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以波兰下西里西亚地区基底细胞皮肤癌诊断为例探讨新冠疫情期间产生的健康债务概念。

The Concept of Health Debt Incurred during the COVID-19 Pandemic on the Example of Basal Cell Skin Cancer Diagnosis in Lower Silesia.

作者信息

Szkudlarek Danuta, Gębarowski Tomasz, Hauzer Nikola, Wiatrak Benita

机构信息

Pathology Department, Provincial Hospital Center of the Jelenia Góra Valley, Ogińskiego 6, 58-506 Jelenia Góra, Poland.

Department of Biostructure and Animal Physiology, Wrocław University of Environmental and Life Sciences, Kożuchowska 1, 51-631 Wrocław, Poland.

出版信息

J Clin Med. 2024 Aug 21;13(16):4923. doi: 10.3390/jcm13164923.

Abstract

This study explores the impact of the COVID-19 pandemic on the diagnosis of basal cell carcinoma (BCC) in Lower Silesia, Poland, comparing pre-pandemic, pandemic, and post-pandemic periods. It investigates how different medical facilities adapted to the pandemic's challenges and the subsequent implications for cancer diagnosis. Data from histopathology and cytology laboratories were analyzed, focusing on BCC diagnoses from 2018 to 2022. This study included various medical centers categorized by size and source of implementation. Statistical analyses were conducted to compare diagnoses before, during, and after the pandemic. During the initial wave of the pandemic, there was a significant reduction in newly diagnosed BCC cases, followed by a surge post-pandemic. Larger medical centers adapted more effectively, while district hospitals faced challenges. Private practices maintained stable diagnosis rates. The increase in diagnoses post-pandemic suggests a backlog of undiagnosed cases during the pandemic. Challenges in accessing healthcare during the pandemic led to delayed cancer diagnoses. Larger medical centers were better equipped to handle the crisis, while district hospitals struggled. Private practices maintained stability, possibly due to pre-scheduled appointments. Recommendations include public education on symptom recognition and standardizing histopathological evaluation protocols. Despite data limitations, this study provides valuable insights into the pandemic's impact on cancer diagnosis, highlighting the need for proactive measures in future health crises to ensure timely detection and treatment of cancer cases.

摘要

本研究探讨了新冠疫情对波兰下西里西亚地区基底细胞癌(BCC)诊断的影响,比较了疫情前、疫情期间和疫情后三个阶段。研究调查了不同医疗机构如何应对疫情带来的挑战以及对癌症诊断的后续影响。分析了组织病理学和细胞学实验室的数据,重点关注2018年至2022年期间的基底细胞癌诊断情况。本研究纳入了按规模和实施来源分类的各类医疗中心。进行了统计分析,以比较疫情前、疫情期间和疫情后的诊断情况。在疫情的第一波期间,新诊断的基底细胞癌病例显著减少,随后在疫情后出现激增。较大的医疗中心适应得更有效,而地区医院则面临挑战。私人诊所的诊断率保持稳定。疫情后诊断数量的增加表明疫情期间存在未诊断病例的积压。疫情期间获得医疗服务的困难导致癌症诊断延迟。较大的医疗中心更有能力应对危机,而地区医院则举步维艰。私人诊所保持稳定,这可能得益于预先安排的预约。建议包括开展关于症状识别的公众教育以及规范组织病理学评估方案。尽管存在数据限制,但本研究为疫情对癌症诊断的影响提供了有价值的见解,强调了在未来健康危机中采取积极措施以确保及时发现和治疗癌症病例的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/440f/11355647/f0d2d54d7600/jcm-13-04923-g001.jpg

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