2019年冠状病毒病大流行对结直肠癌手术数量的影响：日本全国住院患者数据库分析
Impact of the coronavirus disease 2019 pandemic on the number of colorectal cancer surgeries performed: analysis of a nationwide inpatient database in Japan.
作者信息
Tazawa Miyako, Nawa Nobutoshi, Yamauchi Shinichi, Tokunaga Masanori, Fushimi Kiyohide, Kinugasa Yusuke, Fujiwara Takeo
机构信息
Department of Gastrointestinal Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.
Department of Public Health, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan.
出版信息
Surg Today. 2025 Feb;55(2):247-256. doi: 10.1007/s00595-024-02913-y. Epub 2024 Aug 20.
PURPOSE
This study examined the impact of the COVID-19 pandemic on the number of colorectal cancer surgeries performed in Japan.
METHODS
We selected patients who underwent colorectal cancer surgeries between January, 2017 and December, 2020 from the Diagnosis Procedure Combination database. The COVID-19 pandemic was divided into three waves. We evaluated the changes in the number of surgeries performed for colorectal cancer during each wave, stratified by cancer stage using Poisson regression.
RESULTS
During the first wave, the rate ratio (RR) for stage III colon cancer decreased significantly (RR, 0.94), whereas those for stages 0 to II (RR, 1.01) and stage IV (RR, 1.04) were not different. During the second and third waves, the RR for stage 0 to II colon cancer decreased significantly (RR, 0.96), that for stage IV increased (RR, 1.09), and that for stage III was not different (RR, 0.97). During the first wave, the RR for stage 0 to II rectal cancer increased significantly (RR, 1.09), that for stage IV decreased (RR, 0.84), and that for stage III was not different (RR, 0.97).
CONCLUSIONS
The number of colorectal cancer surgeries changed during the pandemic and varied according to the stage of disease.
目的
本研究调查了新冠疫情对日本结直肠癌手术数量的影响。
方法
我们从诊断程序组合数据库中选取了2017年1月至2020年12月期间接受结直肠癌手术的患者。新冠疫情分为三个阶段。我们使用泊松回归分析，按癌症分期对每个阶段结直肠癌手术数量的变化进行了评估。
结果
在第一阶段，III期结肠癌的率比（RR）显著下降（RR，0.94），而0至II期（RR，1.01）和IV期（RR，1.04）的率比没有差异。在第二和第三阶段，0至II期结肠癌的RR显著下降（RR，0.96），IV期的RR上升（RR，1.09），III期的RR没有差异（RR，0.97）。在第一阶段，0至II期直肠癌的RR显著上升（RR，1.09），IV期的RR下降（RR，0.84），III期的RR没有差异（RR，0.97）。
结论
疫情期间结直肠癌手术数量发生了变化，且因疾病分期而异。
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