2019冠状病毒病对癌症诊断和分期的影响:韩国的一项单一研究。

IF 3.2 4区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY
Moonki Hong, Mingee Choi, JiHyun Lee, Kyoo Hyun Kim, Hyunwook Kim, Choong-Kun Lee, Hyo Song Kim, Sun Young Rha, Gyu Young Pih, Yoon Jin Choi, Da Hyun Jung, Jun Chul Park, Sung Kwan Shin, Sang Kil Lee, Yong Chan Lee, Minah Cho, Yoo Min Kim, Hyoung-Il Kim, Jae-Ho Cheong, Woo Jin Hyung, Jaeyong Shin, Minkyu Jung
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引用次数: 0

摘要

目的:癌症是世界范围内最常见、最致命的癌症之一。该疾病高发国家的国家癌症筛查项目为医疗援助受益人提供免费筛查,包括上内窥镜检查,以检测早期GC。然而,2019冠状病毒病(新冠肺炎)大流行对常规医疗服务造成了重大干扰。因此,本研究旨在评估新冠肺炎对GC的诊断、总体发病率和分期分布的影响。材料和方法:我们在癌症医院登记处确定了2018年1月至2021年12月期间被诊断为GC的患者,并比较了新冠肺炎大流行之前和期间诊断时的癌症分期。根据年龄和性别进行亚组分析。2018年和2019年被定义为“新冠肺炎之前”,2020年和2021年被定义为由“新冠疫情期间”。结果:总共对10875名患者进行了评估;在新冠肺炎期间和之前分别诊断出6535名和4340名患者。新冠肺炎大流行期间的诊断人数低于大流行前(189名患者/月,264名患者/年)。值得注意的是,2021年男性和≥40岁的患者中,3或4期GC患者的比例更高。结论:在新冠肺炎大流行期间,单个研究所的GC诊断总数显著下降。此外,GC在诊断时处于更晚期。需要进一步的研究来阐明新冠肺炎大流行与全球GC检测延迟之间的关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of Coronavirus Disease 2019 on Gastric Cancer Diagnosis and Stage: A Single-Institute Study in South Korea.

Purpose: Gastric cancer (GC) is among the most prevalent and fatal cancers worldwide. National cancer screening programs in countries with high incidences of this disease provide medical aid beneficiaries with free-of-charge screening involving upper endoscopy to detect early-stage GC. However, the coronavirus disease 2019 (COVID-19) pandemic has caused major disruptions to routine healthcare access. Thus, this study aimed to assess the impact of COVID-19 on the diagnosis, overall incidence, and stage distribution of GC.

Materials and methods: We identified patients in our hospital cancer registry who were diagnosed with GC between January 2018 and December 2021 and compared the cancer stage at diagnosis before and during the COVID-19 pandemic. Subgroup analyses were conducted according to age and sex. The years 2018 and 2019 were defined as the "before COVID" period, and the years 2020 and 2021 as the "during COVID" period.

Results: Overall, 10,875 patients were evaluated; 6,535 and 4,340 patients were diagnosed before and during the COVID-19 period, respectively. The number of diagnoses was lower during the COVID-19 pandemic (189 patients/month vs. 264 patients/month) than before it. Notably, the proportion of patients with stages 3 or 4 GC in 2021 was higher among men and patients aged ≥40 years.

Conclusions: During the COVID-19 pandemic, the overall number of GC diagnoses decreased significantly in a single institute. Moreover, GCs were in more advanced stages at the time of diagnosis. Further studies are required to elucidate the relationship between the COVID-19 pandemic and the delay in the detection of GC worldwide.

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来源期刊
Journal of Gastric Cancer
Journal of Gastric Cancer Biochemistry, Genetics and Molecular Biology-Cancer Research
CiteScore
4.30
自引率
12.00%
发文量
36
期刊介绍: The Journal of Gastric Cancer (J Gastric Cancer) is an international peer-reviewed journal. Each issue carries high quality clinical and translational researches on gastric neoplasms. Editorial Board of J Gastric Cancer publishes original articles on pathophysiology, molecular oncology, diagnosis, treatment, and prevention of gastric cancer as well as articles on dietary control and improving the quality of life for gastric cancer patients. J Gastric Cancer includes case reports, review articles, how I do it articles, editorials, and letters to the editor.
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