The effect of the SARS-CoV-2 pandemic on suspected cancer referrals at a regional head and neck unit

The novel coronavirus SARS-CoV-2, initially identified in late 2019 as a small case cluster, has rapidly become a global pandemic. Government restrictions, closure of primary care services, interruption of cancer screening programmes, and fear of contracting the virus have demonstrably led to a redu...

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Autores principales:	Andrew Hannah, Terry Lowe
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Coronavirus COVID-19 Pandemic Cancer Referrals Scotland Internal medicine RC31-1245 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/b628e53cef194003bcba2eceb684c53e
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spelling	oai:doaj.org-article:b628e53cef194003bcba2eceb684c53e2021-11-28T04:39:52ZThe effect of the SARS-CoV-2 pandemic on suspected cancer referrals at a regional head and neck unit2667-147610.1016/j.adoms.2021.100226https://doaj.org/article/b628e53cef194003bcba2eceb684c53e2022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2667147621002156https://doaj.org/toc/2667-1476The novel coronavirus SARS-CoV-2, initially identified in late 2019 as a small case cluster, has rapidly become a global pandemic. Government restrictions, closure of primary care services, interruption of cancer screening programmes, and fear of contracting the virus have demonstrably led to a reduction in referrals for suspected cancer and delays to treatment across the United Kingdom. A retrospective analysis was carried out on suspected cancer referrals to the maxillofacial service at Aberdeen Royal Infirmary during the 12 months from March 2020, and compared with the 12 months prior. Suspected cancer referrals reduced by 38.6% (p < 0.001) during this period, with a reduction in the percentage referred by General Dental Practitioners. Further analysis shows a proportionate reduction in squamous cell carcinoma diagnoses, with other diagnoses remaining stable. Time from referral to first appointment, biopsy, and treatment showed no change. Stage at diagnosis and treatment modality was also unaffected. Assuming no change to the incidence of head and neck malignancies, over a third of new malignancies may have been undiagnosed during the 12 months from March 2020. Evidence for the impact of the pandemic is likely to become apparent as services return to pre-pandemic levels and these patients begin to present.Andrew HannahTerry LoweElsevierarticleCoronavirusCOVID-19PandemicCancerReferralsScotlandInternal medicineRC31-1245SurgeryRD1-811ENAdvances in Oral and Maxillofacial Surgery, Vol 5, Iss , Pp 100226- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Coronavirus COVID-19 Pandemic Cancer Referrals Scotland Internal medicine RC31-1245 Surgery RD1-811
spellingShingle	Coronavirus COVID-19 Pandemic Cancer Referrals Scotland Internal medicine RC31-1245 Surgery RD1-811 Andrew Hannah Terry Lowe The effect of the SARS-CoV-2 pandemic on suspected cancer referrals at a regional head and neck unit
description	The novel coronavirus SARS-CoV-2, initially identified in late 2019 as a small case cluster, has rapidly become a global pandemic. Government restrictions, closure of primary care services, interruption of cancer screening programmes, and fear of contracting the virus have demonstrably led to a reduction in referrals for suspected cancer and delays to treatment across the United Kingdom. A retrospective analysis was carried out on suspected cancer referrals to the maxillofacial service at Aberdeen Royal Infirmary during the 12 months from March 2020, and compared with the 12 months prior. Suspected cancer referrals reduced by 38.6% (p < 0.001) during this period, with a reduction in the percentage referred by General Dental Practitioners. Further analysis shows a proportionate reduction in squamous cell carcinoma diagnoses, with other diagnoses remaining stable. Time from referral to first appointment, biopsy, and treatment showed no change. Stage at diagnosis and treatment modality was also unaffected. Assuming no change to the incidence of head and neck malignancies, over a third of new malignancies may have been undiagnosed during the 12 months from March 2020. Evidence for the impact of the pandemic is likely to become apparent as services return to pre-pandemic levels and these patients begin to present.
format	article
author	Andrew Hannah Terry Lowe
author_facet	Andrew Hannah Terry Lowe
author_sort	Andrew Hannah
title	The effect of the SARS-CoV-2 pandemic on suspected cancer referrals at a regional head and neck unit
title_short	The effect of the SARS-CoV-2 pandemic on suspected cancer referrals at a regional head and neck unit
title_full	The effect of the SARS-CoV-2 pandemic on suspected cancer referrals at a regional head and neck unit
title_fullStr	The effect of the SARS-CoV-2 pandemic on suspected cancer referrals at a regional head and neck unit
title_full_unstemmed	The effect of the SARS-CoV-2 pandemic on suspected cancer referrals at a regional head and neck unit
title_sort	effect of the sars-cov-2 pandemic on suspected cancer referrals at a regional head and neck unit
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/b628e53cef194003bcba2eceb684c53e
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The effect of the SARS-CoV-2 pandemic on suspected cancer referrals at a regional head and neck unit

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