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COVID-19 大流行对秘鲁一家医院癌症患者治疗的影响。

Impact of the COVID-19 Pandemic on the Treatment of Cancer Patients at a Hospital in Peru.

机构信息

Escuela Profesional de Medicina Humana, Universidad Privada San Juan Bautista, Lima, Perú.

Escuela Profesional de Medicina Humana, Universidad Privada San Juan Bautista, Ica, Perú.

出版信息

Cancer Control. 2024 Jan-Dec;31:10732748241276616. doi: 10.1177/10732748241276616.

Abstract

BACKGROUND

The appearance of the new coronavirus, SARS-CoV-2, in Wuhan - China, in 2019 led to the declaration of a COVID-19 pandemic by the World Health Organization. Peru confirmed its first case on March 6, 2020, prompting a significant change in medical care.

PURPOSE

Our objective was to determine the impact of the COVID-19 pandemic on cancer treatment in Peru.

METHODS

A retrospective analysis of hospital data from the National Institute of Neoplastic Diseases revealed substantial decreases in oncological treatments in 2020 compared to 2019.

RESULTS

Oncological treatments involving bone marrow transplantation had a greater impact between the months of April and September, at -100% (p=0.003). However, treatments involving surgery in April (-95% [p≤0.001]), radiotherapy in May (-76% [p=0.002]) and chemotherapy in June (-71% [p≤0.001]) also showed significant impacts. Comparative analysis with international data revealed similar trends in cancer care interruptions in different countries. However, variations in the magnitude of the impact were observed, influenced by regional health policies and the severity of the pandemic.

CONCLUSIONS

The findings underscore the challenges cancer care providers face during public health crises, requiring adaptive strategies to ensure continued access to essential treatments. Addressing these challenges requires comprehensive public health responses to mitigate the impact of future crises on cancer care systems.

摘要

背景

2019 年,新型冠状病毒(SARS-CoV-2)在中国武汉出现,世界卫生组织宣布 COVID-19 大流行。秘鲁于 2020 年 3 月 6 日确诊首例病例,这促使医疗服务发生了重大变化。

目的

我们旨在确定 COVID-19 大流行对秘鲁癌症治疗的影响。

方法

对国家肿瘤病学研究所的医院数据进行回顾性分析,结果显示 2020 年与 2019 年相比,肿瘤治疗显著减少。

结果

骨髓移植相关的肿瘤治疗在 4 月至 9 月期间受到的影响最大,减少了 100%(p=0.003)。然而,手术治疗(4 月减少 95% [p≤0.001])、放疗(5 月减少 76% [p=0.002])和化疗(6 月减少 71% [p≤0.001])也受到显著影响。与国际数据的比较分析显示,不同国家的癌症治疗中断也呈现出类似的趋势。然而,由于区域卫生政策和大流行的严重程度不同,观察到影响的幅度存在差异。

结论

研究结果突显了癌症护理提供者在公共卫生危机期间面临的挑战,需要采取适应性策略,以确保继续获得基本治疗。应对这些挑战需要全面的公共卫生应对措施,以减轻未来危机对癌症护理系统的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7689/11331466/dc51ea1b6a8b/10.1177_10732748241276616-fig1.jpg

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