其他不良影响.
结论:
- 与苏格兰相比,大流行对结直肠癌治疗的影响在瑞士不那么严重.
- 医疗保健系统的集中化可能会影响对流行病相关干扰的恢复力.
- 由于分组分析,苏格兰和瑞士之间的直接比较需要进一步调查.
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