Di Martino Giuseppe, Cedrone Fabrizio, Di Giovanni Pamela, Romano Ferdinando, Staniscia Tommaso
Department of Medicine and Ageing Sciences, "G. d'Annunzio" University of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy.
Local Health Authority of Pescara, Via Paolini, 65100 Pescara, Italy.
Healthcare (Basel). 2022 Nov 21;10(11):2329. doi: 10.3390/healthcare10112329.
(1) Background: The pandemic had a strong impact on healthcare for other diseases, the so-called collateral damage. This situation heavily impacted the health care system, causing a deferment of surgical admissions. This situation had an immediate and long-term impact on millions of patients with surgical diseases all over the world. The objective of this study was to evaluate the incidence of hospitalizations for colorectal and breast cancers in an Italian region in the year 2020 and compare it with the years 2018−2019. (2) Methods: This retrospective study was performed in the region of Abruzzo, Italy. Monthly number of hospitalizations in the year 2020 was compared with a control period consisting of the average of admissions that occurred in the years 2018−2019 using Poisson regression. (3) Results: A reduction in hospital admissions for all diseases considered was found. In particular, compared with years 2018−2019, admissions for colorectal cancer were 35.71% lower (HRR 0.915; p < 0.001), and admissions for breast cancer were 10.36% lower (HRR 0.895; p < 0.001) (4) Conclusions: The results of this study showed the decrease of admissions for elective oncological surgery during pandemic, suggesting the need of strategic measures to face the burden of future years’ hospitalizations.
(1) 背景:这场大流行对其他疾病的医疗保健产生了重大影响,即所谓的附带损害。这种情况严重冲击了医疗保健系统,导致外科手术入院推迟。这种情况对全球数百万患有外科疾病的患者产生了直接和长期的影响。本研究的目的是评估2020年意大利一个地区结直肠癌和乳腺癌的住院发病率,并将其与2018 - 2019年进行比较。(2) 方法:本回顾性研究在意大利阿布鲁佐地区进行。使用泊松回归将2020年的每月住院人数与一个由2018 - 2019年入院平均人数组成的对照期进行比较。(3) 结果:发现所有考虑的疾病的住院人数均有所减少。特别是,与2018 - 2019年相比,结直肠癌的入院人数降低了35.71%(风险比0.915;p < 0.001),乳腺癌的入院人数降低了10.36%(风险比0.895;p < 0.001)。(4) 结论:本研究结果显示,在大流行期间择期肿瘤手术的入院人数减少,这表明需要采取战略措施来应对未来几年的住院负担。