Faster surgery initiation in oral cancer patients during the <scp>COVID</scp> ‐19 pandemic in Osaka, Japan
Faster surgery initiation in oral cancer patients during the <scp>COVID</scp> ‐19 pandemic in Osaka, Japan
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日本大阪 <scp>COVID</scp> ‐19 大流行期间口腔癌患者更快开始手术
DOI：
10.1111/odi.14518
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发表时间：
2023
期刊：
影响因子：
3.8
通讯作者：
Miyashiro Isao
中科院分区：
文献类型：
--
作者：
Koyama Shihoko;Morishima Toshitaka;Saito Mari Kajiwara;Ma Chaochen;Nishimura Nao;Aoki Kengo;Nishio Minako;Otsuka Tomoyuki;Tabuchi Takahiro;Ishibashi Miki;Miyashiro Isao
背景我们调查了COVID-19大流行对口腔癌（OC）的影响，比较了2019年诊断OC的诊断和术前天数（2019冠状病毒病前）和2020年（在COVID-19大流行期间）。方法使用基于癌症登记的研究（CanReCO）的数据，研究COVID-19对大坂癌症护理的影响，我们收集了性别、年龄、居住区、OC患者的癌症部位、诊断日期、首次治疗时的临床分期和术前天数。在COVID-19之前和期间，OC的发病率分别为814例和656例。在第一波大流行期间（2020年3月至5月），发病率约为2019年同期的一半（2019年;n= 271，2020年;n= 145）。COVID-19年期间的术前天数（首次住院访视与手术日期之间的中位天数）（24.5天）显著短于COVID-19年前（28天，p= 0.0015）。尽管医疗系统受到干扰，但在疫情期间，OC病例的术前天数较短。
BackgroundWe investigated the impact of the COVID‐19 pandemic on oral cancer (OC), comparing diagnosis and number of pre‐operative days in the diagnosis of OC in 2019 (pre‐COVID‐19) and that in 2020 (during the COVID‐19 pandemic).MethodsUsing data from a cancer registry‐based study on the impact of COVID‐19 on cancer care in Osaka (CanReCO), we collected details of sex, age, residential area, cancer site, date of diagnosis, clinical stage at first treatment and number of pre‐operative days in OC patients.ResultsA total of 1470 OC cases were registered. Incidence of OC before and during COVID‐19 was 814 and 656 cases, respectively. During the first wave of the pandemic (March to May 2020), incidence was about half that in the same period in 2019 (2019;n= 271, 2020;n= 145). Number of pre‐operative days (median number of days between the first hospital visit and surgery date) was significantly shorter during the COVID‐19 year (24.5 days) than in the pre‐COVID‐19 year (28 days,p= 0.0015).ConclusionsIncidence of OC during the COVID‐19 pandemic was lower than in pre‐COVID‐19. Despite disruption in the healthcare system, the number of pre‐operative days for OC cases was shorter during the pandemic.