Swift Brenna E, Mazuryk Joshua, Yermakhanova Olga, Green Bo, Ferguson Sarah R, Kupets Rachel
Department of Obstetrics and Gynaecology, University of Toronto, Toronto, ON; Division of Gynaecologic Oncology, Sunnybrook Health Sciences Centre, Toronto, ON.
Ontario Health-Cancer Care Ontario, Toronto, ON.
J Obstet Gynaecol Can. 2024 Jan;46(1):102226. doi: 10.1016/j.jogc.2023.102226. Epub 2023 Sep 22.
To assess the impact of the COVID-19 pandemic on endometrial cancer stage and surgical treatment in Ontario, Canada.
This descriptive study identified cases from January 1, 2017 to December 31, 2021 from endometrial cancer hysterectomy specimens in the Ontario Health-Cancer Care Ontario, ePath system. Endometrial biopsy records from January 1, 2016 to December 31, 2021 were matched to surgical specimens by provincial health card number. Time to surgery and surgical stage were compared before (2017-2019) and during (2020-2021) the COVID-19 pandemic.
There were 10 446 women treated with hysterectomy for endometrial cancer in Ontario from 2017-2021. In April and May 2020, corresponding with the provincial state of emergency, there was a 56% relative reduction in endometrial biopsies. Despite this 2-month reduction in endometrial biopsy volume, there was no change in surgical volume for endometrial cancer treatment. The median time from endometrial biopsy to surgery was 56 days (IQR 40, 80) during the pandemic (2020-2021) compared to 58 days (IQR 43, 82) prior to the pandemic (2017-2019) (P < 0.001). There was no upstaging of endometrial cancer during the COVID-19 pandemic.
The Ontario healthcare system continued to prioritize service delivery to endometrial cancer patients during the COVID-19 pandemic, despite the increase in virtual care and decrease in operating room time. There were no significant surgical delays or upstaging of endometrial cancer.
评估2019冠状病毒病（COVID-19）大流行对加拿大安大略省子宫内膜癌分期及手术治疗的影响。
这项描述性研究从安大略省卫生厅癌症护理安大略省的ePath系统中，确定了2017年1月1日至2021年12月31日期间子宫内膜癌子宫切除标本的病例。通过省级健康卡号，将2016年1月1日至2021年12月31日的子宫内膜活检记录与手术标本进行匹配。比较了COVID-19大流行之前（2017 - 2019年）和期间（2020 - 2021年）的手术时间和手术分期。
2017 - 2021年期间，安大略省有10446名女性因子宫内膜癌接受了子宫切除术。在2020年4月和5月，与该省的紧急状态相对应，子宫内膜活检减少了56%。尽管子宫内膜活检量减少了2个月，但子宫内膜癌治疗的手术量没有变化。大流行期间（2020 - 2021年），从子宫内膜活检到手术的中位时间为56天（四分位间距40, 80），而大流行之前（2017 - 2019年）为58天（四分位间距43, 82）（P < 0.001）。在COVID-19大流行期间，子宫内膜癌没有出现分期上调。
在COVID-19大流行期间，尽管虚拟护理增加且手术室时间减少，但安大略省医疗保健系统继续将为子宫内膜癌患者提供服务作为优先事项。子宫内膜癌没有出现明显的手术延迟或分期上调。
