在多次 COVID-19 浪潮期间癌症手术的变化。
The Changing Face of Cancer Surgery During Multiple Waves of COVID-19.
机构信息
ICES, Toronto, ON, Canada.
Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON, Canada.
出版信息
JNCI Cancer Spectr. 2022 Sep 1;6(5). doi: 10.1093/jncics/pkac062.
COVID-19 has had a detrimental effect on the provision of cancer surgery, but its impact beyond the first 6 months of the pandemic remains unclear. We used data on 799 220 cancer surgeries performed in Ontario, Canada, during 2018-2021 and segmented regression to address this knowledge gap. With the arrival of the first COVID-19 wave (March 2020), mean cancer surgical volume decreased by 57%. Surgical volume then rose by 2.5% weekly and reached prepandemic levels in 8 months. The surgical backlog after the first wave was 47 639 cases. At the beginning of the second COVID-19 wave (January 2021), mean cancer surgical volume dropped by 22%. Afterward, surgical volume did not actively recover (2-sided P = .25), resulting in a cumulative backlog of 66 376 cases as of August 2021. These data urge the strengthening of the surgical system to quickly clear the backlog in anticipation of a tsunami of newly diagnosed cancer patients in need of surgery.
COVID-19 对癌症手术的开展产生了不利影响，但大流行头 6 个月后其影响仍不清楚。我们使用了 2018 年至 2021 年期间在加拿大安大略省进行的 799220 例癌症手术的数据，并采用分段回归来解决这一知识空白。随着第一波 COVID-19 的到来（2020 年 3 月），癌症手术量平均减少了 57%。随后，手术量每周增加 2.5%，并在 8 个月内恢复到大流行前水平。第一波疫情后的积压手术量为 47639 例。在第二波 COVID-19 疫情（2021 年 1 月）开始时，癌症手术量平均下降了 22%。此后，手术量并未积极恢复（双侧 P =.25），截至 2021 年 8 月，累计积压手术量达到 66376 例。这些数据敦促加强手术系统，以快速清除积压手术，为大量新诊断癌症患者需要手术做好准备。
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