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Changes in digestive cancer diagnosis during the SARS-CoV-2 pandemic in Italy: A nationwide survey.
Buscarini, Elisabetta; Benedetti, Antonio; Monica, Fabio; Pasquale, Luigi; Buttitta, Francesco; Cameletti, Michela; Ferrari, Clarissa; Ricciardiello, Luigi.
  • Buscarini E; Gastroenterology Unit, ASST Maggiore Hospital, Crema, CR, Italy. Electronic address: elisabetta.buscarini@asst-crema.it.
  • Benedetti A; Gastroenterology, Hepatology and Digestive Endoscopy clinic, Università Politecnica delle Marche, Ospedali Riuniti di, Ancona, Italy.
  • Monica F; Gastroenterology Unit, Azienda Sanitaria Universitaria Giuliano Isontina (ASU GI), Trieste, Italy.
  • Pasquale L; Gastroenterology Unit, Ospedale Civile "Frangipane", Ariano Irpino, AV, Italy.
  • Buttitta F; Gastroenterology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy; Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
  • Cameletti M; Department of Economics, University of Bergamo, Bergamo, Italy.
  • Ferrari C; Unit of Statistics, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
  • Ricciardiello L; Gastroenterology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy; Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy. Electronic address: luigi.ricciardiello@unibo.it.
Dig Liver Dis ; 53(6): 682-688, 2021 06.
Article in English | MEDLINE | ID: covidwho-1120261
Semantic information from SemMedBD (by NLM)
1. Stomach LOCATION_OF Diagnosis
Subject
Stomach
Predicate
LOCATION_OF
Object
Diagnosis
2. Gastroenterology service LOCATION_OF Diagnosis
Subject
Gastroenterology service
Predicate
LOCATION_OF
Object
Diagnosis
3. Malignant neoplasm of pancreas AFFECTS COVID-19
Subject
Malignant neoplasm of pancreas
Predicate
AFFECTS
Object
COVID-19
4. Stomach LOCATION_OF Diagnosis
Subject
Stomach
Predicate
LOCATION_OF
Object
Diagnosis
5. Gastroenterology service LOCATION_OF Diagnosis
Subject
Gastroenterology service
Predicate
LOCATION_OF
Object
Diagnosis
6. Malignant neoplasm of pancreas AFFECTS COVID-19
Subject
Malignant neoplasm of pancreas
Predicate
AFFECTS
Object
COVID-19
ABSTRACT

BACKGROUND:

The SARS-CoV-2 pandemic has had a huge impact on healthcare systems, resulting in many routine diagnostic procedures either being halted or postponed.

AIMS:

To evaluate whether the diagnoses of colorectal, gastric and pancreatic cancers have been impacted by the SARS-CoV-2 pandemic in Italy.

METHODS:

A survey designed to collect the number of histologically-proven diagnoses of the three cancers in gastroenterology services across Italy from January 1 to October 31 in 2017-2020. Non-parametric ANOVA for repeated measurements was applied to compare distributions by years and macro-areas.

RESULTS:

Compared to 2019, in 2020 gastric cancer diagnoses decreased by 15.9%, CRC by 11.9% and pancreatic by 9.9%. CRC distributions showed significant differences between all years, stomach cancer between 2018 and 2020 and 2019-2020, and pancreatic cancer only between 2017 and 2019. The 2019-2020 comparison showed fewer CRC diagnoses in the North (-13.7%), Center (-16.5%) and South (-4.1%), fewer stomach cancers in the North (-19.0%) and South (-9.4%), and fewer pancreatic cancers in the North (-14.1%) and Center (-4.7%), with an increase in the South (+12.3%). Distributions of CRC and gastric cancer were significantly different between all years in the North.

CONCLUSIONS:

This survey highlights the concerning effects of the COVID-19 pandemic on the diagnostic yield of gastroenterology services for stomach, colorectal and pancreatic cancers in Italy.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Delivery of Health Care / Digestive System Neoplasms / Early Detection of Cancer / COVID-19 Type of study: Diagnostic study / Randomized controlled trials / Screening study Limits: Humans Country/Region as subject: Europa Language: English Journal: Dig Liver Dis Journal subject: Gastroenterology Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Delivery of Health Care / Digestive System Neoplasms / Early Detection of Cancer / COVID-19 Type of study: Diagnostic study / Randomized controlled trials / Screening study Limits: Humans Country/Region as subject: Europa Language: English Journal: Dig Liver Dis Journal subject: Gastroenterology Year: 2021 Document Type: Article