Influence of the First Wave of the COVID-19 Pandemic on Cancer Care in a German Comprehensive Cancer Center

被引：7
作者：
Kirchberg, Johanna [1 ,2 ,3 ,4 ,5 ,6 ]
Rentsch, Anke [2 ,3 ,4 ,5 ,6 ]
Klimova, Anna [2 ,3 ,4 ,5 ,6 ]
Vovk, Vasyl [1 ,2 ,3 ,4 ,5 ,6 ]
Hempel, Sebastian [1 ,2 ,3 ,4 ,5 ,6 ]
Folprecht, Gunnar [2 ,3 ,4 ,5 ,6 ]
Krause, Mechthild [2 ,3 ,4 ,5 ,6 ,7 ,8 ,9 ,10 ,11 ,12 ]
Plodeck, Verena [2 ,3 ,4 ,5 ,6 ,13 ]
Welsch, Thilo [1 ,2 ,3 ,4 ,5 ,6 ]
Weitz, Juergen [1 ,2 ,3 ,4 ,5 ,6 ]
Fritzmann, Johannes [1 ,2 ,3 ,4 ,5 ,6 ]
机构：
[1] Tech Univ Dresden, Univ Hosp Carl Gustav Carus, Dept Visceral Thorac & Vasc Surg, Dresden, Germany
[2] Natl Ctr Tumor Dis, Dresden, Germany
[3] German Canc Res Ctr, Heidelberg, Germany
[4] Tech Univ Dresden, Fac Med, Dresden, Germany
[5] Tech Univ Dresden, Univ Hosp Carl Gustav Carus, Dresden, Germany
[6] HZDR, Dresden, Germany
[7] Tech Univ Dresden, Fac Med, Dept Radiat Oncol, Dresden, Germany
[8] Tech Univ Dresden, Univ Hosp Carl Gustav Carus, Dresden, Germany
[9] German Canc Res Ctr, German Canc Consortium, Partner Site Dresden, Heidelberg, Germany
[10] Tech Univ Dresden, OncoRay Natl Ctr Radiat Res Oncol, Fac Med, Dresden, Germany
[11] Tech Univ Dresden, Univ Hosp Carl Gustav Carus, Helmholtz Zentrum Dresden Rossendorf, Dresden, Germany
[12] Helmholtz Zentrum Dresden Rossendorf, Dresden, Germany
[13] Tech Univ Dresden, Univ Hosp Carl Gustav Carus, Dept Diagnost & Intervent Radiol, Dresden, Germany
来源：
FRONTIERS IN PUBLIC HEALTH | 2021年 / 9卷
关键词：
COVID-19; pandemic; cancer care; German; health care; comprehensive cancer center; COLORECTAL-CANCER; IMPACT; UK; ENGLAND; DELAYS;
D O I：
10.3389/fpubh.2021.750479
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Introduction: During the first wave of the COVID-19 pandemic in 2020, the German government implemented legal restrictions to avoid the overloading of intensive care units by patients with COVID-19. The influence of these effects on diagnosis and treatment of cancer in Germany is largely unknown.Methods: To evaluate the effect of the first wave of the COVID-19 pandemic on tumor board presentations in a high-volume tertiary referral center (the German Comprehensive Cancer Center NCT/UCC Dresden), we compared the number of presentations of gastrointestinal tumors stratified by tumor entity, tumor stage, and treatment intention during the pandemic to the respective data from previous years.Results: The number of presentations decreased by 3.2% (95% CI -8.8, 2.7) during the COVID year 2020 compared with the pre-COVID year 2019. During the first shutdown, March-May 2020, the total number of presentations was 9.4% (-18.7, 1) less than during March-May 2019. This decrease was significant for curable cases of esophageal cancer [N = 37, 25.5% (-41.8, -4.4)] and colon cancer [N = 36, 17.5% (-32.6, 1.1)] as well as for all cases of biliary tract cancer [N = 26, 50% (-69.9, -15)] during the first shutdown from March 2020 to May 2020.Conclusion: The impact of the COVID-19 pandemic on the presentation of oncological patients in a CCC in Germany was considerable and should be taken into account when making decisions regarding future pandemics.
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页数：7
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