COVID-19大流行对澳大利亚新南威尔士州原发性皮肤黑色素瘤诊断和治疗的影响：一项回顾性队列研究

IF 1.6 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Australian Journal of General Practice Pub Date : 2024-12-01 DOI:10.31128/AJGP-10-23-6991

Meryl Thomas, Maria Jones-Caballero, Marlene Wijaya, Pablo Fernandez-Penas, Raquel Ruiz Araujo

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引用次数: 0

摘要

背景和目标：2019冠状病毒病大流行造成了卫生保健系统的动荡，其后果不断演变。本研究的目的是评估大流行对澳大利亚新南威尔士州黑色素瘤诊断和管理的影响。方法：在这项回顾性队列研究中，我们分析了三年内在三级护理医院诊断的所有新黑色素瘤。我们比较了大流行前（2019年1月1日至2020年3月30日）和大流行期间（2020年3月31日至2021年12月31日）的结果。结果：共纳入426例黑色素瘤。在患者人口统计学、乳腺厚度、溃疡、亚型或淋巴结阳性方面没有观察到显著差异。在大流行期间，社区中诊断出的黑色素瘤数量减少了11% (P=0.016)，从转诊到大面积局部切除的时间减少了11天（P=0.013）。讨论：在澳大利亚新南威尔士州大流行期间，黑色素瘤护理的优先次序没有导致明显的诊断延误。

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Impact of the COVID-19 pandemic on the diagnosis and management of primary cutaneous melanomas in New South Wales, Australia: A retrospective cohort study.

Background and objectives: The COVID-19 pandemic caused upheaval of healthcare systems, with evolving consequences. The aim of this study was to evaluate the impact of the pandemic on melanoma diagnosis and management in New South Wales, Australia.

Method: In this retrospective cohort study, we analysed all new melanomas diagnosed at a tertiary care hospital over a three-year period. We compared outcomes between pre-pandemic (1 January 2019 - 30 March 2020) and pandemic (31 March 2020 - 31 December 2021) periods.

Results: A total of 426 melanomas were included. No significant differences in patient demographics, Breslow thickness, ulceration, subtype or lymph node positivity were observed. During the pandemic, there was an 11% decrease in the number of melanomas diagnosed in the community (P=0.016) and an 11-day reduction in time from referral to wide local excision (P=0.013).

Discussion: The prioritisation of melanoma care during the pandemic in New South Wales, Australia, has resulted in no apparent diagnostic delays.

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来源期刊

Australian Journal of General Practice Medicine-Family Practice

CiteScore

2.80

自引率

4.50%

发文量

284

期刊介绍： The Australian Journal of General Practice (AJGP) aims to provide relevant, evidence-based, clearly articulated information to Australian general practitioners (GPs) to assist them in providing the highest quality patient care, applicable to the varied geographic and social contexts in which GPs work and to all GP roles as clinician, researcher, educator, practice team member and opinion leader. All articles are subject to peer review before they are accepted for publication.