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...
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oai:doaj.org-article:d8b08ff514974d7fbc02093c55a427252021-11-25T17:45:29ZThe Impact of the COVID-19 Pandemic on Cancer Patient’s Management—Lithuanian Cancer Center Experience10.3390/healthcare91115222227-9032https://doaj.org/article/d8b08ff514974d7fbc02093c55a427252021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9032/9/11/1522https://doaj.org/toc/2227-9032The 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.Daiva DabkevicieneIeva VincerzevskieneVincas UrbonasJonas VeniusAudrius DulskasBirute BrasiunieneErnestas JanulionisArvydas BurneckisAsta ZilevicieneSigitas TiskeviciusRasa Vanseviciute-PetkevicieneJurgita UsinskieneRuta BriedieneGiedre BulotieneEugenijus StratilatovasValerijus OstapenkoJolita GibavicieneIgnas KarnasSaule KekstaiteJurgita NavickieneAlbertas UlysAlgirdas ZalimasAlgimantas SruogisZygimantas KardelisSigitas ZarembaRenatas AskinisSaulius CicenasRenatas TikuisisRuta CiurlieneSonata JarmalaiteMDPI AGarticleCOVID-19 pandemiccancer managementnational lockdownMedicineRENHealthcare, Vol 9, Iss 1522, p 1522 (2021) |
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COVID-19 pandemic cancer management national lockdown Medicine R |
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COVID-19 pandemic cancer management national lockdown Medicine R Daiva Dabkeviciene Ieva Vincerzevskiene Vincas Urbonas Jonas Venius Audrius Dulskas Birute Brasiuniene Ernestas Janulionis Arvydas Burneckis Asta Zileviciene Sigitas Tiskevicius Rasa Vanseviciute-Petkeviciene Jurgita Usinskiene Ruta Briediene Giedre Bulotiene Eugenijus Stratilatovas Valerijus Ostapenko Jolita Gibaviciene Ignas Karnas Saule Kekstaite Jurgita Navickiene Albertas Ulys Algirdas Zalimas Algimantas Sruogis Zygimantas Kardelis Sigitas Zaremba Renatas Askinis Saulius Cicenas Renatas Tikuisis Ruta Ciurliene Sonata Jarmalaite The Impact of the COVID-19 Pandemic on Cancer Patient’s Management—Lithuanian Cancer Center Experience |
| 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. |
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article |
| author |
Daiva Dabkeviciene Ieva Vincerzevskiene Vincas Urbonas Jonas Venius Audrius Dulskas Birute Brasiuniene Ernestas Janulionis Arvydas Burneckis Asta Zileviciene Sigitas Tiskevicius Rasa Vanseviciute-Petkeviciene Jurgita Usinskiene Ruta Briediene Giedre Bulotiene Eugenijus Stratilatovas Valerijus Ostapenko Jolita Gibaviciene Ignas Karnas Saule Kekstaite Jurgita Navickiene Albertas Ulys Algirdas Zalimas Algimantas Sruogis Zygimantas Kardelis Sigitas Zaremba Renatas Askinis Saulius Cicenas Renatas Tikuisis Ruta Ciurliene Sonata Jarmalaite |
| author_facet |
Daiva Dabkeviciene Ieva Vincerzevskiene Vincas Urbonas Jonas Venius Audrius Dulskas Birute Brasiuniene Ernestas Janulionis Arvydas Burneckis Asta Zileviciene Sigitas Tiskevicius Rasa Vanseviciute-Petkeviciene Jurgita Usinskiene Ruta Briediene Giedre Bulotiene Eugenijus Stratilatovas Valerijus Ostapenko Jolita Gibaviciene Ignas Karnas Saule Kekstaite Jurgita Navickiene Albertas Ulys Algirdas Zalimas Algimantas Sruogis Zygimantas Kardelis Sigitas Zaremba Renatas Askinis Saulius Cicenas Renatas Tikuisis Ruta Ciurliene Sonata Jarmalaite |
| author_sort |
Daiva Dabkeviciene |
| title |
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_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_sort |
impact of the covid-19 pandemic on cancer patient’s management—lithuanian cancer center experience |
| publisher |
MDPI AG |
| publishDate |
2021 |
| url |
https://doaj.org/article/d8b08ff514974d7fbc02093c55a42725 |
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