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The Impact of the COVID-19 Pandemic on Cancer Patient’s Management—Lithuanian Cancer Center Experience
The pandemic spread of the COVID-19 virus significantly affected daily life, but the highest pressure was piled on the health care system. Our aim was to evaluate an impact of COVID-19 pandemic management measures on cancer services at the National Cancer Institute (NCI) of Lithuania. We assessed th...
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/PMC8623620/ https://www.ncbi.nlm.nih.gov/pubmed/34828568 http://dx.doi.org/10.3390/healthcare9111522 |
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author | Dabkeviciene, Daiva Vincerzevskiene, Ieva Urbonas, Vincas Venius, Jonas Dulskas, Audrius Brasiuniene, Birute Janulionis, Ernestas Burneckis, Arvydas Zileviciene, Asta Tiskevicius, Sigitas Vanseviciute-Petkeviciene, Rasa Usinskiene, Jurgita Briediene, Ruta Bulotiene, Giedre Stratilatovas, Eugenijus Ostapenko, Valerijus Gibaviciene, Jolita Karnas, Ignas Kekstaite, Saule Navickiene, Jurgita Ulys, Albertas Zalimas, Algirdas Sruogis, Algimantas Kardelis, Zygimantas Zaremba, Sigitas Askinis, Renatas Cicenas, Saulius Tikuisis, Renatas Ciurliene, Ruta Jarmalaite, Sonata |
author_facet | Dabkeviciene, Daiva Vincerzevskiene, Ieva Urbonas, Vincas Venius, Jonas Dulskas, Audrius Brasiuniene, Birute Janulionis, Ernestas Burneckis, Arvydas Zileviciene, Asta Tiskevicius, Sigitas Vanseviciute-Petkeviciene, Rasa Usinskiene, Jurgita Briediene, Ruta Bulotiene, Giedre Stratilatovas, Eugenijus Ostapenko, Valerijus Gibaviciene, Jolita Karnas, Ignas Kekstaite, Saule Navickiene, Jurgita Ulys, Albertas Zalimas, Algirdas Sruogis, Algimantas Kardelis, Zygimantas Zaremba, Sigitas Askinis, Renatas Cicenas, Saulius Tikuisis, Renatas Ciurliene, Ruta Jarmalaite, Sonata |
author_sort | Dabkeviciene, Daiva |
collection | PubMed |
description | The pandemic spread of the COVID-19 virus significantly affected daily life, but the highest pressure was piled on the health care system. Our aim was to evaluate an impact of COVID-19 pandemic management measures on cancer services at the National Cancer Institute (NCI) of Lithuania. We assessed the time period from 1 February 2020 to 31 December 2020 and compared it to the same period of 2019. Data for our analysis were extracted from the NCI Hospital Information System (HIS) and the National Health Insurance Fund (NHIF). Contingency table analysis and ANOVA were performed. The COVID-19 pandemic negatively affected the cancer services provided by NCI. Reductions in diagnostic radiology (−16%) and endoscopy (−29%) procedures were accompanied by a decreased number of patients with ongoing medical (−30%), radiation (−6%) or surgical (−10%) treatment. The changes in the number of newly diagnosed cancer patients were dependent on tumor type and disease stage, showing a rise in advanced disease at diagnosis already during the early period of the first lockdown. The extent of out-patient consultations (−14%) and disease follow-up visits (−16%) was also affected by the pandemic, and only referrals to psychological/psychiatric counselling were increased. Additionally, the COVID-19 pandemic had an impact on the structure of cancer services by fostering the application of modified systemic anticancer therapy or hypofractionated radiotherapy. The most dramatic drop occurred in the number of patients participating in cancer prevention programs; the loss was 25% for colon cancer and 62% for breast cancer screening. Marked restriction in access to preventive cancer screening and overall reduction of the whole spectrum of cancer services may negatively affect cancer survival measures in the nearest future. |
format | Online Article Text |
id | pubmed-8623620 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-86236202021-11-27 The Impact of the COVID-19 Pandemic on Cancer Patient’s Management—Lithuanian Cancer Center Experience Dabkeviciene, Daiva Vincerzevskiene, Ieva Urbonas, Vincas Venius, Jonas Dulskas, Audrius Brasiuniene, Birute Janulionis, Ernestas Burneckis, Arvydas Zileviciene, Asta Tiskevicius, Sigitas Vanseviciute-Petkeviciene, Rasa Usinskiene, Jurgita Briediene, Ruta Bulotiene, Giedre Stratilatovas, Eugenijus Ostapenko, Valerijus Gibaviciene, Jolita Karnas, Ignas Kekstaite, Saule Navickiene, Jurgita Ulys, Albertas Zalimas, Algirdas Sruogis, Algimantas Kardelis, Zygimantas Zaremba, Sigitas Askinis, Renatas Cicenas, Saulius Tikuisis, Renatas Ciurliene, Ruta Jarmalaite, Sonata Healthcare (Basel) Article The pandemic spread of the COVID-19 virus significantly affected daily life, but the highest pressure was piled on the health care system. Our aim was to evaluate an impact of COVID-19 pandemic management measures on cancer services at the National Cancer Institute (NCI) of Lithuania. We assessed the time period from 1 February 2020 to 31 December 2020 and compared it to the same period of 2019. Data for our analysis were extracted from the NCI Hospital Information System (HIS) and the National Health Insurance Fund (NHIF). Contingency table analysis and ANOVA were performed. The COVID-19 pandemic negatively affected the cancer services provided by NCI. Reductions in diagnostic radiology (−16%) and endoscopy (−29%) procedures were accompanied by a decreased number of patients with ongoing medical (−30%), radiation (−6%) or surgical (−10%) treatment. The changes in the number of newly diagnosed cancer patients were dependent on tumor type and disease stage, showing a rise in advanced disease at diagnosis already during the early period of the first lockdown. The extent of out-patient consultations (−14%) and disease follow-up visits (−16%) was also affected by the pandemic, and only referrals to psychological/psychiatric counselling were increased. Additionally, the COVID-19 pandemic had an impact on the structure of cancer services by fostering the application of modified systemic anticancer therapy or hypofractionated radiotherapy. The most dramatic drop occurred in the number of patients participating in cancer prevention programs; the loss was 25% for colon cancer and 62% for breast cancer screening. Marked restriction in access to preventive cancer screening and overall reduction of the whole spectrum of cancer services may negatively affect cancer survival measures in the nearest future. MDPI 2021-11-09 /pmc/articles/PMC8623620/ /pubmed/34828568 http://dx.doi.org/10.3390/healthcare9111522 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Dabkeviciene, Daiva Vincerzevskiene, Ieva Urbonas, Vincas Venius, Jonas Dulskas, Audrius Brasiuniene, Birute Janulionis, Ernestas Burneckis, Arvydas Zileviciene, Asta Tiskevicius, Sigitas Vanseviciute-Petkeviciene, Rasa Usinskiene, Jurgita Briediene, Ruta Bulotiene, Giedre Stratilatovas, Eugenijus Ostapenko, Valerijus Gibaviciene, Jolita Karnas, Ignas Kekstaite, Saule Navickiene, Jurgita Ulys, Albertas Zalimas, Algirdas Sruogis, Algimantas Kardelis, Zygimantas Zaremba, Sigitas Askinis, Renatas Cicenas, Saulius Tikuisis, Renatas Ciurliene, Ruta Jarmalaite, Sonata The Impact of the COVID-19 Pandemic on Cancer Patient’s Management—Lithuanian Cancer Center Experience |
title | The Impact of the COVID-19 Pandemic on Cancer Patient’s Management—Lithuanian Cancer Center Experience |
title_full | The Impact of the COVID-19 Pandemic on Cancer Patient’s Management—Lithuanian Cancer Center Experience |
title_fullStr | The Impact of the COVID-19 Pandemic on Cancer Patient’s Management—Lithuanian Cancer Center Experience |
title_full_unstemmed | The Impact of the COVID-19 Pandemic on Cancer Patient’s Management—Lithuanian Cancer Center Experience |
title_short | The Impact of the COVID-19 Pandemic on Cancer Patient’s Management—Lithuanian Cancer Center Experience |
title_sort | impact of the covid-19 pandemic on cancer patient’s management—lithuanian cancer center experience |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8623620/ https://www.ncbi.nlm.nih.gov/pubmed/34828568 http://dx.doi.org/10.3390/healthcare9111522 |
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