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Covid-19 对乳腺癌筛查的影响。

Impact of Covid-19 on Breast Cancer Screening.

机构信息

Department of Health Sciences, State University of Maringá, Maringá, Paraná, Brazil.

Department of Medicine, Federal University of Paraná, Curitiba, Paraná, Brazil.

出版信息

Asian Pac J Cancer Prev. 2024 Aug 1;25(8):2703-2710. doi: 10.31557/APJCP.2024.25.8.2703.

DOI:10.31557/APJCP.2024.25.8.2703
PMID:39205568
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11495444/
Abstract

OBJECTIVE

To assess the influence of the COVID-19 pandemic on breast cancer screening.

METHODS

This was a cross-sectional and retrospective study, which used data extracted from "TABNET" between 2014 to 2020.  Statistical analysis was carried out using the ANOVA model.

RESULT

In 2019, a total of 3,068,776 mammograms were conducted, which significantly decreased to 1,808,765 in 2020.  Since the onset of the pandemic in Brazil in March 2020, there has been a reduction in the number of mammograms performed.  Mammography coverage increased from 0.11 to 0.18 between 2014 and 2019 but sharply declined from 0.18 to 0.10 between 2019 and 2020.

CONCLUSION

The COVID-19 pandemic has had a detrimental impact on breast cancer screening efforts, especially in detecting the disease in early stages.  Health services shifted their focus towards caring for COVID-19 patients, therefore neglecting routine screening programs and interventions. Additionally, the population's fear of contagion contributed to a decrease in demand for screening tests.

摘要

目的

评估 COVID-19 大流行对乳腺癌筛查的影响。

方法

这是一项横断面和回顾性研究,使用了 2014 年至 2020 年间从“TABNET”提取的数据。使用方差分析模型进行统计分析。

结果

2019 年共进行了 3068776 次乳房 X 光检查,2020 年显著减少至 1808765 次。自 2020 年 3 月巴西 COVID-19 大流行开始以来,进行的乳房 X 光检查数量有所减少。乳房 X 光检查覆盖率从 2014 年至 2019 年的 0.11 增加到 0.18,但从 2019 年至 2020 年急剧下降到 0.10。

结论

COVID-19 大流行对乳腺癌筛查工作产生了不利影响,特别是在早期发现疾病方面。卫生服务机构将重点转移到照顾 COVID-19 患者上,因此忽视了常规筛查计划和干预措施。此外,人们对感染的恐惧导致对筛查测试的需求下降。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b4/11495444/363120a37094/APJCP-25-2703-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b4/11495444/33169c86d2c8/APJCP-25-2703-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b4/11495444/2e71a1a8cf5f/APJCP-25-2703-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b4/11495444/363120a37094/APJCP-25-2703-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b4/11495444/33169c86d2c8/APJCP-25-2703-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b4/11495444/2e71a1a8cf5f/APJCP-25-2703-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29b4/11495444/363120a37094/APJCP-25-2703-g003.jpg

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本文引用的文献

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COVID-19 Unintended Effects on Breast Cancer in Italy After the Great Lockdown.意大利大封锁后 COVID-19 对乳腺癌的意外影响。
Front Public Health. 2020 Dec 16;8:601748. doi: 10.3389/fpubh.2020.601748. eCollection 2020.
2
Radiology management of a 'breast unit' during COVID-19 pandemic: a single institution experience.COVID-19 大流行期间“乳腺科”的放射学管理:单机构经验。
Future Oncol. 2020 Dec;16(35):2917-2922. doi: 10.2217/fon-2020-0585. Epub 2020 Dec 2.
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How has COVID-19 impacted cancer screening? Adaptation of services and the future outlook in Australia.
新冠疫情如何影响癌症筛查?澳大利亚服务的调整及未来展望。
Public Health Res Pract. 2020 Dec 9;30(4):3042026. doi: 10.17061/phrp3042026.
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The impact of episodic screening interruption: COVID-19 and population-based cancer screening in Canada.间歇性筛查中断的影响:加拿大的 COVID-19 和基于人群的癌症筛查。
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The Impact of the COVID-19 Pandemic on Breast Imaging.2019年冠状病毒病大流行对乳腺成像的影响。
Radiol Clin North Am. 2021 Jan;59(1):1-11. doi: 10.1016/j.rcl.2020.09.008. Epub 2020 Sep 22.
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The future of cancer screening after COVID-19 may be at home.新冠肺炎疫情之后,癌症筛查可能会在家中进行。
Cancer. 2021 Feb 15;127(4):498-503. doi: 10.1002/cncr.33274. Epub 2020 Nov 10.
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The impact of the temporary suspension of national cancer screening programmes due to the COVID-19 epidemic on the diagnosis of breast and colorectal cancer in the Netherlands.由于 COVID-19 疫情而暂时暂停全国癌症筛查计划对荷兰乳腺癌和结直肠癌诊断的影响。
J Hematol Oncol. 2020 Nov 4;13(1):147. doi: 10.1186/s13045-020-00984-1.
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Lockdown of Breast Cancer Screening for COVID-19: Possible Scenario.因 COVID-19 而暂停乳腺癌筛查:可能出现的情况。
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