Impact of the COVID-19 pandemic on pathology and cytology practice in University Hospital Centre Rijeka

. Aim: To determine the impact of the COVID-19 pandemic on the overall practice of the histopathological and cytological laboratory at the University Hospital Centre Rijeka, and on the diagnosis of the most common cancers. Methods: The numbers of histopathological and cytological reports, newly diag...

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Autores principales:	Danijela Vrdoljak Mozetič, Anita Savić Vuković, Manuela Avirović, Irena Seili Bekafigo, Dora Fučkar Čupić, Ksenija Jurinović, Gordana Đorđević, Senija Eminović, Nives Jonjić
Formato:	article
Lenguaje:	EN HR
Publicado:	Hrvatski liječnički zbor 2021
Materias:	covid-19 – epidemiology; cytodiagnosis – statistics and numerical data; pathology clinical – statistics and numerical data; breast neoplasms – diagnosis epidemiology; lung neoplasms – diagnosis epidemiology; colonic neoplasms – diagnosis epidemiology; prostatic neoplasms – diagnosis epidemiology; endometrial neoplasms – diagnosis Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/e92f8545b6504d3384652b7837db56a2
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spelling	oai:doaj.org-article:e92f8545b6504d3384652b7837db56a22021-12-03T07:14:12ZImpact of the COVID-19 pandemic on pathology and cytology practice in University Hospital Centre Rijeka10.26800/LV-143-3-4-10024-34771849-2177https://doaj.org/article/e92f8545b6504d3384652b7837db56a22021-04-01T00:00:00Zhttps://lijecnicki-vjesnik.hlz.hr/lijecnicki-vjesnik/utjecaj-pandemije-covid-19-na-rad-patologije-i-citologije-u-klinickom-bolnickom-centru-rijeka/https://doaj.org/toc/0024-3477https://doaj.org/toc/1849-2177. Aim: To determine the impact of the COVID-19 pandemic on the overall practice of the histopathological and cytological laboratory at the University Hospital Centre Rijeka, and on the diagnosis of the most common cancers. Methods: The numbers of histopathological and cytological reports, newly diagnosed cancers of breast, lung, colon, endometrium, and prostate, molecular tests for EGFR mutations and HPV were extracted. Two periods, from March 1 to September 30 in 2019 and 2020 were analysed and compared, as the periods before and during the COVID-19 pandemic. Results: The total number of reports was statistically significantly lower during the COVID-19 pandemic in 2020, compared to the same period in 2019 (p<0.000), histopathology by 24%, non-gynecological cytology by 20%, gynecological cytology by 13%, and Pap tests by 11%. During COVID-19 compared to the same period in 2019 the number of newly diagnosed malignant tumors was significantly reduced for colon cancers (–25%, p <0.0001). The decrease in the new cases of breast (–3%) and prostate cancer (–4%) was less pronounced while the increase was recorded for lung (+ 2%) and endometrial cancer (+ 53%). The number of HPV tests dropped significantly during the COVID-19 pandemic, by 40% (p <0.0001). Conclusions: This study confirmed the expected significant reduction in workload during the first wave of the COVID-19 pandemic in 2020, from 11% to 40%, although the number of patients with newly diagnosed cancers, except for colon, did not fall significantly. It would be important to form a joint national registry that would collect diagnostic and also therapeutic procedures, especially for oncology patients, in order to gain a more objective insight into the problems of the health system during pandemics. These data can be used to consider measures and strategies for the most adequate care, not only for COVID-19 but also for all other patients.Danijela Vrdoljak MozetičAnita Savić VukovićManuela AvirovićIrena Seili BekafigoDora Fučkar ČupićKsenija JurinovićGordana ĐorđevićSenija EminovićNives JonjićHrvatski liječnički zborarticlecovid-19 – epidemiology; cytodiagnosis – statistics and numerical data; pathologyclinical – statistics and numerical data; breast neoplasms – diagnosisepidemiology; lung neoplasms – diagnosisepidemiology; colonic neoplasms – diagnosisepidemiology; prostatic neoplasms – diagnosisepidemiology; endometrial neoplasms – diagnosisMedicine (General)R5-920ENHRLiječnički vjesnik, Vol 143, Iss 3-4, Pp 81-89 (2021)
institution	DOAJ
collection	DOAJ
language	EN HR
topic	covid-19 – epidemiology; cytodiagnosis – statistics and numerical data; pathology clinical – statistics and numerical data; breast neoplasms – diagnosis epidemiology; lung neoplasms – diagnosis epidemiology; colonic neoplasms – diagnosis epidemiology; prostatic neoplasms – diagnosis epidemiology; endometrial neoplasms – diagnosis Medicine (General) R5-920
spellingShingle	covid-19 – epidemiology; cytodiagnosis – statistics and numerical data; pathology clinical – statistics and numerical data; breast neoplasms – diagnosis epidemiology; lung neoplasms – diagnosis epidemiology; colonic neoplasms – diagnosis epidemiology; prostatic neoplasms – diagnosis epidemiology; endometrial neoplasms – diagnosis Medicine (General) R5-920 Danijela Vrdoljak Mozetič Anita Savić Vuković Manuela Avirović Irena Seili Bekafigo Dora Fučkar Čupić Ksenija Jurinović Gordana Đorđević Senija Eminović Nives Jonjić Impact of the COVID-19 pandemic on pathology and cytology practice in University Hospital Centre Rijeka
description	. Aim: To determine the impact of the COVID-19 pandemic on the overall practice of the histopathological and cytological laboratory at the University Hospital Centre Rijeka, and on the diagnosis of the most common cancers. Methods: The numbers of histopathological and cytological reports, newly diagnosed cancers of breast, lung, colon, endometrium, and prostate, molecular tests for EGFR mutations and HPV were extracted. Two periods, from March 1 to September 30 in 2019 and 2020 were analysed and compared, as the periods before and during the COVID-19 pandemic. Results: The total number of reports was statistically significantly lower during the COVID-19 pandemic in 2020, compared to the same period in 2019 (p<0.000), histopathology by 24%, non-gynecological cytology by 20%, gynecological cytology by 13%, and Pap tests by 11%. During COVID-19 compared to the same period in 2019 the number of newly diagnosed malignant tumors was significantly reduced for colon cancers (–25%, p <0.0001). The decrease in the new cases of breast (–3%) and prostate cancer (–4%) was less pronounced while the increase was recorded for lung (+ 2%) and endometrial cancer (+ 53%). The number of HPV tests dropped significantly during the COVID-19 pandemic, by 40% (p <0.0001). Conclusions: This study confirmed the expected significant reduction in workload during the first wave of the COVID-19 pandemic in 2020, from 11% to 40%, although the number of patients with newly diagnosed cancers, except for colon, did not fall significantly. It would be important to form a joint national registry that would collect diagnostic and also therapeutic procedures, especially for oncology patients, in order to gain a more objective insight into the problems of the health system during pandemics. These data can be used to consider measures and strategies for the most adequate care, not only for COVID-19 but also for all other patients.
format	article
author	Danijela Vrdoljak Mozetič Anita Savić Vuković Manuela Avirović Irena Seili Bekafigo Dora Fučkar Čupić Ksenija Jurinović Gordana Đorđević Senija Eminović Nives Jonjić
author_facet	Danijela Vrdoljak Mozetič Anita Savić Vuković Manuela Avirović Irena Seili Bekafigo Dora Fučkar Čupić Ksenija Jurinović Gordana Đorđević Senija Eminović Nives Jonjić
author_sort	Danijela Vrdoljak Mozetič
title	Impact of the COVID-19 pandemic on pathology and cytology practice in University Hospital Centre Rijeka
title_short	Impact of the COVID-19 pandemic on pathology and cytology practice in University Hospital Centre Rijeka
title_full	Impact of the COVID-19 pandemic on pathology and cytology practice in University Hospital Centre Rijeka
title_fullStr	Impact of the COVID-19 pandemic on pathology and cytology practice in University Hospital Centre Rijeka
title_full_unstemmed	Impact of the COVID-19 pandemic on pathology and cytology practice in University Hospital Centre Rijeka
title_sort	impact of the covid-19 pandemic on pathology and cytology practice in university hospital centre rijeka
publisher	Hrvatski liječnički zbor
publishDate	2021
url	https://doaj.org/article/e92f8545b6504d3384652b7837db56a2
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Impact of the COVID-19 pandemic on pathology and cytology practice in University Hospital Centre Rijeka

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