학술논문
THE IMPACT OF COVID-19 ON HEAD AND NECK CANCER TREATMENT DELAY/UTJECAJ PANDEMIJE COVID-19 NA ODGODU LIJECENJA BOLESNIKA S KARCINOMIMA GLAVE I VRATA
Original Scientific Paper
Original Scientific Paper
Document Type
Clinical report
Author
Source
Acta Clinica Croatica. December 30, 2022, Vol. 61 Issue S4, p19, 7 p.
Subject
Language
English
ISSN
0353-9466
Abstract
Introduction COVID-19 pandemic has brought upon major changes in healthcare utilization around the world. Every country in the world has had to reorganize its healthcare service according to its possibilities [...]
The aim of this study was to demonstrate the impact of COVID-19 pandemic on the number and characteristics of head and neck cancer patients in two consecutive periods, pre-pandemic and pandemic. For this purpose, we performed a retrospective analysis of patients with primary carcinomas of head and neck mucosal sites, salivary gland tumors, as well as neck metastases. Two pre-COVID-19 years (2018-2019) and two pandemic years (2020-2021) were compared. Demographic data, overall number of patients, TNM classification of the two most affected sites (oral cavity and larynx), time from symptom onset to first outpatient admission to our department, and time from first admission to treatment initiation were noted. Study results revealed a higher number of patients during the pandemic period and difference in the distribution of tumor sites (x2=33.68, df=9, p Keywords: COVID-19; Head and neck cancer; Pandemic; Delay in care Cilj ove studije bio je utvrditi utjecaj pandemije COVID-19 na broj bolesnika s karcinomima glave i vrata te njihove karakteristike u vremenu prije i za vrijeme pandemije. U tu svrhu provedena je retrospektivna studija kod bolesnika s primarnim sluznicnim karcinomima glave i vrata, ?lijezda slinovnica i onih s metastazama na vratu. Provedena je usporedba dviju godina prije pandemije COVID-19 (2018. i 2019.) i dviju pandemijskih godina (2020. i 2021.). Izracunati su i prikazani demografski podaci, ukupan broj bolesnika, TNM klasifikacija dvaju najucestalijih sijela (usna ?upljina i grkljan), vrijeme potrebno da se bolesnik od pojave prvih simptoma javi specijalistu na?eg Odjela (1. razdoblje) i vrijeme od prvog specijalistickog pregleda do pocetka terapije (2. razdoblje). Rezultati su pokazali veci broj bolesnika u razdoblju pandemije i razliku u distribuciji tumorskih sijela u odnosu na dvije godine prije pandemije ([chi square]=33,68, df=9, p Kljucne rijeci: COVID-19; Karcinom glave i vrata; Pandemija; Odgodeno lijecenje
The aim of this study was to demonstrate the impact of COVID-19 pandemic on the number and characteristics of head and neck cancer patients in two consecutive periods, pre-pandemic and pandemic. For this purpose, we performed a retrospective analysis of patients with primary carcinomas of head and neck mucosal sites, salivary gland tumors, as well as neck metastases. Two pre-COVID-19 years (2018-2019) and two pandemic years (2020-2021) were compared. Demographic data, overall number of patients, TNM classification of the two most affected sites (oral cavity and larynx), time from symptom onset to first outpatient admission to our department, and time from first admission to treatment initiation were noted. Study results revealed a higher number of patients during the pandemic period and difference in the distribution of tumor sites (x2=33.68, df=9, p Keywords: COVID-19; Head and neck cancer; Pandemic; Delay in care Cilj ove studije bio je utvrditi utjecaj pandemije COVID-19 na broj bolesnika s karcinomima glave i vrata te njihove karakteristike u vremenu prije i za vrijeme pandemije. U tu svrhu provedena je retrospektivna studija kod bolesnika s primarnim sluznicnim karcinomima glave i vrata, ?lijezda slinovnica i onih s metastazama na vratu. Provedena je usporedba dviju godina prije pandemije COVID-19 (2018. i 2019.) i dviju pandemijskih godina (2020. i 2021.). Izracunati su i prikazani demografski podaci, ukupan broj bolesnika, TNM klasifikacija dvaju najucestalijih sijela (usna ?upljina i grkljan), vrijeme potrebno da se bolesnik od pojave prvih simptoma javi specijalistu na?eg Odjela (1. razdoblje) i vrijeme od prvog specijalistickog pregleda do pocetka terapije (2. razdoblje). Rezultati su pokazali veci broj bolesnika u razdoblju pandemije i razliku u distribuciji tumorskih sijela u odnosu na dvije godine prije pandemije ([chi square]=33,68, df=9, p Kljucne rijeci: COVID-19; Karcinom glave i vrata; Pandemija; Odgodeno lijecenje