Determinants of COVID-19 Outcome as Predictors of Delayed Healthcare Services among Adults ≥50 Years during the Pandemic: 2006–2020 Health and Retirement Study

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(19), P. 12059 - 12059

Published: Sept. 23, 2022

Background: The coronavirus disease 19 (COVID-19) was declared a global pandemic on 11 March 2020. To date, limited number of studies have examined the impact this healthcare-seeking behaviors older populations. This longitudinal study personal characteristics linked to COVID-19 outcomes as predictors self-reported delayed healthcare services attributed pandemic, among U.S. adults, ≥50 years age. Methods: Secondary analyses were performed using cross-sectional data (1413 participants) and (2881 from Health Retirement Study (HRS) (2006–2018) 2020 HRS Project (57% female, mean age: 68 years). Demographic, socioeconomic, lifestyle health evaluated in relation overall, surgical non-surgical (“Since 2020, there any time when you needed medical or dental care, but getting it, did not get it at all?” “What type care delay”) logistic regression Ensemble machine learning for well mixed-effects modeling data. Results: Nearly 32.7% services, 5.8% 31.4% services. Being having college degree higher 1-unit increase depression score key In fully adjusted models, history 1 2 cardiovascular and/or metabolic conditions (vs. none) associated with 60–70% greater odds delays distinct findings histories hypertension, disease, diabetes stroke. predicted better than overall delays. Conclusion: Among sex, education depressive symptoms are pandemic. Delays may predictors, more frequently observed individuals conditions.

Language: Английский

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The impact of the COVID-19 Pandemic on the diagnosis of head and neck cancer at the University Hospital of Brasília

Concilium, Journal Year: 2023, Volume and Issue: 23(8), P. 183 - 202

Published: May 16, 2023

During the pandemic of coronavirus disease 2019 (COVID-19), there was a decrease in number consultations health system, thus reducing diagnostic tests general due to social distancing measures and limitations faced by services. The objective this study evaluate impact COVID-19 on diagnosis head neck cancer (HNC) patients treated at High Complexity Oncology Unit (UNACON) University Hospital Brasília (HUB). Methodology: Retrospective study, based document analysis medical records 152 diagnosed with malignant neoplasms, from March February 2021. Results: This showed that no reduction diagnoses disease, as well increase interval for performing these procedures, year affected pandemic, compared preceded. Conclusion: despite resulting restrictive circulation, negative time HCN HUB, specifically oral cancer, possibly continuity services, even most critical periods pandemic.

Language: Английский

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The impact of the COVID-19 pandemic on head and neck cancer diagnosis: a single-center study

Postępy Higieny i Medycyny Doświadczalnej, Journal Year: 2023, Volume and Issue: 77(1), P. 65 - 71

Published: Jan. 1, 2023

Abstract Introduction The COVID-19 pandemic has changed healthcare systems’ functioning and priorities worldwide, negatively impacting cancer screening. Adverse effects of delayed diagnosis head neck (HNC) may be associated with poorer overall survival. aim the study was to assess impact on HNC diagnosis. Materials Methods A retrospective analysis database records patients diagnosed in a single tertiary center from March 1, 2020, until April 30, 2021 (COVID group) performed compared period January 2019, February 2020 (pre-COVID group). Patients’ general characteristics, disease extent TNM classification, symptom duration, incidence dyspnea at admission, emergency tracheotomy indications for percutaneous endoscopic gastrostomy (PEG) were compared. Results One hundred seventy-two newly enrolled. most common tumor location larynx, followed by hypopharynx. There no significant differences between groups terms patients’ or clinical symptoms duration. However, likelihood PEG being COVID group over three times higher (OR=3.15, 95% CI: 1.08 9.18, p =0.049). Conclusions During pandemic, more had dysphagia malnutrition requiring PEG. did not affect progression significantly.

Language: Английский

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Impact of the COVID-19 Pandemic on Staging Oncologic PET/CT Imaging and Patient Outcome in a Public Healthcare Context: Overview and Follow Up of the First Two Years of the Pandemic

Cancers, Journal Year: 2023, Volume and Issue: 15(22), P. 5358 - 5358

Published: Nov. 10, 2023

To assess the impact of COVID-19 pandemic on diagnosis, staging and outcome a selected population throughout first two years pandemic, we evaluated oncology patients undergoing PET/CT at our institution. A retrospective lung cancer, melanoma, lymphoma head neck cancer staged using during 6 months 2019, 2020 2021 were included for analysis. The year in which PET was performed exposure variable, main outcomes stage time overall survival (OS). total 1572 PET/CTs purposes 2021. median age 66 (IQR 16), 915 (58%) males. most prevalent (643, 41%). univariate analysis OS by not significantly different. multivariate Cox regression non-COVID-19 different variables determined that (HR 1.76 CI95 1.23-2.53, p < 0.05), III 3.63 2.21-5.98, IV 11.06 7.04-17.36, 0.05) diagnosis 1.04 1.02-1.05, had increased risks death. We did find higher stages or reduced when assessing performed. Furthermore, modified staged, even controlled significant (age, type gender).

Language: Английский

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