Department of Urology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
J Int Med Res. 2023 Oct;51(10):3000605231204465. doi: 10.1177/03000605231204465.
Hospital management and medical treatment changed during the coronavirus disease 2019 (COVID-19) pandemic. This study investigated the impact of the COVID-19 pandemic on patients with bladder cancer.
In this multicenter retrospective study, we collected information from the electronic medical records of outpatients who underwent cystoscopy and inpatients with confirmed bladder cancer in three hospitals in Nanjing (two province-level and one county-level hospitals) in 2019 and 2020. Patients' home addresses, treatment methods, length of stay, and pathology were compared between the periods.
In total, 4048 outpatients and 1242 inpatients were included. The average number of cystoscopies decreased significantly during the lockdown. In province-level hospitals, the number of cystoscopies increased gradually as the pandemic was brought under control but remained lower than that in 2019, whereas the number grew in 2020 in county-level hospitals. The rates of recurrence and radical cystectomy were higher in 2020 than in 2019. No significant difference in the pathological grade was observed. More patients who underwent radical cystectomy were diagnosed with muscle-invasive bladder cancer during the 2020 lockdown.
The pandemic severely affected patients with bladder cancer, mainly in their choice of institution and treatment.
2019 年冠状病毒病（COVID-19）大流行期间，医院管理和医疗发生了变化。本研究调查了 COVID-19 大流行对膀胱癌患者的影响。
在这项多中心回顾性研究中，我们收集了 2019 年和 2020 年在南京的三家医院（两家省级医院和一家县级医院）接受膀胱镜检查的门诊患者和确诊膀胱癌的住院患者的电子病历信息。比较了两个时期患者的家庭住址、治疗方法、住院时间和病理。
共纳入 4048 例门诊患者和 1242 例住院患者。在封锁期间，膀胱镜检查的数量明显减少。在省级医院，随着疫情得到控制，膀胱镜检查的数量逐渐增加，但仍低于 2019 年的数量，而县级医院的数量在 2020 年增加。2020 年的复发率和根治性膀胱切除术率高于 2019 年。病理分级无显著差异。在 2020 年的封锁期间，更多接受根治性膀胱切除术的患者被诊断为肌层浸润性膀胱癌。
大流行严重影响了膀胱癌患者，主要影响了他们选择的医疗机构和治疗方法。
