Cancer Patients First Treated with Chemotherapy: Are They More Likely to Receive Surgery in the Pandemic?
Due to the ramping down of cancer surgery in early pandemic, many newly diagnosed patients received other treatments first. We aimed to quantify the pandemic-related shift in rate of surgery following chemotherapy. This is a retrospective population-based cohort study involving adults diagnosed with...
| Publicado en: | Current Oncology Vol. 29; no. 10; pp. 7732 - 7745 |
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| Autores principales: | , , , , , , , , , , , , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
MDPI
Oct2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159900785&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159900785 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11980052 5EKK jtl: Current Oncology issn: 11980052 maglogo: N pubinfo: dt: Oct2022 vid: 29 iid: 10 pid: 97109 pub: MDPI artinfo: ui: 159900785 10.3390/curroncol29100611 159900785 ppf: 7732 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Cancer Patients First Treated with Chemotherapy: Are They More Likely to Receive Surgery in the Pandemic? aug: au: Fu, Rui Sutradhar, Rinku Dare, Anna Li, Qing Hanna, Timothy P. Chan, Kelvin K. W. Irish, Jonathan C. Coburn, Natalie Hallet, Julie Singh, Simron Parmar, Ambica Earle, Craig C. Lapointe-Shaw, Lauren Krzyzanowska, Monika K. Finelli, Antonio Louie, Alexander V. Witterick, Ian J. Mahar, Alyson Urbach, David R. McIsaac, Daniel I. affil: ICES, Toronto, ON M4N 3M5, Canada sug: ab: Due to the ramping down of cancer surgery in early pandemic, many newly diagnosed patients received other treatments first. We aimed to quantify the pandemic-related shift in rate of surgery following chemotherapy. This is a retrospective population-based cohort study involving adults diagnosed with cancer between 3 January 2016 and 7 November 2020 in Ontario, Canada who received chemotherapy as first treatment within 6-months of diagnosis. Competing-risks regression models with interaction effects were used to quantify the association between COVID-19 period (receiving a cancer diagnosis before or on/after 15 March 2020) and receipt of surgical reSection 9-months after first chemotherapy. Among 51,653 patients, 8.5% (n = 19,558) of them ultimately underwent surgery 9-months after chemotherapy initiation. Receipt of surgery was higher during the pandemic than before (sHR 1.07, 95% CI 1.02–1.13). Material deprivation was independently associated with lower receipt of surgery (least vs. most deprived quintile: sHR 1.11, 95% CI 1.04–1.17), but did not change with the pandemic. The surgical rate increase was most pronounced for breast cancer (sHR 1.13, 95% CI 1.06–1.20). These pandemic-related shifts in cancer treatment requires further evaluations to understand the long-term consequences. Persistent material deprivation-related inequity in cancer surgical access needs to be addressed. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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