新冠肺炎大流行如何影响原发性癌症膀胱癌患者?

IF 0.5 4区 医学 Q4 SURGERY
Ali K Yildiz, Berat C Ozgur, Arif S Bayraktar, Demirhan O Demir, Omer G Doluoglu
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引用次数: 0

摘要

目的:新冠肺炎对原发性膀胱癌症(BC)患者的诱导作用尚未明确。本研究的目的是调查大流行对原发性BC患者的诊断、治疗和随访的影响。材料和方法:对2018年11月至2021年7月期间因原发性BC接受诊断和手术的所有患者进行回顾性单中心分析。共有275名患者被确定并分配到其中一组:COVIDBC前(在新冠肺炎大流行前诊断的BC)或COVIDBC(在大流行期间)。结果:与疫情前诊断的患者相比,疫情期间诊断的BC患者大多处于较高阶段(T2)(p=0.04),非肌肉侵袭性BC(NMIBC)的风险更高(p=0.02),复发和进展评分增加(p=0.001)。在大流行期间,从诊断到手术的时间(p=0.001)和症状持续时间(p=0.04)显著延长,随访率显著降低(p=0.03)。结论:研究结果突出表明,新冠肺炎大流行期间出现的患者肌肉侵袭性BC显著增加,NMIBC风险非常高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
How has the COVID-19 pandemic affected patients with primary bladder cancer?

Purpose: The COVID-19-induced effects of primary bladder cancer (BC) patients have not yet been clarified. The aim of this study was to investigate the effects of the pandemic on the diagnosis, treatment, and follow-up of primary BC patients.

Material and methods: A retrospective single-center analysis was made of all patients who underwent diagnostic and surgical procedures due to primary BC between November 2018 and July 2021. A total of 275 patients were identified and allocated to one of the groups: Pre-COVIDBC (BC diagnosed before the COVID-19 pandemic) or COVIDBC (during the pandemic).

Results: The BC patients diagnosed during the pandemic were mostly at higher stages (T2) (p = 0.04), the risk of non-muscle invasive BC (NMIBC) was higher (p = 0.02), and recurrence and progression scores were increased (p = 0.001) compared to patients diagnosed before the pandemic. The time to surgery from diagnosis (p = 0.001) and symptom duration (p = 0.04) were significantly prolonged during the pandemic and the rate of follow-up significantly decreased (p = 0.03).

Conclusions: The study results highlight the significant increase in muscle invasive BC and the very high risk of NMIBC in patients presenting during the COVID-19 pandemic.

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来源期刊
Cirugia Y Cirujanos
Cirugia Y Cirujanos 医学-外科
CiteScore
0.90
自引率
20.00%
发文量
207
审稿时长
6-12 weeks
期刊介绍: Cirugía y Cirujanoses exponente del desarrollo académico, científico, médico, quirúrgico y tecnológico en materia de salud en México y en el ámbito internacional. Es una revista bimestral, open access, revisada por pares, que publica en español y en inglés (traducido sin coste para los autores) artículos científicos originales, casos clínicos, artículos de revisión de interés general y cartas al editor. Los artículos se seleccionan y publican siguiendo un riguroso análisis, de acuerdo con los estándares internacionalmente aceptados. Sus espacios están abiertos a los académicos, así como a todo miembro de la comunidad médica que manifieste interés por utilizar este foro para publicar sus trabajos.
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