Utjecaj pandemije COVID-19 na dijagnozu i liječenje kolorektalnog karcinoma: sistematski pregled.
Journal of gastrointestinal cancer
Sažetak istraživanja
Pozadina Nakon službene objave pandemije COVID-19 od strane Svjetske zdravstvene organizacije (WHO) u martu 2020. godine i smanjene aktivnosti zdravstvenih sistema, premještanja resursa i moguće nevoljkosti pacijenata da potraže medicinsku pomoć, pacijenti s kolorektalnim karcinomom bili su izloženi značajnim rizicima. S obzirom na to da je rak debelog crijeva treći po učestalosti i drugi najsmrtonosniji rak u svijetu, njegova pravovremena dijagnoza i liječenje neophodni su za smanjenje troškova i poboljšanje kvalitete života i preživljavanja pacijenata.
Cilj ove studije bio je istražiti efekte pandemije COVID-19 na dijagnozu i liječenje kolorektalnog karcinoma.
Metode i materijali Opsežna pretraga obavljena juna 2021. u različitim bazama podataka, uključujući Medline, Web of Science i Scopus. Ključne riječi kao što su "dijagnoza", "liječenje", "bolest od korona virusa-19", "COVID-19", "bolest od korona virusa", "infekcija SARS-CoV-2", "SARS-CoV-2", "2019-nCoV", "koronavirus, 2019. roman," "SARS-CoV-2 virus, virus respiratornog virusa, virus korona teški respiratorni virus-CoV-2 2," "COVID-19", "COVID-19, korona virusna bolest 19," "SARS coronavirus 2", "kolorektalna neoplazma" i "kolorektalni karcinom " korišteni su pojedinačno ili kombinacija ovih riječi. Svi preuzeti članci su uneseni u bazu podataka na EndNote X7. Zatim su studije i tekstovi prvo odabrani prema naslovu i sažetku po cijelom tekstu.
Rezultati Od 850 studija, 43 su identificirane kao prihvatljive, dijagnoza kolorektalnog karcinoma i broj dijagnostičkih procedura su se smanjili zbog opstrukcije ili perforacije debelog crijeva ili u uznapredovalom stadiju raka, a kašnjenje u dijagnozi karcinoma debelog crijeva je također značajno smanjeno za 26%. odgođeno, prekinuto ili zaustavljeno Ovo smanjenje i kašnjenje uočeno je u svim slučajevima, uključujući operaciju, kemoterapiju i dugotrajnu terapiju zračenjem smanjenje dijagnostike i liječenja kolorektalnog karcinoma zbog pandemije COVID-19, kompenziranje smanjenja i sprječavanje nastavka ovog opadajućeg trenda, zahtijeva ozbiljne i efikasne intervencije za sprječavanje njegovih naknadnih posljedica, uključujući upućivanje osoba u uznapredovalom stadijumu i hitnim stanjima, povećanje troškova liječenja i smanjenje kvalitete života i preživljavanja pacijenata.
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Impact of the COVID-19 Pandemic on Colorectal Cancer Diagnosis and Treatment: a Systematic Review.
Background Following the official announcement of the COVID-19 pandemic by the World Health Organization (WHO) in March 2020 and decreased activity of healthcare systems, relocation of resources, and the possible reluctance of patients to seek medical help, colorectal cancer patients were exposed to significant risks. Given that colon cancer is the third most common cancer and the second deadliest cancer in the world, its timely diagnosis and treatment are necessary to reduce costs and improve quality of life and patient survival. The aim of this study was to investigate the effects of COVID-19 pandemic on the diagnosis and treatment of colorectal cancer.
Methods and materials A comprehensive search performed on June 2021 in various databases, including Medline, Web of Science, and Scopus. Keywords such as "diagnosis," "treatment," "coronavirus disease-19," "COVID-19," "coronavirus disease," "SARS-CoV-2 infection," "SARS-CoV-2," "2019-nCoV," "coronavirus, 2019 novel," "SARS-CoV-2 virus," severe acute respiratory syndrome coronavirus 2," "COVID-19," "COVID-19, coronavirus disease 19," "SARS coronavirus 2," "colorectal neoplasm," and "colorectal cancer " was used individually or a combination of these words. All retrieved articles were entered into a database on EndNote X7. Then, studies were first selected by title and then by abstract, and at the end, full texts were investigated.
Results Of the 850 studies, 43 were identified as eligible. According to studies, the diagnosis of colorectal cancer and the number of diagnostic procedures have decreased. Emergency visits due to obstruction or perforation of the large intestine or in advanced stages of cancer have increased, and a delay in the diagnosis of colorectal cancer has reported from 5.4 to 26%. Treatment of colorectal cancer has also decreased significantly or has been delayed, interrupted, or stopped. This reduction and delay have been observed in all treatments, including surgery, chemotherapy, and long-term radiation therapy; only cases of emergency surgery and short-term radiotherapy has increased. The waiting time for hospitalization and the length of hospital stay after surgery has been reported to be higher. Changes in patients' treatment plans and complete to partial cessation of hospitals activities-that provided treatment services-were reported.
Conclusion According to the reduction in the diagnosis and treatment of colorectal cancer due to the COVID-19 pandemic, compensating for the reduction and preventing the continuation of this declining trend, requires serious and effective interventions to prevent its subsequent consequences, including referrals of people with advanced stages and emergency conditions, increasing treatment costs and reducing the quality of life and patients survival.
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- DOI
- 10.1007/s12029-021-00752-5
- PMID
- 34843058
- PMCID
- PMC8628028
- Provjereno
- 2026-07-26
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