Influence of the First Wave of the COVID-19 Pandemic on Cancer Care in a German Comprehensive Cancer Center
Introduction: During the first wave of the COVID-19 pandemic in 2020, the German government implemented legal restrictions to avoid the overloading of intensive care units by patients with COVID-19. The influence of these effects on diagnosis and treatment of cancer in Germany is largely unknown.Met...
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Frontiers Media S.A.
2021
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oai:doaj.org-article:8de0c16646e949cea05f8ef675edded92021-11-30T14:17:10ZInfluence of the First Wave of the COVID-19 Pandemic on Cancer Care in a German Comprehensive Cancer Center2296-256510.3389/fpubh.2021.750479https://doaj.org/article/8de0c16646e949cea05f8ef675edded92021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.750479/fullhttps://doaj.org/toc/2296-2565Introduction: During the first wave of the COVID-19 pandemic in 2020, the German government implemented legal restrictions to avoid the overloading of intensive care units by patients with COVID-19. The influence of these effects on diagnosis and treatment of cancer in Germany is largely unknown.Methods: To evaluate the effect of the first wave of the COVID-19 pandemic on tumor board presentations in a high-volume tertiary referral center (the German Comprehensive Cancer Center NCT/UCC Dresden), we compared the number of presentations of gastrointestinal tumors stratified by tumor entity, tumor stage, and treatment intention during the pandemic to the respective data from previous years.Results: The number of presentations decreased by 3.2% (95% CI −8.8, 2.7) during the COVID year 2020 compared with the pre-COVID year 2019. During the first shutdown, March–May 2020, the total number of presentations was 9.4% (−18.7, 1) less than during March–May 2019. This decrease was significant for curable cases of esophageal cancer [N = 37, 25.5% (−41.8, −4.4)] and colon cancer [N = 36, 17.5% (−32.6, 1.1)] as well as for all cases of biliary tract cancer [N = 26, 50% (−69.9, −15)] during the first shutdown from March 2020 to May 2020.Conclusion: The impact of the COVID-19 pandemic on the presentation of oncological patients in a CCC in Germany was considerable and should be taken into account when making decisions regarding future pandemics.Johanna KirchbergJohanna KirchbergAnke RentschAnna KlimovaVasyl VovkVasyl VovkSebastian HempelSebastian HempelGunnar FolprechtMechthild KrauseMechthild KrauseMechthild KrauseMechthild KrauseMechthild KrauseVerena PlodeckVerena PlodeckThilo WelschThilo WelschJürgen WeitzJürgen WeitzJohannes FritzmannJohannes FritzmannFrontiers Media S.A.articleCOVID-19 pandemiccancer careGermanhealth carecomprehensive cancer centerPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021) |
| institution |
DOAJ |
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DOAJ |
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EN |
| topic |
COVID-19 pandemic cancer care German health care comprehensive cancer center Public aspects of medicine RA1-1270 |
| spellingShingle |
COVID-19 pandemic cancer care German health care comprehensive cancer center Public aspects of medicine RA1-1270 Johanna Kirchberg Johanna Kirchberg Anke Rentsch Anna Klimova Vasyl Vovk Vasyl Vovk Sebastian Hempel Sebastian Hempel Gunnar Folprecht Mechthild Krause Mechthild Krause Mechthild Krause Mechthild Krause Mechthild Krause Verena Plodeck Verena Plodeck Thilo Welsch Thilo Welsch Jürgen Weitz Jürgen Weitz Johannes Fritzmann Johannes Fritzmann Influence of the First Wave of the COVID-19 Pandemic on Cancer Care in a German Comprehensive Cancer Center |
| description |
Introduction: During the first wave of the COVID-19 pandemic in 2020, the German government implemented legal restrictions to avoid the overloading of intensive care units by patients with COVID-19. The influence of these effects on diagnosis and treatment of cancer in Germany is largely unknown.Methods: To evaluate the effect of the first wave of the COVID-19 pandemic on tumor board presentations in a high-volume tertiary referral center (the German Comprehensive Cancer Center NCT/UCC Dresden), we compared the number of presentations of gastrointestinal tumors stratified by tumor entity, tumor stage, and treatment intention during the pandemic to the respective data from previous years.Results: The number of presentations decreased by 3.2% (95% CI −8.8, 2.7) during the COVID year 2020 compared with the pre-COVID year 2019. During the first shutdown, March–May 2020, the total number of presentations was 9.4% (−18.7, 1) less than during March–May 2019. This decrease was significant for curable cases of esophageal cancer [N = 37, 25.5% (−41.8, −4.4)] and colon cancer [N = 36, 17.5% (−32.6, 1.1)] as well as for all cases of biliary tract cancer [N = 26, 50% (−69.9, −15)] during the first shutdown from March 2020 to May 2020.Conclusion: The impact of the COVID-19 pandemic on the presentation of oncological patients in a CCC in Germany was considerable and should be taken into account when making decisions regarding future pandemics. |
| format |
article |
| author |
Johanna Kirchberg Johanna Kirchberg Anke Rentsch Anna Klimova Vasyl Vovk Vasyl Vovk Sebastian Hempel Sebastian Hempel Gunnar Folprecht Mechthild Krause Mechthild Krause Mechthild Krause Mechthild Krause Mechthild Krause Verena Plodeck Verena Plodeck Thilo Welsch Thilo Welsch Jürgen Weitz Jürgen Weitz Johannes Fritzmann Johannes Fritzmann |
| author_facet |
Johanna Kirchberg Johanna Kirchberg Anke Rentsch Anna Klimova Vasyl Vovk Vasyl Vovk Sebastian Hempel Sebastian Hempel Gunnar Folprecht Mechthild Krause Mechthild Krause Mechthild Krause Mechthild Krause Mechthild Krause Verena Plodeck Verena Plodeck Thilo Welsch Thilo Welsch Jürgen Weitz Jürgen Weitz Johannes Fritzmann Johannes Fritzmann |
| author_sort |
Johanna Kirchberg |
| title |
Influence of the First Wave of the COVID-19 Pandemic on Cancer Care in a German Comprehensive Cancer Center |
| title_short |
Influence of the First Wave of the COVID-19 Pandemic on Cancer Care in a German Comprehensive Cancer Center |
| title_full |
Influence of the First Wave of the COVID-19 Pandemic on Cancer Care in a German Comprehensive Cancer Center |
| title_fullStr |
Influence of the First Wave of the COVID-19 Pandemic on Cancer Care in a German Comprehensive Cancer Center |
| title_full_unstemmed |
Influence of the First Wave of the COVID-19 Pandemic on Cancer Care in a German Comprehensive Cancer Center |
| title_sort |
influence of the first wave of the covid-19 pandemic on cancer care in a german comprehensive cancer center |
| publisher |
Frontiers Media S.A. |
| publishDate |
2021 |
| url |
https://doaj.org/article/8de0c16646e949cea05f8ef675edded9 |
| work_keys_str_mv |
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