Health
UCSD discovers that COVID pandemic is boosting the incidence of late-stage cancer
The COVID-19 pandemic has reduced the use of routine medical care, such as regular health care, and allows cancer to be diagnosed at a later stage, researchers at the University of California, San Diego announced Tuesday. ..
Researchers at the Moores Cancer Center at UCSD Health, published in the JAMA Network Open, found that pre-pandemic 2019 and 2020, early and late breast and colorectal cancer patients in the first year of ongoing health. The diagnosis was investigated and compared. crisis.
We found that the total number of diagnoses was about the same in 2019 and 2020, but the proportion of stage I diagnoses of breast cancer was significantly different from that of stage IV.
For example, in 2019, 63.9% of diagnosed patients had stage I disease, and in 2020, 51.3%. Conversely, in 2019, 1.9% of patients were diagnosed with stage IV breast cancer, compared to 6.2% in 2020.
Each stage shows the progressive difficulty of treatment and healing, from good to bad.
Similar trends were seen among patients with colorectal cancer studied, but somewhat less than those with breast cancer.
“These data show a continuing trend, at least for breast cancer,” said Dr. Jade Jifei Chow, lead author, clinical fellow in hematology and oncology at the University of California, San Diego School of Medicine. .. “They suggest that the concerns and consequences caused by the pandemic encouraged at least some patients to delay routine medical care, such as screening and seeing a doctor, which may have revealed an early diagnosis. is doing.”
Researchers have acknowledged some restrictions on the study, including reflecting data from a single center and not assessing the causality of the disease. Second, the number of patients with colorectal cancer was relatively small. Third, the study included individuals seeking a second opinion, whether or not they had previously been treated.
“Cancer screening is essential for early detection of cancer, especially in colorectal and breast cancer, which can treat and cure many early-stage cancers,” said Moores Cancer Center Medical Oncologist and Professor of Medicine. Dr. Catherine Ann Gold said. At UCSD School of Medicine.
“There is growing concern that one of the consequences of a pandemic is an increase in the number of patients diagnosed for the first time in the late incurable stage,” she said. “Patients who delay preventive care during a pandemic should be encouraged to discuss age-appropriate cancer screening with their primary care provider as soon as possible.”
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