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Impact of the COVID-19 Pandemic on Cancer Diagnoses in General and Specialized Practices in Germany
SIMPLE SUMMARY: Coronavirus disease 2019 (COVID-19) represents a major challenge for global healthcare systems. Since these healthcare systems have been frequently overwhelmed by the large number of COVID-19 patients, it is conceivable to hypothesize that other diseases such as cancer have been negl...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7865307/ https://www.ncbi.nlm.nih.gov/pubmed/33499223 http://dx.doi.org/10.3390/cancers13030408 |
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author | Jacob, Louis Loosen, Sven H. Kalder, Matthias Luedde, Tom Roderburg, Christoph Kostev, Karel |
author_facet | Jacob, Louis Loosen, Sven H. Kalder, Matthias Luedde, Tom Roderburg, Christoph Kostev, Karel |
author_sort | Jacob, Louis |
collection | PubMed |
description | SIMPLE SUMMARY: Coronavirus disease 2019 (COVID-19) represents a major challenge for global healthcare systems. Since these healthcare systems have been frequently overwhelmed by the large number of COVID-19 patients, it is conceivable to hypothesize that other diseases such as cancer have been neglected during the pandemic. This study showed that the number of new cancer diagnoses in Germany significantly decreased between March and May 2020 compared with 2019. Given that a sudden decline in the actual incidence of cancer is unlikely, these data suggest that a large proportion of cancer cases have been undiagnosed or diagnosed with some delay in this country, and this may be associated with poor short-term and long-term outcomes. Thus, the present study provides important evidence for the vivid discussion on how healthcare systems should optimally deal with the ongoing COVID-19 pandemic. ABSTRACT: The aim of this retrospective study was to investigate the impact of the coronavirus disease 2019 (COVID-19) pandemic on cancer diagnosis in general and specialized practices in Germany. This study included a total of 102,009 patients aged ≥18 years newly diagnosed with cancer in 1660 practices in Germany from January to May 2019 and from January to May 2020. Practices included general, gynecology, ear, nose, and throat (ENT), dermatology, and urology practices. New cancer diagnoses included all types of cancer and corresponded to cancers not previously documented in the database for a given patient. The number of new cancer diagnoses per general practice decreased significantly between March and May 2020 compared with the same period in 2019 (March: −12.0%, April: −27.6%, and May: −23.4%). A similar trend was observed in specialized practices, and this trend was more pronounced in April 2020 (dermatology: −44.4%, gynecology: −32.0%, and ENT: −28.2%). In addition, there was a significant decrease in almost all sex and age groups in April and May 2020 compared with the same period in 2019. Finally, the decrease in the number of new cancer diagnoses was particularly pronounced among cancers of the skin and the respiratory and intrathoracic organs. Together, these data show that the COVID-19 pandemic had a significant negative impact on cancer diagnosis in Germany, highlighting the need for public health measures improving the management of cancer in this country during this ongoing pandemic. |
format | Online Article Text |
id | pubmed-7865307 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-78653072021-02-07 Impact of the COVID-19 Pandemic on Cancer Diagnoses in General and Specialized Practices in Germany Jacob, Louis Loosen, Sven H. Kalder, Matthias Luedde, Tom Roderburg, Christoph Kostev, Karel Cancers (Basel) Article SIMPLE SUMMARY: Coronavirus disease 2019 (COVID-19) represents a major challenge for global healthcare systems. Since these healthcare systems have been frequently overwhelmed by the large number of COVID-19 patients, it is conceivable to hypothesize that other diseases such as cancer have been neglected during the pandemic. This study showed that the number of new cancer diagnoses in Germany significantly decreased between March and May 2020 compared with 2019. Given that a sudden decline in the actual incidence of cancer is unlikely, these data suggest that a large proportion of cancer cases have been undiagnosed or diagnosed with some delay in this country, and this may be associated with poor short-term and long-term outcomes. Thus, the present study provides important evidence for the vivid discussion on how healthcare systems should optimally deal with the ongoing COVID-19 pandemic. ABSTRACT: The aim of this retrospective study was to investigate the impact of the coronavirus disease 2019 (COVID-19) pandemic on cancer diagnosis in general and specialized practices in Germany. This study included a total of 102,009 patients aged ≥18 years newly diagnosed with cancer in 1660 practices in Germany from January to May 2019 and from January to May 2020. Practices included general, gynecology, ear, nose, and throat (ENT), dermatology, and urology practices. New cancer diagnoses included all types of cancer and corresponded to cancers not previously documented in the database for a given patient. The number of new cancer diagnoses per general practice decreased significantly between March and May 2020 compared with the same period in 2019 (March: −12.0%, April: −27.6%, and May: −23.4%). A similar trend was observed in specialized practices, and this trend was more pronounced in April 2020 (dermatology: −44.4%, gynecology: −32.0%, and ENT: −28.2%). In addition, there was a significant decrease in almost all sex and age groups in April and May 2020 compared with the same period in 2019. Finally, the decrease in the number of new cancer diagnoses was particularly pronounced among cancers of the skin and the respiratory and intrathoracic organs. Together, these data show that the COVID-19 pandemic had a significant negative impact on cancer diagnosis in Germany, highlighting the need for public health measures improving the management of cancer in this country during this ongoing pandemic. MDPI 2021-01-22 /pmc/articles/PMC7865307/ /pubmed/33499223 http://dx.doi.org/10.3390/cancers13030408 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Jacob, Louis Loosen, Sven H. Kalder, Matthias Luedde, Tom Roderburg, Christoph Kostev, Karel Impact of the COVID-19 Pandemic on Cancer Diagnoses in General and Specialized Practices in Germany |
title | Impact of the COVID-19 Pandemic on Cancer Diagnoses in General and Specialized Practices in Germany |
title_full | Impact of the COVID-19 Pandemic on Cancer Diagnoses in General and Specialized Practices in Germany |
title_fullStr | Impact of the COVID-19 Pandemic on Cancer Diagnoses in General and Specialized Practices in Germany |
title_full_unstemmed | Impact of the COVID-19 Pandemic on Cancer Diagnoses in General and Specialized Practices in Germany |
title_short | Impact of the COVID-19 Pandemic on Cancer Diagnoses in General and Specialized Practices in Germany |
title_sort | impact of the covid-19 pandemic on cancer diagnoses in general and specialized practices in germany |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7865307/ https://www.ncbi.nlm.nih.gov/pubmed/33499223 http://dx.doi.org/10.3390/cancers13030408 |
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