Evaluating the Impact of the COVID-19 Pandemic on New Cancer Diagnoses and Oncology Care in Manitoba

被引：17

作者：

Decker, Kathleen M. ^{[1
,2
,3
]}

Lambert, Pascal ^{[1
,3
]}

Feely, Allison ^{[3
]}

Bucher, Oliver ^{[3
]}

Kim, Julian O. ^{[1
,4
,5
]}

Hebbard, Pamela ^{[6
]}

Thiessen, Maclean ^{[7
,8
]}

Fatoye, Tunji ^{[9
,10
]}

Pitz, Marshall ^{[1
,7
,8
]}

Koul, Rashmi ^{[1
,4
,5
]}

Czaykowski, Piotr ^{[2
,7
,8
]}

机构：

[1] CancerCare Manitoba, CancerCare Manitoba Res Inst, 675 McDermot Ave, Winnipeg, MB R3E OV9, Canada

[2] Univ Manitoba, Max Rady Coll Med, Rady Fac Hlth Sci, Dept Community Hlth Sci, 750 Bannatyne Ave, Winnipeg, MB R3E 0V9, Canada

[3] CancerCare Manitoba, Dept Epidemiol & Canc Registry, 675 McDermot Ave, Winnipeg, MB R3E 0V9, Canada

[4] Univ Manitoba, Max Rady Coll Med, Rady Fac Hlth Sci, Dept Radiol, 820 Sherbrook St GA216, Winnipeg, MB R3T 2N2, Canada

[5] CancerCare Manitoba, Dept Radiat Oncol, 675 McDermot Ave, Winnipeg, MB R3E 0V9, Canada

[6] Univ Manitoba, Max Rady Coll Med, Rady Fac Hlth Sci, Dept Surg, 820 Sherbrook St, Winnipeg, MB R3A 1R9, Canada

[7] Univ Manitoba, Max Rady Coll Med, Rady Fac Hlth Sci, Dept Internal Med, 820 Sherbrook St, Winnipeg, MB R3E 0V9, Canada

[8] CancerCare Manitoba, Dept Med Oncol & Hematol, 675 McDermot Ave, Winnipeg, MB R3E 0V9, Canada

[9] CancerCare Manitoba, Dept Primary Care Oncol, 675 McDermot Ave, Winnipeg, MB R3E 0V9, Canada

[10] Univ Manitoba, Max Rady Coll Med, Rady Fac Hlth Sci, Dept Family Med, 750 Bannatyne Ave, Winnipeg, MB R3E 0V9, Canada

来源：

CURRENT ONCOLOGY | 2021年 / 28卷 / 04期

关键词：

cancer; COVID-19; epidemiologic studies; surgery; radiotherapy; chemotherapy; Canada;

D O I：

10.3390/curroncol28040269

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Individuals with cancer are vulnerable to infection with SARS-CoV-2, the virus causing COVID-19. Physical distancing, the reallocation of health care resources, and the implementation of procedures to reduce the spread of COVID-19 may also have serious consequences for people with cancer. We evaluated the impact of COVID-19 on new cancer diagnoses and oncology care in Manitoba, Canada using an interrupted time series design and data from the Manitoba Cancer Registry and CancerCare Manitoba's (CCMB) electronic medical record. In April 2020, there was a 23% decrease in new cancer diagnoses, a 21% decrease in pathology reports, and a 43% reduction in surgical resections. There was no difference in new cancer diagnoses by August 2020, surgery by July 2020, and pathology reports by September 2020. From April 2020 to June 2021, there was a 13% decrease in radiotherapy (RT) fractions, an 18% decrease in UCC visits, and a 52% decrease in in-person visits. There was no change in intravenous chemotherapy visits per month, first RT visits, or overall patient visits. The impact of COVID-19 on shifts in the stage at diagnosis and survival will be assessed in future analyses.

引用

页码：3081 / 3090

页数：10

共 21 条

[1] A Practical Approach to the Management of Cancer Patients During the Novel Coronavirus Disease 2019 (COVID-19) Pandemic: An International Collaborative Group [J].

Al-Shamsi, Humaid O. ;

Alhazzani, Waleed ;

Alhuraiji, Ahmad ;

Coomes, Eric A. ;

Chemaly, Roy F. ;

Almuhanna, Meshari ;

Wolff, Robert A. ;

Ibrahim, Nuhad K. ;

Chua, Melvin L. K. ;

Hotte, Sebastien J. ;

Meyers, Brandon M. ;

Elfiki, Tarek ;

Curigliano, Giuseppe ;

Eng, Cathy ;

Grothey, Axel ;

Xie, Conghua .

ONCOLOGIST, 2020, 25 (06) :E936-E945

[2] Interrupted time series regression for the evaluation of public health interventions: a tutorial [J].

Bernal, James Lopez ;

Cummins, Steven ;

Gasparrini, Antonio .

INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2017, 46 (01) :348-355

[3] Patients with Cancer Appear More Vulnerable to SARS-CoV-2: A Multicenter Study during the COVID-19 Outbreak [J].

Dai, Mengyuan ;

Liu, Dianbo ;

Liu, Miao ;

Zhou, Fuxiang ;

Li, Guiling ;

Chen, Zhen ;

Zhang, Zhian ;

You, Hua ;

Wu, Meng ;

Zheng, Qichao ;

Xiong, Yong ;

Xiong, Huihua ;

Wang, Chun ;

Chen, Changchun ;

Xiong, Fei ;

Zhang, Yan ;

Peng, Yaqin ;

Ge, Siping ;

Zhen, Bo ;

Yu, Tingting ;

Wang, Ling ;

Wang, Hua ;

Liu, Yu ;

Chen, Yeshan ;

Mei, Junhua ;

Gao, Xiaojia ;

Li, Zhuyan ;

Gan, Lijuan ;

He, Can ;

Li, Zhen ;

Shi, Yuying ;

Qi, Yuwen ;

Yang, Jing ;

Tenen, Daniel G. ;

Chai, Li ;

Mucci, Lorelei A. ;

Santillana, Mauricio ;

Cai, Hongbing .

CANCER DISCOVERY, 2020, 10 (06) :783-791

[4] Predictors of Urgent Cancer Care Clinic and Emergency Department Visits for Individuals Diagnosed with Cancer [J].

Decker, Kathleen ;

Lambert, Pascal ;

Galloway, Katie ;

Bucher, Oliver ;

Pitz, Marshall ;

Goldenberg, Benjamin ;

Singh, Harminder ;

Kristjanson, Mark ;

Fatoye, Tunji ;

Bow, Eric J. .

CURRENT ONCOLOGY, 2021, 28 (03) :1773-1789

[5]

Generalized Linar Models, GENERALIZED LINAR MO

[6] Shifts in office and virtual primary care during the early COVID-19 pandemic in Ontario, Canada [J].

Glazier, Richard H. ;

Green, Michael E. ;

Wu, Fangyun C. ;

Frymire, Eliot ;

Kopp, Alexander ;

Kiran, Tara .

CANADIAN MEDICAL ASSOCIATION JOURNAL, 2021, 193 (06) :E200-E210

[7] A population-based analysis of the impact of the COVID-19 pandemic on common abdominal and gynecological emergency department visits [J].

Gomez, David ;

Simpson, Andrea N. ;

Sue-Chue-Lam, Colin ;

de Mestral, Charles ;

Dossa, Fahima ;

Nantais, Jordan ;

Wilton, Andrew S. ;

Urbach, David ;

Austin, Peter C. ;

Baxter, Nancy N. .

CANADIAN MEDICAL ASSOCIATION JOURNAL, 2021, 193 (21) :E753-E760

[8] Mortality due to cancer treatment delay: systematic review and meta-analysis [J].

Hanna, Timothy P. ;

King, Will D. ;

Thibodeau, Stephane ;

Jalink, Matthew ;

Paulin, Gregory A. ;

Harvey-Jones, Elizabeth ;

O'Sullivan, Dylan E. ;

Booth, Christopher M. ;

Sullivan, Richard ;

Aggarwal, Ajay .

BMJ-BRITISH MEDICAL JOURNAL, 2020, 371 :m4087

[9] Impact of the COVID-19 Pandemic on Cancer Care: A Global Collaborative Study [J].

Jazieh, Abdul Rahman ;

Akbulut, Hakan ;

Curigliano, Giuseppe ;

Rogado, Alvaro ;

Alsharm, Abdullah Ali ;

Razis, Evangelia D. ;

Mula-Hussain, Layth ;

Errihani, Hassan ;

Khattak, Adnan ;

De Guzman, Roselle B. ;

Mathias, Clarissa ;

Alkaiyat, Mohammad Omar Farouq ;

Jradi, Hoda ;

Rolfo, Christian .

JCO GLOBAL ONCOLOGY, 2020, 6 :1428-1438

[10] Trends in Emergency Department Visits and Hospital Admissions in Health Care Systems in 5 States in the First Months of the COVID-19 Pandemic in the US [J].

Jeffery, Molly M. ;

D'Onofrio, Gail ;

Paek, Hyung ;

Platts-Mills, Timothy F. ;

Soares, William E., III ;

Hoppe, Jason A. ;

Genes, Nicholas ;

Nath, Bidisha ;

Melnick, Edward R. .

JAMA INTERNAL MEDICINE, 2020, 180 (10) :1328-1333

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