de Degani Graciela Lopez, Duarte Leandro, Ismael Julia, Martinez Laura, López Florencia
Cancer Control Agency, Ministry of Health, Bv. Pellegrini 3551, Zip Code 3000, Santa Fe, Argentina.
Ecancermedicalscience. 2021 Jul 26;15:1270. doi: 10.3332/ecancer.2021.1270. eCollection 2021.
The severe acute respiratory syndrome coronavirus 2 pandemic coronavirus disease (COVID-19) and the measures taken to lessen its impact have had side effects affecting timely care of other diseases. The aim of this paper is to quantify the impact of the pandemic on the cancer care line in the province of Santa Fe, Argentina.
It is an observational cross-sectional study comparing the impact on selected variables of the pre-pandemic and intra-pandemic periods. The formula of percentage variation was used to show the differences. The positivity index was calculated and expressed as a percentage. The proportions of both periods were compared through the chi-squared test and its -value.
Reductions were observed in all the variables under study. However, the deeper impact was evident in screening, with 56%-87% decreases in the number of procedures carried out. A 26% reduction was seen in diagnosis. Treatment was the variable with the least impact, with a 3% decrease.
COVID-19 as well as the measures taken to reduce its impact caused alterations in the cancer care line in the province, with clear differences according to the variable under study. Measures related to cancer screening were displaced, prioritising the care of patients already diagnosed and treated.
Considering the new increase in the number of COVID-19 cases, it is essential to adapt the healthcare system, and design new innovative strategies to reduce long-term consequences.
严重急性呼吸综合征冠状病毒2大流行引发的冠状病毒病（COVID-19）以及为减轻其影响而采取的措施产生了副作用，影响了其他疾病的及时治疗。本文旨在量化该大流行对阿根廷圣菲省癌症护理流程的影响。
这是一项观察性横断面研究，比较大流行前和大流行期间对选定变量的影响。使用百分比变化公式来显示差异。计算阳性指数并以百分比表示。通过卡方检验及其P值比较两个时期的比例。
在所研究的所有变量中均观察到减少。然而，筛查方面的影响更为明显，所进行的检查数量减少了56%-87%。诊断减少了26%。治疗是受影响最小的变量，减少了3%。
COVID-19以及为减轻其影响而采取的措施导致该省癌症护理流程发生改变，根据所研究的变量存在明显差异。与癌症筛查相关的措施被搁置，优先照顾已确诊和接受治疗的患者。
考虑到COVID-19病例数量的新增加，调整医疗系统并设计新的创新策略以减少长期后果至关重要。
