**新冠疫情与全州范围癌症服务模式的关联**。
Association of the COVID-19 Pandemic With Patterns of Statewide Cancer Services.
机构信息
Surveillance and Health Equity Science, American Cancer Society, Atlanta, GA, USA.
Louisiana State University Health Sciences Center, School of Public Health, New Orleans, LA, USA.
出版信息
J Natl Cancer Inst. 2022 Jun 13;114(6):907-909. doi: 10.1093/jnci/djab122.
The coronavirus disease 2019 (COVID-19) pandemic led to delayed medical care in the United States. We examined changes in patterns of cancer diagnosis and surgical treatment between January 1 and December 31 in 2020 and 2019 with real-time electronic pathology report data from population-based Surveillance, Epidemiology, and End Results cancer registries from Georgia and Louisiana. During 2020, there were 29 905 fewer pathology reports than in 2019, representing a 10.2% decline. Declines were observed in all age groups, including children and adolescents younger than 18 years. The nadir was early April 2020, with 42.8% fewer reports than in April 2019. Numbers of reports through December 2020 never consistently exceeded those in 2019 after first declines. Patterns were similar by age group and cancer site. Findings suggest substantial delays in diagnosis and treatment services for cancers during the pandemic. Ongoing evaluation can inform public health efforts to minimize any lasting adverse effects of the pandemic on cancer diagnosis, stage, treatment, and survival.
2019 年冠状病毒病（COVID-19）大流行导致美国的医疗服务延迟。我们使用来自佐治亚州和路易斯安那州基于人群的监测、流行病学和最终结果癌症登记处的实时电子病理学报告数据，检查了 2020 年 1 月 1 日至 12 月 31 日期间癌症诊断和手术治疗模式的变化。2020 年，病理学报告比 2019 年减少了 29905 份，降幅为 10.2%。所有年龄段都观察到下降，包括 18 岁以下的儿童和青少年。最低点出现在 2020 年 4 月初，报告数量比 2019 年 4 月减少了 42.8%。2020 年 12 月之前，报告数量从未持续超过 2019 年的水平，首次下降后。各年龄组和癌症部位的模式相似。这些发现表明，大流行期间癌症的诊断和治疗服务出现了严重延误。正在进行的评估可以为公共卫生努力提供信息，以尽量减少大流行对癌症诊断、分期、治疗和生存的任何持久不利影响。
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