Abstract
AbstractObjectiveDelay in the diagnosis of head and neck cancer can result in significant excess morbidity and mortality. How the pandemic has affected patient presentation in Scotland is unknown.MethodThis retrospective cohort study compared all presentations of head and neck cancer between June and October of 2019 with the same period following the peak of the pandemic in 2020 in West Scotland, a region populated by 2.5 million people.ResultsA total of 528 patients met our inclusion criteria. Compared with 2019, patients in 2020 were more likely to present with a higher American Joint Committee on Cancer stage (odds ratio, 1.67 (95 per cent confidence interval = 1.20 to 2.31); p = 0.002), a longer preceding symptom duration (odds ratio, 2.03 (95 per cent confidence interval = 1.44 to 2.87; p < 0.001) and to have an emergency presentation (odds ratio, 2.53, (95 per cent confidence interval = 1.15 to 5.55; p = 0.017).ConclusionPatients are presenting later with more advanced head and neck cancer following the coronavirus disease 2019 pandemic.
Publisher
Cambridge University Press (CUP)
Subject
Otorhinolaryngology,General Medicine
Reference26 articles.
1. 17 Cancer Research UK. Head and neck cancers risk. In: https://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/head-and-neck-cancers/risk-factors#heading-Thirty-Four [15 July 2021]
2. Collateral damage: the impact on outcomes from cancer surgery of the COVID-19 pandemic
3. 4 NHS Providers. NHS Activity Tracker. In: https://nhsproviders.org/nhs-activity-tracker/june-2021 [14 July 2021]
4. The impact of
COVID
‐19 on head and neck cancer diagnosis and disease extent
5. Emergency presentations of head and neck cancer: Our experience in the wake of the COVID‐19 pandemic
Cited by
9 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献