手术延迟的影响:子宫内膜癌和子宫内膜上皮内瘤增生妇女治疗延迟的单一机构经验

COVID Pub Date : 2023-12-28 DOI:10.3390/covid4010004
Kieran Seay, Arielle H. Katcher, Maia Hare, Nina Kohn, Hannah Juhel, Gary Goldberg, M. Frimer
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引用次数: 0

摘要

COVID-19 的扩散导致纽约在 2020 年 3 月实行封锁。非紧急手术被推迟,包括肿瘤手术。积压的手术从 2020 年 5 月开始得到解决。我们的目标是研究本机构在 COVID-19 大流行期间子宫内膜癌手术等待时间的变化。我们收集了确诊为子宫内膜上皮内瘤变和子宫内膜癌患者的手术发生率和等待时间数据。从诊断到手术的天数与年龄、肥胖程度、是否有合并症、种族、吸烟史和诊断之间的关系已作调整,并使用一般线性模型进行了检验。这项回顾性研究共确定了 190 名患者。有五名受试者的种族信息缺失,因此被排除在所有分析之外,最终分析结果为 185 名受试者。COVID-19 期间的平均等待时间为 70.9 天(95%CI 55.0,91.3),而参照期为 49.3 天(95%CI 49.8,63.8)。等待时间与任何临床或人口统计学因素之间均无明显关联。
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The Impact of Surgical Delay: A Single Institutional Experience at the Epicenter of the COVID Pandemic Treatment Delays in Women with Endometrial Cancer and Endometrial Intraepithelial Hyperplasia
The spread of COVID-19 led to a lockdown in New York in March of 2020. Nonemergent surgeries were postponed, including oncologic procedures. The backlog of surgeries was addressed starting May 2020. Our goal was to examine the change in waiting times for endometrial cancer surgeries during the COVID-19 pandemic in our institution. Data on surgery incidence and waiting time was gathered for patients diagnosed with endometrial intraepithelial neoplasia and endometrial cancer. The association between days from diagnosis to surgery was adjusted for age, obesity, presence of comorbid conditions, race, smoking history and diagnosis and was examined using a general linear model. A total of 190 patients were identified for this retrospective study. Five subjects were missing information on race and were excluded from all analyses, resulting in 185 subjects in the final analyses. Mean waiting time during COVID-19 was 70.9 days (95%CI 55.0, 91.3), compared to 49.3 (95%CI 49.8, 63.8) days during the reference period. No significant associations were seen between the time and any of the clinical or demographic factors.
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