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A Comparison of Urological Cancer Stage and Diagnosis Rates Before and During the COVID-19 Pandemic in a District General Hospital
Journal of Clinical Urology ; 15(1):70-71, 2022.
Article in English | EMBASE | ID: covidwho-1957021
ABSTRACT

Introduction:

COVID-19 has caused disruption to medical services, which may have led to delayed cancer diagnoses. This study aims to compare the number and stage of new cancer diagnoses before and during the COVID-19 pandemic.

Methods:

A hospital-based cancer registry of patients who were diagnosed with Urological (ie, Kidney, Uppertract, Bladder, Prostate, Testis and Penis) between January 2019 and February 2020 Pre-COVID) and March 2020 and September 2021 (During COVID). Monthly numbers of patients with newly diagnosed cancer were compared in Pre-COVID and During-COVID groups.

Results:

849 patients (753 men [89%];96 women [11%]) (n = 385 Pre-COVID [45%];n = 464 during-COVID [55%] were included. During-COVID there was a significant 11.2% reduction in monthly new cancer diagnoses (Monthly new diagnoses Pre-COVID of 27.5 [SD 5.54];During-COVID 24.4 [SD 6.97];p < 0.001). The number of cases & T-staging at diagnosis in the pre- COVID-19 period and the During-COVID period were compared (Figure 1) There is a significant increase in the TNM stage at diagnosis of bladder cancer (Pre-COVID 0.85 [SD 1.0] vs During COVID 1.2 [SD 1.0]) and Upper Tract (Pre-COVID 2.5 [SD 1.1] vs During-COVID 3.5 [SD 0.7] in patients diagnoses during the COVID-19 pandemic compared to beforehand. No difference was found for Prostate, Kidney, Testicular or Penile cancers. Conclusions and Relevance There has been a significant 11% reduction in the total number of monthly urological cancers diagnoses during COVID. Patients with Upper tract and Bladder cancer were diagnosed at a significantly higher stage during the COVID-19 pandemic than beforehand.
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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Journal of Clinical Urology Year: 2022 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Journal of Clinical Urology Year: 2022 Document Type: Article