The impact of COVID-19 pandemic in the colorectal cancer prevention
The impact of COVID-19 pandemic in the colorectal cancer prevention
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DOI：
10.1007/s00384-020-03635-6
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发表时间：
2020-06-04
影响因子：
2.8
通讯作者：
Paoluzi, Omero Alessandro
中科院分区：
文献类型：
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作者：
Blanco, Giovanna Del Vecchio;Calabrese, Emma;Paoluzi, Omero Alessandro
背景2019冠状病毒病（COVID-19）导致几乎所有受疫情严重影响的国家都采取了严格的限制政策。国家卫生系统是受COVID-19和封锁影响的活动之一。目的评估COVID-19对结直肠癌（CRC）预防的影响。方法我们报告了医院组织的变化，以满足COVID-19所确定的不断增长的医疗需求。考虑到平均风险人群的CRC筛查项目和炎症性肠病（IBD）患者的内镜监测的特点，分析了COVID-19继发性CRC预防的局限性及其对医疗保健的影响。结果大肠癌预防工作的中断可能导致大肠癌的延迟诊断，甚至可能是晚期。只要CRC预防仍然暂停，胃肠病学家、外科医生和肿瘤学家的经济负担和工作量的影响将更大。为应对COVID-19受控后结肠镜检查需求的增加，我们应优化资源。有必要对CRC风险进行分层，并确定优先顺序。应落实卫生工作者、设备和空间的数量，专门用于在最短时间内对有报警症状的受试者进行结肠镜检查，以进行筛查。为此，应增加专门用于保健的资金。经济影响将是巨大的，但COVID-19证明了医疗保健必须成为人类的首要目标。
Background The coronavirus disease 2019 (COVID-19) has led to a policy of severe restrictions in almost all countries strongly involved by the pandemic. National Health System is among activities suffering from the COVID-19 and the lockdown. Aim To evaluate the impact of COVID-19 in colorectal cancer (CRC) prevention. Methods We report the change in the hospital organization to meet the growing healthcare needs determined by COVID-19. The limitations of CRC prevention secondary to COVID-19 and their effects on the healthcare are analyzed considering the features of the CRC screening programs in the average-risk population and endoscopic surveillance in patients with inflammatory bowel diseases (IBD). Results The interruption of CRC prevention may lead to a delayed diagnosis of CRC, possibly in a more advanced stage. The economic burden and the impact on workload for gastroenterologists, surgeons, and oncologists will be greater as long as the CRC prevention remains suspended. To respond to the increased demand for colonoscopy once COVID-19 will be under control, we should optimize the resources. It will be necessary to stratify the CRC risk and reach an order of priority. It should be implemented the number of health workers, equipment, and spaces dedicated to performing colonoscopy for screening purpose and in subjects with alarm symptoms in the shortest time. To this aim, the funds earmarked for healthcare should be increased. Conclusion The economic impact will be dramatic, but COVID-19 is the demonstration that healthcare has to be the primary goal of humans.