Impact of the 2nd, 3rd and 4th waves of the COVID-19 pandemic on wait times in head and neck cancer: A retrospective study in a French expert center

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2024-09-01 DOI:10.1016/j.anorl.2024.04.001

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引用次数: 0

Abstract

Background

Treatment delay in head and neck cancer is a major problem, with impact on survival. The COVID-19 (coronavirus disease 2019) pandemic, evolving in waves around the world, caused diagnostic and therapeutic delays in certain cancers. The main objective of the present study was to analyze whether there was a change in wait times during three successive waves in our center.

Method

This was a single-center retrospective study of patients with a first diagnosis of head and neck cancer. Three groups, corresponding to waves 2, 3 and 4, were compared to a control group corresponding to a pre-pandemic period. Study data comprised median times between first consultation and tumor board meeting (C1-TB) and between tumor board meeting and treatment (TB-T). The significance threshold was set at P < 0.005.

Results

Ninety-six patients were included in the control group, and 154 in the “waves 2-3-4” group. There was no increase in C1-TB interval (respectively 35 and 26 days, P = 0.046) or TB-T interval (respectively 27 and 28 days, P = 0.723).

Conclusion

Intervals between first consultation and tumor board meeting and between tumor board meeting and treatment did not increase during the 2nd, 3rd and 4th waves of COVID-19 in our center.

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COVID-19大流行的第二、第三和第四波对头颈癌候诊时间的影响：法国一家专家中心的回顾性研究。

背景：头颈部癌症的治疗延误是一个重大问题，会影响患者的生存。COVID-19（冠状病毒病 2019）大流行在全球范围内呈波浪式发展，导致某些癌症的诊断和治疗延误。本研究的主要目的是分析我们中心在连续三次大流行中等待时间是否发生了变化：这是一项单中心回顾性研究，研究对象是首次诊断为头颈部癌症的患者。研究将第二、第三和第四波的三组患者与大流行前的对照组进行比较。研究数据包括首次就诊与肿瘤委员会会议（C1-TB）之间的中位时间，以及肿瘤委员会会议与治疗（TB-T）之间的中位时间。显著性阈值设定为 PResults：对照组有 96 名患者，"2-3-4 波 "组有 154 名患者。C1-TB间隔（分别为35天和26天，P=0.046）或TB-T间隔（分别为27天和28天，P=0.723）没有增加：结论：在本中心，COVID-19 的第二、第三和第四波期间，首次就诊与肿瘤委员会会议之间的间隔以及肿瘤委员会会议与治疗之间的间隔没有增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Annals of Otorhinolaryngology-Head and Neck Diseases OTORHINOLARYNGOLOGY-

CiteScore

3.70

自引率

28.00%

发文量

审稿时长

12 days

期刊介绍： European Annals of Oto-rhino-laryngology, Head and Neck diseases heir of one of the oldest otorhinolaryngology journals in Europe is the official organ of the French Society of Otorhinolaryngology (SFORL) and the the International Francophone Society of Otorhinolaryngology (SIFORL). Today six annual issues provide original peer reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches and review articles giving most up-to-date insights in all areas of otology, laryngology rhinology, head and neck surgery. The European Annals also publish the SFORL guidelines and recommendations.The journal is a unique two-armed publication: the European Annals (ANORL) is an English language well referenced online journal (e-only) whereas the Annales Françaises d’ORL (AFORL), mail-order paper and online edition in French language are aimed at the French-speaking community. French language teams must submit their articles in French to the AFORL site. Federating journal in its field, the European Annals has an Editorial board of experts with international reputation that allow to make an important contribution to communication on new research data and clinical practice by publishing high-quality articles.