التفاصيل البيبلوغرافية
| العنوان: |
Delayed treatment in breast cancer patients during the COVID-19 pandemic: a population health information research infrastructure (PHIRI) case study. |
| المؤلفون: |
Estupiñán-Romero, Francisco, Royo-Sierra, Santiago, González-Galindo, Javier, Martínez-Lizaga, Natalia, Bogaert, Petronille, Schutte, Nienke, Eycken, Liesbet Van, Damme, Nancy Van, Henau, Kris, Lyons, Ronan A, Aldridge, Sarah J, Faragalli, Andrea, Carle, Flavia, Gesuita, Rosaria, Palmieri, Luigi, Misiņš, Jānis, Thiβen, Martin, Bernal-Delgado, Enrique |
| المصدر: |
European Journal of Public Health; 2024 Supplement, Vol. 34, pi50-i57, 8p |
| مصطلحات موضوعية: |
MEDICAL care research, POPULATION, STRUCTURAL models, RADIOTHERAPY, RESEARCH funding, BREAST tumors, POPULATION health, HEALTH, SCIENTIFIC observation, CANCER patients, INFORMATION resources, RETROSPECTIVE studies, PUBLIC health administration, LONGITUDINAL method, CANCER chemotherapy, RESEARCH, RESEARCH methodology, TREATMENT delay (Medicine), COVID-19 pandemic, REGRESSION analysis, FORECASTING |
| مصطلحات جغرافية: |
WALES, SPAIN |
| مستخلص: |
Background The indirect impact of the coronavirus disease 2019 pandemic on healthcare services was studied by assessing changes in the trend of the time to first treatment for women 18 or older who were diagnosed and treated for breast cancer between 2017 and 2021. Methods An observational retrospective longitudinal study based on aggregated data from four European Union (EU) countries/regions investigating the time it took to receive breast cancer treatment. We compiled outputs from a federated analysis to detect structural breakpoints, confirming the empirical breakpoints by differences between the trends observed and forecasted after March 2020. Finally, we built several segmented regressions to explore the association of contextual factors with the observed changes in treatment delays. Results We observed empirical structural breakpoints on the monthly median time to surgery trend in Aragon (ranging from 9.20 to 17.38 days), Marche (from 37.17 to 42.04 days) and Wales (from 28.67 to 35.08 days). On the contrary, no empirical structural breakpoints were observed in Belgium (ranging from 21.25 to 23.95 days) after the pandemic's beginning. Furthermore, we confirmed statistically significant differences between the observed trend and the forecasts for Aragon and Wales. Finally, we found the interaction between the region and the pandemic's start (before/after March 2020) significantly associated with the trend of delayed breast cancer treatment at the population level. Conclusions Although they were not clinically relevant, only Aragon and Wales showed significant differences with expected delays after March 2020. However, experiences differed between countries/regions, pointing to structural factors other than the pandemic. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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