新冠肺炎疫情对膀胱癌诊疗过程的影响土耳其多中心研究

IF 0.1 Q4 UROLOGY & NEPHROLOGY
Abdullah Gürel, B. Baylan, I. Keles, A. Demirbaş, Mustafa Karalar, O. Gerçek, Ünal Öztekin, A. Özen, I. Ulus, Salih Zeki Sönmez, E. Erşekerci, A. Çift, A. Doğan, Berk Yasin Ekenci, C. Bayraktar, M. Karadağ
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引用次数: 0

摘要

目的:2019冠状病毒病(新冠肺炎)大流行对某些疾病的诊断和治疗效果,包括膀胱癌症(BC)。本研究旨在评估新冠肺炎大流行对BC诊断和治疗的影响。材料和方法:在伦理委员会批准该研究后,对2019年3月1日至2021年2月28日期间接受BC手术的869名患者的数据进行了回顾性分析。在新冠肺炎大流行之前和期间,对BC的手术次数、症状与诊断之间的时间、所进行的治疗以及手术病理进行了比较。结果:在新冠肺炎期间,与新冠肺炎前相比,BC手术总数有所下降(p=0.004)。观察到,这一下降是由于新诊断为BC的患者减少(p=0.001)以及进行膀胱肿瘤手术的初级经尿道电切术数量减少。在诊断时,患者的肿瘤分期没有差异(p=0.9)。在疫情期间,高风险非肌肉浸润性膀胱癌(NMIBC)患者的腔内芽孢杆菌-加美特-盖林治疗也有所减少(p=0.008)。在这两个时期,MIBC的症状与诊断之间的时间都比NIMBC长(p<0.001)。结论:持续的新冠肺炎大流行对BC的诊断和治疗产生了不利影响。新诊断数量的减少可能并不能反映出BC发病率的真正下降,这意味着在大流行期间出现的BC病例可能在更晚期被诊断出来。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of the COVID-19 Pandemic on Bladder Cancer Diagnosis and Treatment Processes; A Turkish Multicenter Study
Objective: The coronavirus disease-2019 (COVID-19) pandemic effect diagnosis and treatment of certain conditions, including bladder cancer (BC). This study aimed to evaluate the effects of the COVID-19 pandemic on BC diagnosis and treatment. Materials and Methods: Following the approval of the ethics committee for the study, data of 869 patients who underwent surgery for BC in the 2-year period between March 1, 2019 and February 28, 2021 were analyzed retrospectively. The number of surgeries performed for BC, the time elapsed between symptoms and diagnosis, the treatments performed, and the operative pathologies were compared before and during the COVID-19 pandemic. Results: During the COVID-19 period, there was a decrease in the total number of BC surgeries compared to the pre-COVID-19 period (p=0.004). It was observed that this decrease was due to a decrease in patients newly diagnosed with BC (p=0.001) as well as the decrease in the number of primary transurethral resection for bladder tumor procedures performed. There was no difference in the tumor stages of the patients at diagnosis (p=0.9). Intracavitary Bacillus Calmette-Guérin therapy use in high-risk non-muscle invasive bladder cancers (NMIBC) patients also decreased (p=0.008) during the pandemic period. It was observed that the time between symptom and diagnosis was longer in MIBC than in NIMBC during both periods (p<0.001). Conclusion: Diagnosis and treatment of BC have been adversely affected by the ongoing COVID-19 pandemic. The decrease in the number of new diagnoses may not reflect a true decrease in BC incidence, meaning that BC cases that arose during the pandemic are likely to be diagnosed at a more advanced stage.
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来源期刊
Journal of Urological Surgery
Journal of Urological Surgery UROLOGY & NEPHROLOGY-
自引率
33.30%
发文量
42
审稿时长
16 weeks
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