Identifying predictors of COVID‐related delays in cancer‐specific medical care

Cancer Medicine, Journal Year: 2024, Volume and Issue: 13(8)

Published: April 1, 2024

Abstract Purpose Evidence of the impact COVID‐19 pandemic on cancer prevention and control is growing, but little known about patient‐level factors associated with delayed care. We analyzed data from a survey focused Iowan patients' experiences in early part pandemic. Methods Participants were recruited University Iowa Holden Comprehensive Cancer Center's Patients Enhancing Research Collaborations at (PERCH) program. surveyed respondents demographic characteristics, reactions, delays any cancer‐related health care appointment, or treatment appointments. Two‐sided significance tests assessed differences reactions between those who experienced did not. Results There 780 (26% response), breast, prostate, kidney, skin, colorectal cancers representing majority respondents. Delays reported by 29% In multivariable‐adjusted models, rural residents (OR 1.47; 95% CI 1.03, 2.11) experiencing feelings isolation 2.18; 1.37, 3.47) more likely to report delay, where financial difficulties predicted appointments 5.72; 1.96, 16.67). Health insurance coverage concern not statistically significantly delays. Conclusion These findings may inform delivery during periods instability when be disrupted informing clinicians concerns that patients have process. Future research should assess whether long‐term outcomes exacerbate existing disparities outcomes.

Language: Английский

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Groin Hernia Repair during the COVID-19 Pandemic—A Romanian Nationwide Analysis

Medicina, Journal Year: 2023, Volume and Issue: 59(5), P. 970 - 970

Published: May 17, 2023

Background and Objectives: Groin hernia repair surgery (GHRS) is among the most common elective interventions. The aim of this three-year nationwide study on GHRS to provide a thorough analysis impact that COVID-19 pandemic had Romanian Health System in regard procedures. Materials Methods: 46,795 groin cases obtained between 2019 2021 from DRG database using ICD-10 diagnostic codes. data were collected all 261 performing hospitals nationwide, including 227 public (PbH) 34 private (PvH). 42 variables taken into account processed Microsoft Excel 2021, applying Chi square, F-Test Two-Sample for variances, Two Sample t-Test. significance threshold considered was p < 0.001. Results: Of grand total cases, 96.2% inguinal hernias, 86.8% performed men, 15.2% laparoscopic procedures, 6.88% PvH. Overall, due pandemic, number decreased with 44.45% 2020 29.72% compared pre-pandemic year 2019. April shows steepest decrease (91 procedures nationwide). In sector, there an opposite trend increases by 12.21% 70.22% both years. mean admission period (MAP) 5.5 days. There significant difference PbH PvH (5.75 vs. 2.8 days, 0.0001). During MAP (6.02 2019, 5.82 5.3 2021), remaining stable (2.9 days 2.85 2.74 2021). Conclusions: significantly reduced overall Romania However, sector thrived actual increase cases. lower throughout period.

Language: Английский

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Inequalities in the recovery of colorectal cancer services during the COVID‐19 pandemic: a national population‐based study

Colorectal Disease, Journal Year: 2024, Volume and Issue: 26(3), P. 486 - 496

Published: Feb. 1, 2024

Abstract Aim Evidence is lacking on whether there were inequalities in the recovery of colorectal cancer (CRC) services within English National Health Service (NHS) following COVID‐19 pandemic. The aim this study was to evaluate according patient age and socioeconomic status. Method Using routinely collected data, CRC patients diagnosed treated NHS identified for two timeframes: ‘initial pandemic period’ (April–June 2020) ‘pandemic (April 2020–March 2022). Poisson models evaluated changes numbers diagnoses, major resections, adjuvant chemotherapy neoadjuvant radiotherapy use each timeframe, relative equivalent pre‐pandemic timeframe 2019 April 2018–March 2020, respectively), stratified by Tumour stage at presentation over time. Results Substantial deficits resections initial period, whilst increased. Overall, these recovered. Patients outside screening age, most deprived group, had greater diagnoses resections. There no evidence migration June 2021. Conclusions showed baseline during However, evident must be addressed ongoing efforts. Long‐term outcomes will fully establish impact patients.

Language: Английский

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Impact of the coronavirus disease 2019 pandemic on primary and metastatic lung cancer treatments in Japan: A nationwide study using an interrupted time series analysis

Cancer Epidemiology, Journal Year: 2024, Volume and Issue: 90, P. 102549 - 102549

Published: March 5, 2024

Language: Английский

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