Mortality of Laryngeal Cancer before and during the COVID-19 Pandemic

COVID Pub Date : 2024-05-17 DOI:10.3390/covid4050044
R. Nocini, G. Lippi, C. Mattiuzzi
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Abstract

(1) Background: The interplay between coronavirus disease 2019 (COVID-19) and laryngeal cancer represents a substantial challenge for both patients and healthcare. To garner information on recent mortality data for laryngeal cancer, including during the COVID-19 pandemic, we analyzed real-world data from the US Centers for Disease Control and Prevention (CDC). (2) Methods: We searched the CDC WONDER online database 2018–2022 using the ICD-10 code for laryngeal cancer (C32; malignant neoplasm of the larynx). We also performed a sub-analysis between genders and across ten-year age groups. The data were analyzed with one-way analysis of variance (ANOVA) and Tukey’s post hoc test. (3) Results: The trend of age-adjusted mortality ×100,000 did not change significantly between the years 2018 and 2022 (p = 0.553). Males had higher age-adjusted mortality rates (M/F ratios between 4.6 and 5.0), but no significant variation was found in both genders (males: p = 0.676; females: p = 0.596). Although the mortality rate remained unchanged in people aged 35–84 years, the variation reached statistical significance in those aged 85 or older (p = 0.004), displaying a significant increase in 2021 compared to 2018 (p = 0.006) and 2019 (p = 0.039). (4) Conclusions: The impact of the COVID-19 pandemic on mortality for laryngeal cancer seems to be relatively modest in the general US population. Nevertheless, closer attention must be paid to older people, for whom the unfavorable consequences of misdiagnosis or mistreatment of this and other types of cancers can be exacerbated.
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COVID-19 大流行之前和期间的喉癌死亡率
(1) 背景:2019年冠状病毒病(COVID-19)与喉癌之间的相互作用对患者和医疗保健都是一个巨大的挑战。为了收集包括 COVID-19 大流行期间在内的喉癌近期死亡率数据信息,我们分析了美国疾病控制和预防中心(CDC)提供的真实世界数据。(2)方法:我们使用喉癌的 ICD-10 编码(C32;喉部恶性肿瘤)搜索了 2018-2022 年美国疾病预防控制中心 WONDER 在线数据库。我们还进行了性别间和十年年龄组间的子分析。数据采用单因素方差分析(ANOVA)和Tukey事后检验进行分析。(3)结果:2018年和2022年之间,年龄调整后死亡率×100,000的趋势没有显著变化(p = 0.553)。男性的年龄调整后死亡率较高(男女比例在 4.6 和 5.0 之间),但在两性中均未发现显著差异(男性:p = 0.676;女性:p = 0.596)。虽然 35-84 岁人群的死亡率保持不变,但 85 岁及以上人群的死亡率变化达到了统计学意义(p = 0.004),与 2018 年(p = 0.006)和 2019 年(p = 0.039)相比,2021 年的死亡率出现了显著增长。(4) 结论:在美国普通人群中,COVID-19 大流行对喉癌死亡率的影响似乎相对较小。不过,必须更加密切关注老年人,因为误诊或误治这种癌症和其他类型的癌症可能会加重对老年人的不利影响。
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