STUDENT RESEARCH GROUP AT THE CHAIR AND DEPARTMENT OF PATHOMORPHOLOGY, FACULTY OF MEDICAL SCIENCES IN ZABRZE MEDICAL UNIVERSITY OF SILESIA, ZABRZE, POLAND.
CHAIR AND DEPARTMENT OF PATHOMORPHOLOGY, FACULTY OF MEDICAL SCIENCES IN ZABRZE, MEDICAL UNIVERSITY OF SILESIA, ZABRZE, POLAND.
Wiad Lek. 2021;74(7):1542-1551.
OBJECTIVE: The aim: Cancer is the second most common cause of death in Polish society. The healthcare system, already overwhelmed in many countries, has been further burdened by the outbreak of the SARS-CoV-2 pandemic. The healthcare system has become inefficient, especially in the oncology care sector. Surgeries, scheduled treatments, and follow-up appointments in some hospitals have been canceled or rescheduled to the "next available date after the end of the pandemic". This research aims to analyze the impact of the COVID-19 pandemic on the availability of medical care among oncological patients and compare them with the results of studies on the effects of postponement of oncology treatment. PATIENTS AND METHODS: Materials and methods: The study included a group of 544 respondents from all over Poland. The research tool was a self-administered survey questionnaire. RESULTS: Results: 37%, of those undergoing systemic treatment, experienced postponement of their treatment, and in the case of radiotherapy, it was 35%. Visits to the clinical oncologist/radiotherapist specialist were postponed in 51% of respondents. Imaging studies were delayed in 41.7% of respondents. CONCLUSION: Conclusions: The course of the COVID-19 pandemic has significantly impacted the health care system and, therefore, also on the availability of medical care among oncologicalpatients. The results signal an emerging problem. These visit shifts may negatively affect the outcome of cancer treatment. The potential risk of COVID-19 infection should beindividually balanced against cancer treatment delay in each patient. The ongoing pandemic, therefore, prompts a careful analysis of the effects of deferring cancer therapy.
目的:癌症是波兰社会第二大常见死因。在许多国家已经不堪重负的医疗体系,由于 SARS-CoV-2 大流行的爆发而进一步负担过重。医疗体系变得效率低下,尤其是在肿瘤护理领域。一些医院的手术、计划治疗和随访预约已被取消或重新安排到“大流行结束后的下一个可用日期”。本研究旨在分析 COVID-19 大流行对肿瘤患者医疗服务可及性的影响,并将其与关于肿瘤治疗延迟影响的研究结果进行比较。
患者和方法:材料和方法:该研究包括来自波兰各地的 544 名受访者。研究工具是一份自我管理的问卷调查表。
结果:结果:正在接受系统治疗的患者中有 37%经历了治疗延迟,而在接受放疗的患者中,这一比例为 35%。51%的受访者推迟了看临床肿瘤学家/放射治疗师专家的预约。41.7%的受访者的影像学研究被推迟。
结论:结论:COVID-19 大流行的进程对医疗保健系统产生了重大影响,因此也影响了肿瘤患者的医疗服务可及性。研究结果显示出一个新出现的问题。这些就诊时间的改变可能会对癌症治疗的结果产生负面影响。在每个患者中,COVID-19 感染的潜在风险应与癌症治疗延迟进行个体化权衡。因此,正在进行的大流行促使我们仔细分析推迟癌症治疗的影响。
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