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新冠疫情对加拿大蒙特利尔宫颈癌诊断和治疗延误的影响

COVID-19 Pandemic Impact on Delays in Diagnosis and Treatment for Cervical Cancer in Montreal, Canada.

作者信息

Kerbage Yohan, Hillmann Elise, Ruel-Laliberté Jessica, Samouelian Vanessa

机构信息

Service de Chirurgie Gynécologique, CHU Lille, University Lille, 1 Avenue Oscar Lambret, F-59000 Lille, France.

Centre de Recherche du CHUM (CRCHUM), Montréal, QC H2X 0A9, Canada.

出版信息

Curr Oncol. 2025 Mar 3;32(3):147. doi: 10.3390/curroncol32030147.


DOI:10.3390/curroncol32030147
PMID:40136351
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11941124/
Abstract

INTRODUCTION: The COVID-19 pandemic has been responsible for a major reorganization of healthcare systems, with less access for cancer screening. Few data exist on the impact of cervical cancer treatment during the pandemic. METHODS: The purpose of this study was to compare the cervical cancer stage at diagnosis and the surgical and medical treatment delays before and during the COVID-19 pandemic. This is a retrospective cohort study of all cervical cancers diagnosed at any stages between 1 January 2018 and 28 February 2022 at the Centre Hospitalier de l'Université de Montréal. Stage at diagnosis, time to initial referral, time from diagnosis to treatment before and during the COVID-19 pandemic were compared. RESULTS: A total of 244 cervical cancers were diagnosed during the study period. No differences were observed between the number of cases diagnosed before and after pandemic ( = 0.237). Most patients and disease characteristics did not differ between the study periods, but the patients were significantly younger ( = 0.007), with higher BMI ( = 0.024) in the pandemic period. The mean time between initial diagnosis and referral was longer during the pandemic by 13 days ( = 0.042). The mean time between diagnosis and MRI and diagnosis and PET CT was not longer during the pandemic ( = 0.481 and = 0.384). There were no significant differences in the mean time from the initial referring to the first visit at the CHUM ( = 0.895) or in the mean time from diagnosis to treatment (0.668) and duration of treatment ( = 0.181) Conclusion. Minor delays were observed during the COVID-19 pandemic. Cervical cancer patients treated at the CHUM, a tertiary and quaternary Canadian public health center, were globally referred and treated similarly, as those who were treated before pandemic.

摘要

引言:新冠疫情导致了医疗系统的重大重组,癌症筛查的机会减少。关于疫情期间宫颈癌治疗影响的数据很少。 方法:本研究的目的是比较新冠疫情之前和期间宫颈癌诊断时的分期以及手术和药物治疗延迟情况。这是一项对2018年1月1日至2022年2月28日期间在蒙特利尔大学中心医院诊断的所有各期宫颈癌进行的回顾性队列研究。比较了诊断时的分期、初次转诊时间、新冠疫情之前和期间从诊断到治疗的时间。 结果:在研究期间共诊断出244例宫颈癌。疫情之前和之后诊断的病例数之间没有差异(P = 0.237)。大多数患者和疾病特征在研究期间没有差异,但疫情期间患者明显更年轻(P = 0.007),体重指数更高(P = 0.024)。疫情期间从初次诊断到转诊的平均时间延长了13天(P = 0.042)。疫情期间从诊断到磁共振成像以及从诊断到正电子发射断层扫描计算机断层显像的平均时间没有延长(P = 0.481和P = 0.384)。从初次转诊到在蒙特利尔大学中心医院首次就诊的平均时间(P = 0.895)、从诊断到治疗的平均时间(P = 0.668)以及治疗持续时间(P = 0.181)没有显著差异。结论。在新冠疫情期间观察到了轻微延迟。在加拿大三级和四级公共卫生中心蒙特利尔大学中心医院接受治疗的宫颈癌患者,总体上与疫情之前接受治疗的患者一样,被转诊和治疗情况相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1dc/11941124/2e7982ba9b50/curroncol-32-00147-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1dc/11941124/2e7982ba9b50/curroncol-32-00147-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1dc/11941124/2e7982ba9b50/curroncol-32-00147-g001.jpg

相似文献

[1]
COVID-19 Pandemic Impact on Delays in Diagnosis and Treatment for Cervical Cancer in Montreal, Canada.

Curr Oncol. 2025-3-3

[2]
COVID-19 Impact on Diagnosis and Staging of Colorectal Cancer: A Single Tertiary Canadian Oncology Center Experience.

Curr Oncol. 2022-5-4

[3]
Impact of the COVID-19 Pandemic on Cervical Cancer Treatment Delays in Botswana.

JCO Glob Oncol. 2025-5

[4]
The effect of the COVID-19 pandemic on the diagnosis and progression of oral cancer.

Int J Oral Maxillofac Surg. 2024-8

[5]
Causes and impact of delays during the COVID-19 pandemic on head and neck cancer diagnosis.

Head Neck. 2024-9

[6]
Diagnostic and therapeutic delays in lung cancer during the COVID-19 pandemic: a single center experience at a German Cancer center.

BMC Pulm Med. 2024-7-4

[7]
[Effect of COVID-19 pandemics in treatment of cervical cancer: pre/post study].

Medicina (B Aires). 2024

[8]
Pan-Canadian survey on the impact of the COVID-19 pandemic on cervical cancer screening and management: cross-sectional survey of healthcare professionals.

Elife. 2023-6-28

[9]
Increased Healthcare Delays in Tuberculosis Patients During the First Wave of COVID-19 Pandemic in Korea: A Nationwide Cross-Sectional Study.

J Korean Med Sci. 2022-1-17

[10]
Chemotherapy delays among cancer patients in Iran during COVID-19 pandemic.

BMC Public Health. 2024-8-23

本文引用的文献

[1]
Evaluation of BD Onclarity™ HPV Assay on Self-Collected Vaginal and First-Void Urine Samples as Compared to Clinician-Collected Cervical Samples: A Pilot Study.

Diagnostics (Basel). 2022-12-7

[2]
COVID-19 Pandemic Effects on Cervical Cancer Diagnosis and Management: A Population-Based Study in Romania.

Diagnostics (Basel). 2022-4-6

[3]
Cervical cancer and COVID-an assessment of the initial effect of the pandemic and subsequent projection of impact for women in England: A cohort study.

BJOG. 2022-6

[4]
Colorectal Cancer Screening: Impact of COVID-19 Pandemic and Possible Consequences.

Life (Basel). 2021-11-26

[5]
The Impact of the COVID-19 Pandemic on Oncology Care and Clinical Trials.

Cancers (Basel). 2021-11-25

[6]
A Review of the Impact of the COVID-19 Pandemic on Colorectal Cancer Screening: Implications and Solutions.

Pathogens. 2021-11-19

[7]
Impact of the COVID-19 pandemic on breast and cervical cancer stage at diagnosis in Brazil.

Ecancermedicalscience. 2021-10-4

[8]
The Influence of SARS-CoV-2 Pandemic in the Diagnosis and Treatment of Cervical Dysplasia.

Medicina (Kaunas). 2021-10-14

[9]
Gynecologic oncology treatment modifications or delays in response to the COVID-19 pandemic in a publicly funded versus privately funded North American tertiary cancer center.

Gynecol Oncol. 2021-7

[10]
Impact of COVID-19 on Cervical Cancer Screening Rates Among Women Aged 21-65 Years in a Large Integrated Health Care System - Southern California, January 1-September 30, 2019, and January 1-September 30, 2020.

MMWR Morb Mortal Wkly Rep. 2021-1-29

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