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2019年冠状病毒病大流行对卵巢癌患者癌症复发率的影响。

Impact of the COVID-19 pandemic on cancer recurrence rates in patients with ovarian cancer.

作者信息

Mukherjee Amrita, Ayoub Natalie, Xu Lanfang, Cannavale Kimberly L, Gilfillan Alec D, Szamreta Elizabeth A, Monberg Matthew J, Hodeib Melissa, Chao Chun R

机构信息

Kaiser Permanente Southern California, Pasadena, CA, USA.

Adventist Health White Memorial Medical Center, Los Angeles, CA, USA.

出版信息

Gynecol Oncol Rep. 2025 May 6;59:101763. doi: 10.1016/j.gore.2025.101763. eCollection 2025 Jun.


DOI:10.1016/j.gore.2025.101763
PMID:40487851
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12141953/
Abstract

The coronavirus diseases 2019 (COVID-19) pandemic was associated with disruption of oncology care and increased utilization of telehealth. However, the impact of the pandemic on cancer outcomes is under-studied. We evaluated the impact of the COVID-19 pandemic on recurrence rates in ovarian cancer patients in a retrospective cohort study. Women (age ≥ 18 years) diagnosed with stage I-IV epithelial ovarian cancer between 01/01/2017-06/30/2021 at Kaiser Permanente Southern California who received chemotherapy and/or surgery; and achieved complete remission following first-line treatment were included. The pre-pandemic and pandemic periods were defined based on the date of implementation of stay-at-home order in California (03/04/2020). Chart reviews were conducted to determine recurrence within 12 months of remission by physician notes, imaging findings, or CA125 levels. A total of 548 patients were included; 73.4 % and 26.6 % patients were diagnosed during the pre-pandemic and pandemic periods, respectively. About a quarter of the patients had cancer recurrence within 12 months of remission; 25.6 % and 19.2 % of patients diagnosed in the pre-pandemic and pandemic periods had recurrence, respectively (p-value = 0.12). Patients diagnosed during the pandemic were 35 % less likely to have recurrence than those in the pre-pandemic period, after adjusting for age, race/ethnicity, cancer stage, and time to treatment. Additionally adjusting for poly-ADP ribose polymerase (PARP) inhibitors in patients with stage II-IV cancer led to similar findings. In conclusion, ovarian cancer patients diagnosed and treated during the COVID-19 pandemic at KPSC did not have a higher recurrence rate than patients in the pre-pandemic period, despite changes in management approach.

摘要

2019年冠状病毒病(COVID-19)大流行与肿瘤护理中断及远程医疗利用率增加有关。然而,大流行对癌症结局的影响研究不足。我们在一项回顾性队列研究中评估了COVID-19大流行对卵巢癌患者复发率的影响。纳入了2017年1月1日至2021年6月30日期间在南加州凯撒医疗机构被诊断为I-IV期上皮性卵巢癌并接受化疗和/或手术治疗,且一线治疗后达到完全缓解的18岁及以上女性。根据加利福尼亚州居家令实施日期(2020年3月4日)确定大流行前和大流行期间。通过医生记录、影像学检查结果或CA125水平进行病历审查,以确定缓解后12个月内的复发情况。共纳入548例患者;分别有73.4%和26.6%的患者在大流行前和大流行期间被诊断。约四分之一的患者在缓解后12个月内出现癌症复发;大流行前和大流行期间诊断的患者复发率分别为25.6%和19.2%(p值=0.12)。在调整年龄、种族/民族、癌症分期和治疗时间后,大流行期间诊断的患者复发可能性比大流行前的患者低35%。在II-IV期癌症患者中进一步调整聚ADP核糖聚合酶(PARP)抑制剂的使用情况,结果相似。总之,尽管管理方式有所变化,但在KPSC接受诊断和治疗的COVID-19大流行期间的卵巢癌患者复发率并不高于大流行前的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adba/12141953/d6865cbfcb47/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adba/12141953/d6865cbfcb47/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adba/12141953/d6865cbfcb47/gr1.jpg

相似文献

[1]
Impact of the COVID-19 pandemic on cancer recurrence rates in patients with ovarian cancer.

Gynecol Oncol Rep. 2025-5-6

[2]
Clinical Remission Rates in Patients With Epithelial Ovarian Cancer Before and After the Onset of the COVID 19 Pandemic in an Integrated Healthcare Delivery System.

Cancer Manag Res. 2025-2-12

[3]
Impact of the Coronavirus Disease 2019 pandemic on neoadjuvant chemotherapy use in patients diagnosed with epithelial type ovarian cancer.

Front Oncol. 2024-3-27

[4]
Expert consensus: Profiling and management of advanced or metastatic epithelial ovarian cancer.

Rev Colomb Obstet Ginecol. 2024-6-14

[5]
Poly(ADP-ribose) polymerase (PARP) inhibitors for the treatment of ovarian cancer.

Cochrane Database Syst Rev. 2022-2-16

[6]
Disparities in Outpatient and Telehealth Visits During the COVID-19 Pandemic in a Large Integrated Health Care Organization: Retrospective Cohort Study.

J Med Internet Res. 2021-9-1

[7]
Overall and Telehealth Addiction Treatment Utilization by Age, Race, Ethnicity, and Socioeconomic Status in California After COVID-19 Policy Changes.

JAMA Health Forum. 2023-5-5

[8]
Mortality impact, risks, and benefits of general population screening for ovarian cancer: the UKCTOCS randomised controlled trial.

Health Technol Assess. 2025-5

[9]
Treatment patterns after poly-ADP ribose polymerase (PARP) inhibitors in epithelial ovarian cancer patients.

Int J Gynecol Cancer. 2022-7-4

[10]
The utility of physical examination in ovarian cancer recurrence detection: a retrospective analysis informing virtual surveillance care.

Int J Gynecol Cancer. 2022-7-4

本文引用的文献

[1]
Clinical Remission Rates in Patients With Epithelial Ovarian Cancer Before and After the Onset of the COVID 19 Pandemic in an Integrated Healthcare Delivery System.

Cancer Manag Res. 2025-2-12

[2]
Impact of the Coronavirus Disease 2019 pandemic on neoadjuvant chemotherapy use in patients diagnosed with epithelial type ovarian cancer.

Front Oncol. 2024-3-27

[3]
Impact of 2 years of COVID-19 pandemic on ovarian cancer treatment in IRCCS-AUSL of Reggio Emilia.

Int J Gynaecol Obstet. 2023-11

[4]
Impact of the COVID-19 Pandemic on Diagnosis and Management of Gynecological Cancer: A Single-Center Analysis.

Medicina (Kaunas). 2022-12-16

[5]
Outcomes of gynecologic cancer surgery during the COVID-19 pandemic: an international, multicenter, prospective CovidSurg-Gynecologic Oncology Cancer study.

Am J Obstet Gynecol. 2022-11

[6]
Changes in Cancer Screening in the US During the COVID-19 Pandemic.

JAMA Netw Open. 2022-6-1

[7]
Impact of the COVID-19-pandemic on patients with gynecological malignancies undergoing surgery: A Dutch population-based study using data from the 'Dutch Gynecological Oncology Audit'.

Gynecol Oncol. 2022-5

[8]
The "collateral damage" of the war on COVID-19: impact of the pandemic on the care of epithelial ovarian cancer.

Med Oncol. 2021-9-28

[9]
Impact of COVID-19 Pandemic on Ovarian Cancer Management: Adjusting to the New Normal.

Cancer Manag Res. 2021-1-14

[10]
Cancer Screening Tests and Cancer Diagnoses During the COVID-19 Pandemic.

JAMA Oncol. 2021-3-1

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