Journal of Practical Oncology ›› 2021, Vol. 35 ›› Issue (4): 302-306.doi: 10.11904/j.issn.1002-3070.2021.04.003

• Cancer Screening Special Report • Previous Articles     Next Articles

Discussion on the management of early diagnosis and treatment for cancer under the coronavirus disease(COVID-19)

LI Qingyu1, YANG Lei1, ZHANG Xi1, LIU Shuo1, LI Huichao1, ZHANG Qian1, CHENG Yangyang1, JI Jiafu2, WANG Ning1   

  1. 1. Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education/Beijing),Beijing Office for Cancer Prevention and Control,Peking University Cancer Hospital & Institute,Beijing 100142,China;
    2. Key Laboratory of Carcinogenesis and Translational Research(Ministry of Education/Beijing),Gastrointestinal Cancer Center,Peking University Cancer Hospital & Institute
  • Received:2021-05-24 Revised:2021-07-15 Published:2021-08-24

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Abstract: Objective The aim of this study was to understand the impact of the coronavirus disease(COVID-19)pandemic on the early diagnosis and treatment project for cancer in Beijing,and to explore management strategies for related work under the new normal of epidemic prevention and control. Methods Based on the 2018-2019 Beijing Urban Cancer Early Diagnosis and Treatment Project,cluster sampling was used to recruit Beijing registered residents aged 40 to 74 years old from 6 urban areas in Beijing to conduct a cancer risk assessment questionnaire survey.Subjects relevant clinical examinations were performed in designated hospitals.Among them,Project Year 2018 corresponded to November 23,2018-November 22,2019(before the pandemic),and Project Year 2019 corresponded to November 23,2019-December 23,2020(during the pandemic).The Chi-square test was used to compare differences in the questionnaires evaluation,clinical examination,result entry,and the compliance with clinical examinations in various districts and cancer species before and during the pandemic. Results Overall,21,026 and 6,663 residents were included in the study in Project Year 2018 and 2019,respectively.Compared with the rates in Project Year 2018,the completion rate of questionnaire evaluation decreased from 100.1% to 60.4%,the completion rate of clinical examination tasks decreased from 101.4% to 57.5%,and the result entry rate decreased from 99.2% to 88.2%,and the participation rate in the examination decreased from 87.3% to 80.8% in project Year 2019.All rates,differences mentioned above were statistically significant differences(P＜0.001). Conclusion The coronavirus disease(COVID-19)pandemic has a greater impact on the Beijing Urban Cancer Early Diagnosis and Treatment Project.In the future,efforts should be made to change the work model of cancer prevention and control in the context of normalized response to the pandemic,so that epidemic prevention and control may go hand in hand with the chronic diseases management.

Key words: New coronavirus pneumonia(COVID-19), Cancer, Early diagnosis and treatment, Chronic disease management

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