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학술저널
저자정보
김혜연 (전남대학교) Kim Min-Gyeong (Gwangju/Jeonnam Cancer Registry Chonnam National University Hwasun Hospital) Kang Mi-Ran (Gwangju/Jeonnam Cancer Registry Chonnam National University Hwasun Hospital) Yang Jeong-Ho (Department of Preventive Medicine Chonnam National University Medical School) 신민호 (전남대학교) 권순석 (전남대학교)
저널정보
한국역학회 Epidemiology and Health Epidemiology and Health Vol.44
발행연도
2022.1
수록면
1 - 7 (7page)
DOI
10.4178/epih.e2022092

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OBJECTIVES: We evaluated whether the coronavirus disease 2019 (COVID-19) pandemic caused delays in the diagnosis and treatment of colorectal cancer (CRC) in Korea, where there have been no regional or hospital lockdowns during the pandemic period. METHODS: Data on CRC patients (n= 1,445) diagnosed in Gwangju Metropolitan City and Jeonnam Province between Janu ary 2019 and December 2021 were assessed. The stage at the time of CRC diagnosis, route to diagnosis, time to initial cancer treatment, and length of hospital admission were compared before and during the COVID-19 pandemic. Logistic regression was also performed to identify factors associated with the risk for diagnosis in an advanced stage. RESULTS: No negative effects indicating a higher CRC stage at diagnosis or delayed treatment during the pandemic were ob served. Instead, the risk for an advanced stage at diagnosis (TNM stage III/IV) decreased in CRC patients diagnosed during the pandemic (odds ratio, 0.768; 95% confidence interval, 0.647 to 0.911). No significant differences in the interval from diagnosis to operation or chemotherapy were observed. CONCLUSIONS: No negative effects on CRC diagnosis and treatment were found until the end of 2021, which may be related to the small magnitude of the COVID-19 epidemic, the absence of a lockdown policy in Korea, and the rebound in the number of diagnostic colonoscopy procedures in 2021.

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