Department of Pathology, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.
Department of Pathology, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan.
Cytopathology. 2023 Sep;34(5):406-416. doi: 10.1111/cyt.13259. Epub 2023 Jun 18.
The COVID-19 pandemic has had a global impact on the environment and economy and has affected hospital administration and patient behaviour. Since human-to-human coronavirus transmission occurs via droplets and physical contact, health care professionals are particularly vulnerable to contracting COVID-19. Many cytopathology laboratories updated their workflow, established new standard biosafety protocols, and built digital pathology or telescope platforms to mitigate these risks and deal with the shortage of health care personnel. The COVID-19 pandemic also disrupted medical education-all indoor training events, including conferences, multidisciplinary tumour boards, seminars, and microscope inspections were postponed. As a result, many laboratories now use new web-based applications and platforms to maintain educational programs and multidisciplinary tumour boards. To comply with government directives, health care facilities postponed non-emergency surgeries, reduced the number of routine medical examinations, restricted visitor numbers, and scaled back cancer screening activities, resulting in a sharp decline in cytopathology diagnoses, cancer screening specimens, and molecular testing for cancer. Subsequent misses or delays in the diagnosis and treatment of cancer were not uncommon. This review aims to provide comprehensive summaries of the consequences of the COVID-19 pandemic for cytopathology, particularly in terms of cancer diagnosis, workload, human resources, and molecular testing.
新型冠状病毒肺炎疫情对环境和经济造成了全球性影响,并影响了医院管理和患者行为。由于人与人之间的冠状病毒传播是通过飞沫和身体接触进行的,因此医护人员特别容易感染新型冠状病毒肺炎。许多细胞病理学实验室更新了工作流程,建立了新的标准生物安全协议,并建立了数字病理学或望远镜平台,以降低这些风险并应对医护人员短缺的问题。新型冠状病毒肺炎疫情还扰乱了医学教育——所有室内培训活动,包括会议、多学科肿瘤委员会、研讨会和显微镜检查都被推迟了。因此,许多实验室现在使用新的基于网络的应用程序和平台来维持教育计划和多学科肿瘤委员会。为了遵守政府指令,医疗机构推迟了非紧急手术,减少了常规体检次数,限制了访客人数,并缩减了癌症筛查活动,导致细胞病理学诊断、癌症筛查标本和癌症分子检测数量急剧下降。随后,癌症的诊断和治疗出现漏诊或延误的情况并不少见。本文旨在全面总结新型冠状病毒肺炎疫情对细胞病理学的影响,特别是在癌症诊断、工作量、人力资源和分子检测方面的影响。