Reichardt Peter, Bollmann Andreas, Hohenstein Sven, Glass Bertram, Untch Michael, Reichardt Annette, Amrein Daniel, Kuhlen Ralf
Department of Oncology and Palliative Care, Helios Klinikum Berlin-Buch, Berlin, Germany,
Heart Center Leipzig and Leipzig Heart Institute, Leipzig, Germany.
Oncol Res Treat. 2021;44(3):71-75. doi: 10.1159/000512935. Epub 2020 Dec 17.
The COVID-19 pandemic lead to a massive shutdown of social life in Germany starting in March 2020. Elective medical treatment was substantially reduced but urgent diagnostics and treatment including cancer care should not have been affected.
We analyzed the number of oncology admissions to 75 German Helios hospitals during 2 time periods in 2020 and compared the data with the respective periods in 2019. The study included nearly 69,000 admissions in total.
A highly significant reduction in overall cancer admissions was seen for the early lockdown period from 13 March to 28 April 2020 compared to the same period in 2019. After an official communication advising the health system to return to normal practice on 29 April 2020, we again found a highly significant difference in admissions compared to the respective time in the previous year. Subgroup analysis shows a significant impact of age >75 years, high hospital volume, and intermediate or high COVID-19 case volume in the federal states. Gender had no impact on admission numbers. The effects and significance levels were comparable in nearly all different diagnostic subgroups according to the ICD codes.
For cancer diagnosis and treatment, we found a statistically significant decrease in hospital admissions in the range of 10-20% for both study periods in comparison to the previous year.
2020年3月起，新冠疫情导致德国社会生活大规模停摆。择期医疗大幅减少，但紧急诊断和治疗，包括癌症护理，本不应受到影响。
我们分析了2020年两个时间段内德国75家赫利俄斯医院的肿瘤住院人数，并将数据与2019年的相应时间段进行比较。该研究共纳入近69000例住院病例。
与2019年同期相比，2020年3月13日至4月28日的早期封锁期间，总体癌症住院人数显著减少。在2020年4月29日官方发布建议卫生系统恢复正常诊疗的通知后，我们再次发现与上一年同期相比，住院人数存在高度显著差异。亚组分析显示，年龄>75岁、医院规模大以及联邦州新冠病例数中等或较高有显著影响。性别对住院人数没有影响。根据国际疾病分类代码，几乎所有不同诊断亚组的影响和显著性水平相当。
对于癌症诊断和治疗，我们发现与上一年相比，两个研究时间段内医院住院人数在统计学上显著下降，降幅在10%-20%之间。
