COVID-19 感染与肺癌发病率下降之间的潜在联系。

IF 4.7 3区 医学 Q1 INFECTIOUS DISEASES Journal of Infection and Public Health Pub Date : 2024-05-27 DOI:10.1016/j.jiph.2024.05.046
Josef Yayan, Diana Saleh, Karl-Josef Franke
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引用次数: 0

摘要

背景:COVID-19 大流行对全球健康产生了重大影响,并促使人们研究其对各种疾病的影响。最近的数据表明,COVID-19 与肺癌发病率下降之间可能存在关联。本研究探讨了 COVID-19 感染与肺癌病例变化之间的关联:我们对德国吕登沙伊德诊所 2018 年 1 月 1 日至 2021 年 12 月 31 日的医疗记录进行了回顾性分析,比较了大流行之前和期间的肺癌病例。此外,还对人口统计学特征和癌症分期进行了评估:我们对 523 名患者进行了评估,其中 269 人在 COVID 之前,254 人在 COVID 期间。虽然病例总数有所下降,但在 COVID 期间,晚期癌症病例显著增加(P = 0.04)。调整后的发病率出现了细微的下降,从 COVID 前的每 100,000 人约 33 例降至 COVID 期间的 31 例:这项回顾性研究表明,在 COVID 期间,肺癌发病率略有下降,晚期病例有所增加。与全国数据的进一步比较表明,整个德国的趋势相似,2020 年后肺癌诊断率将下降约 3%,这凸显了大流行对癌症检测的潜在影响。
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Potential association between COVID-19 infections and the declining incidence of lung cancers

Background

The COVID-19 pandemic has significantly impacted global health and prompted studies on its effects across various diseases. Recent data suggest a potential correlation between COVID-19 and a decrease in lung cancer incidence. This study examines the association between COVID-19 infection and changes in lung cancer cases.

Material and methods

We conducted a retrospective analysis of medical records from Clinic Lüdenscheid, Germany, from January 1, 2018, to December 31, 2021, comparing lung cancer cases before and during the pandemic. Demographic characteristics and cancer stages were also assessed.

Results

We evaluated 523 patients; 269 pre-COVID and 254 during COVID. While the overall number of cases declined, a significant increase in advanced stage cancers was noted during COVID (P = 0.04). The adjusted incidence rates showed a nuanced decrease from approximately 33 cases per 100,000 pre-COVID to 31 during COVID.

Conclusion

This retrospective study suggests a modest decline in lung cancer incidence and an increase in advanced stages during COVID. Further comparisons with national data indicate a similar trend across Germany, with a decrease of about 3 % in lung cancer diagnoses post-2020, highlighting potential pandemic impacts on cancer detection.

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来源期刊
Journal of Infection and Public Health
Journal of Infection and Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -INFECTIOUS DISEASES
CiteScore
13.10
自引率
1.50%
发文量
203
审稿时长
96 days
期刊介绍: The Journal of Infection and Public Health, first official journal of the Saudi Arabian Ministry of National Guard Health Affairs, King Saud Bin Abdulaziz University for Health Sciences and the Saudi Association for Public Health, aims to be the foremost scientific, peer-reviewed journal encompassing infection prevention and control, microbiology, infectious diseases, public health and the application of healthcare epidemiology to the evaluation of health outcomes. The point of view of the journal is that infection and public health are closely intertwined and that advances in one area will have positive consequences on the other. The journal will be useful to all health professionals who are partners in the management of patients with communicable diseases, keeping them up to date. The journal is proud to have an international and diverse editorial board that will assist and facilitate the publication of articles that reflect a global view on infection control and public health, as well as emphasizing our focus on supporting the needs of public health practitioners. It is our aim to improve healthcare by reducing risk of infection and related adverse outcomes by critical review, selection, and dissemination of new and relevant information in the field of infection control, public health and infectious diseases in all healthcare settings and the community.
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