Cancer Surveillance Branch, International Agency for Research on Cancer, Lyon, France.
Cancer Council Queensland, Brisbane, Queensland, Australia.
Int J Cancer. 2022 Jan 15;150(2):273-278. doi: 10.1002/ijc.33792. Epub 2021 Sep 18.
The COVID-19 pandemic has caused disruptions to national health systems and impacted health outcomes worldwide. However, the extent to which surveillance systems, such as population-based cancer registration, have been affected was not reported. Here we sought to evaluate the effect of the pandemic on registry operations across different areas and development levels worldwide. We investigated the impact of COVID-19 on three main areas of cancer registry operations: staffing, financing and data collection. An online survey was administered to 750 member registries of the International Association for Cancer Registries. Among 212 responding registries from 90 countries, 65.6% reported a disruption in operations, ranging between 45% in south-eastern Asia and 87% in the Latin America and Caribbean. Active data collection was disrupted more than case notifications or hybrid methods. In countries categorized with low Human Development Index (HDI), a greater number of registries reported a negative impact (81.3%) than in very high HDI countries (57.8%). This contrast was highest in term of impact on financing: 9/16 (56%) registries in low HDI countries reported a current or an expected decline in funding, compared to 7/108 (7%) in very high HDI countries. With many cancer registries worldwide reporting disruption to their operations during the early COVID-19 pandemic, urgent actions are needed to ensure their continuity. Governmental commitment to support future registry operations as an asset to disease control, alongside a move toward electronic reporting systems will help to ensure the sustainability of cancer surveillance worldwide.
COVID-19 大流行扰乱了各国的卫生系统，并对全球的健康结果产生了影响。然而，有关人口癌症登记等监测系统受到何种程度影响的报道尚未见诸于文献。在此，我们旨在评估大流行对全球不同地区和发展水平的登记处业务的影响。我们研究了 COVID-19 对癌症登记业务三个主要领域的影响：人员配置、资金和数据收集。我们向国际癌症登记协会的 750 个成员登记处发放了在线调查。在来自 90 个国家的 212 个回应登记处中，有 65.6%报告业务中断，其中东南亚为 45%，拉丁美洲和加勒比地区为 87%。与病例通知或混合方法相比，主动数据收集受到的干扰更大。在人类发展指数（HDI）较低的国家中，报告负面影响的登记处比例（81.3%）高于 HDI 非常高的国家（57.8%）。这种差异在对资金的影响方面最为显著：在 HDI 较低的国家中，有 9/16（56%）的登记处报告当前或预计资金减少，而在 HDI 非常高的国家中，仅有 7/108（7%）的登记处报告资金减少。由于全世界许多癌症登记处报告在 COVID-19 大流行早期其业务受到干扰，因此需要采取紧急行动以确保其连续性。政府承诺将支持未来的登记处业务作为疾病控制的资产，同时转向电子报告系统，这将有助于确保全球癌症监测的可持续性。
