Access to Surgery for Endometrial Cancer Patients During the COVID-19 Pandemic in Ontario, Canada A Population-Based Study

被引：1
作者：
Swift, Brenna E. [1 ,2 ]
Mazuryk, Joshua [3 ]
Yermakhanova, Olga [3 ]
Green, Bo [3 ]
Ferguson, Sarah R. [1 ,4 ]
Kupets, Rachel [1 ,2 ]
机构：
[1] Univ Toronto, Dept Obstet & Gynaecol, Toronto, ON, Canada
[2] Sunnybrook Hlth Sci Ctr, Div Gynaecol Oncol, Toronto, ON, Canada
[3] Canc Care Ontario, Ontario Hlth, Toronto, ON, Canada
[4] Univ Hlth Network, Div Gynaecol Oncol, Toronto, ON, Canada
来源：
JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA | 2024年 / 46卷 / 01期
关键词：
endometrial cancer; COVID-19; operating rooms; hysterectomy; CARE;
D O I：
10.1016/j.jogc.2023.102226
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Objectives: To assess the impact of the COVID-19 pandemic on endometrial cancer stage and surgical treatment in Ontario, Canada. Methods: This descriptive study identified cases from January 1, 2017 to December 31, 2021 from endometrial cancer hysterectomy specimens in the Ontario Health -Cancer Care Ontario, ePath system. Endometrial biopsy records from January 1, 2016 to December 31, 2021 were matched to surgical specimens by provincial health card number. Time to surgery and surgical stage were compared before (2017-2019) and during (2020-2021) the COVID-19 pandemic. Results: There were 10 446 women treated with hysterectomy for endometrial cancer in Ontario from 2017-2021. In April and May 2020, corresponding with the provincial state of emergency, there was a 56% relative reduction in endometrial biopsies. Despite this 2 -month reduction in endometrial biopsy volume, there was no change in surgical volume for endometrial cancer treatment. The median time from endometrial biopsy to surgery was 56 days (IQR 40, 80) during the pandemic (2020-2021) compared to 58 days (IQR 43, 82) prior to the pandemic (2017-2019) (P < 0.001). There was no upstaging of endometrial cancer during the COVID-19 pandemic. Conclusions: The Ontario healthcare system continued to prioritize service delivery to endometrial cancer patients during the COVID-19 pandemic, despite the increase in virtual care and decrease in operating room time. There were no significant surgical delays or upstaging of endometrial cancer.
引用
收藏
页数：6
相关论文
共 13 条
  • [1] 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'
    Algera, M. D.
    van Driel, W. J.
    Slangen, B. F. M.
    Kruitwagen, R. F. P. M.
    Wouters, M. W. J. M.
    Baalbergen, A.
    Ten Cate, A. D.
    Aalders, A. L.
    van der Kolk, A.
    Kruse, A. J.
    Van Haaften-deJong, A. M. L. D.
    van de Swaluw, A. M. G.
    Visschers, B. A. J. T.
    Buis, C. C. N.
    Gerestein, C. G.
    Smeets, C. M. W. H.
    Boll, D.
    van de Laar, R.
    Ngo, D. H.
    Davelaar, E.
    Ooms, E. A.
    van Dorst, E. B. L.
    Schmeink, C. E.
    van Es, E. J. M.
    Roes, E. M.
    Ten Cate, F. A.
    Rijcken, F. E. M.
    Rosier-van Dunne, F. M. R.
    Fons, G.
    Jansen, G. H.
    Verhoeve, H. R.
    Nagel, H. T. C.
    Keizer, H. H.
    Smedts, H. P. M.
    Ebisch, I. M. W.
    van de Lande, J.
    Louwers, J. A.
    Briet, J.
    De Waard, J.
    Diepstraten, J.
    Vollebergh, J. H. A.
    Van der Avoort, I. A. M.
    Van Dijk, J. E. W.
    Lange, J. G.
    Mens, J. W. M.
    Gaarenstroom, K. N.
    Overmars, K.
    De Vries, L. C.
    Hofman, L. N.
    Bartelink, L. R.
    [J]. GYNECOLOGIC ONCOLOGY, 2022, 165 (02) : 330 - 338
  • [2] Characteristics and patterns of care of endometrial cancer before and during COVID-19 pandemic
    Bogani, Giorgio
    Scambia, Giovanni
    Cimmino, Chiara
    Fanfani, Francesco
    Costantini, Barbara
    Loverro, Matteo
    Ferrandina, Gabriella
    Landoni, Fabio
    Bazzurini, Luca
    Grassi, Tommaso
    Vitobello, Domenico
    Siesto, Gabriele
    Perrone, Anna Myriam
    Zanagnolo, Vanna
    De Iaco, Pierandrea
    Multinu, Francesco
    Ghezzi, Fabio
    Casarin, Jvan
    Capozzi, Vito A.
    Zupi, Errico
    Centini, Gabriele
    Pellegrino, Antonio
    Corso, Silvia
    Stevenazzi, Guido
    Montoli, Serena
    Boschi, Anna Chiara
    Comerci, Giuseppe
    Greco, Pantaleo
    Martinello, Ruby
    Sopracordevole, Francesco
    Giorda, Giorgio
    Simoncini, Tommaso
    Caretto, Marta
    Sartori, Enrico
    Ferrari, Federico
    Cianci, Antonio
    Sarpietro, Giuseppe
    Matarazzo, Maria Grazia
    Zullo, Fulvio
    Bifulco, Giuseppe
    Morelli, Michele
    Ferrero, Annamaria
    Biglia, Nicoletta
    Barra, Fabio
    Ferrero, Simone
    Maggiore, Umberto Leone Roberti
    Cianci, Stefano
    Chiantera, Vito
    Ercoli, Alfredo
    Sozzi, Giulio
    [J]. JOURNAL OF GYNECOLOGIC ONCOLOGY, 2022, 33 (01)
  • [3] When to Operate, Hesitate and Reintegrate: Society of Gynecologic Oncology Surgical Considerations during the COVID-19 Pandemic
    Fader, Amanda N.
    Huh, Warner K.
    Kesterson, Joshua
    Pothuri, Bhavana
    Wethington, Stephanie
    Wright, Jason D.
    Bakkum-Gamez, Jamie N.
    Soliman, Pamela T.
    Sinno, Abdulrahman K.
    Leitao, Mario
    Martino, Martin A.
    Karam, Amer
    Rossi, Emma
    Brown, Jubilee
    Blank, Stephanie
    Burke, William
    Goff, Barbara
    Yamada, S. Diane
    Uppal, Shitanshu
    Dowdy, Sean C.
    [J]. GYNECOLOGIC ONCOLOGY, 2020, 158 (02) : 236 - 243
  • [4] Gynecologic oncology care during the COVID-19 pandemic at three affiliated New York City hospitals
    Frey, Melissa K.
    Fowlkes, Rana K.
    Badiner, Nora M.
    Fishman, David
    Kanis, Margaux
    Thomas, Charlene
    Christos, Paul J.
    Martin, Peter
    Gamble, Charlotte
    Balogun, Onyinye D.
    Cardenes, Higinia
    Gorelick, Constantine
    Pua, Tara
    Long Nguyen
    Holcomb, Kevin
    Chapman-Davis, Eloise
    [J]. GYNECOLOGIC ONCOLOGY, 2020, 159 (02) : 470 - 475
  • [5] The impact of the Covid-19 pandemic on the stage of endometrial cancer at diagnosis
    Garrett, Audrey P.
    Seidman, Benjamin C.
    [J]. GYNECOLOGIC ONCOLOGY REPORTS, 2023, 47
  • [6] Maintaining surgical care delivery during the COVID-19 pandemic: A comparative cohort study at a tertiary gynecological cancer centre
    Leung, Elaine
    Pervaiz, Zahra
    Lowe-Zinola, Jack
    Cree, Sian
    Kwong, Audrey
    Marriott, Natalie
    Cole, Florence
    Arum, Uchechukwu
    Szopinski, Barbara
    Elattar, Ahmed
    Sundar, Sudha
    Kehoe, Sean
    Singh, Kavita
    Balega, Janos
    Yap, Jason
    [J]. GYNECOLOGIC ONCOLOGY, 2021, 160 (03) : 649 - 654
  • [7] The impact of the COVID-19 pandemic on the Ontario Cervical Screening Program, colposcopy and treatment services in Ontario, Canada: a population-based study
    Meggetto, O.
    Jembere, N.
    Gao, J.
    Walker, M. J.
    Rey, M.
    Rabeneck, L.
    Murphy, K. J.
    Kupets, R.
    [J]. BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2021, 128 (09) : 1503 - 1510
  • [8] Ontario health cancer care Ontario, COVID-19 supplemental clinical guidance for patients with cancer
  • [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
    Piedimonte, Sabrina
    Li, Sue
    Laframboise, Stephane
    Ferguson, Sarah E.
    Bernardini, Marcus Q.
    Bouchard-Fortier, Genevieve
    Hogen, Liat
    Cybulska, Paulina
    Worley Jr, Michael J.
    May, Taymaa
    [J]. GYNECOLOGIC ONCOLOGY, 2021, 162 (01) : 12 - 17
  • [10] Immediate and long-term impact of the COVID-19 pandemic on delivery of surgical services
    Soreide, K.
    Hallet, J.
    Matthews, J. B.
    Schnitzbauer, A. A.
    Line, P. D.
    Lai, P. B. S.
    Otero, J.
    Callegaro, D.
    Warner, S. G.
    Baxter, N. N.
    Teh, C. S. C.
    Ng-Kamstra, J.
    Meara, J. G.
    Hagander, L.
    Lorenzon, L.
    [J]. BRITISH JOURNAL OF SURGERY, 2020, 107 (10) : 1250 - 1261
12