Reduction in the Number of Diagnoses of Upper Digestive Tract Cancer during the Covid-19 Pandemic: An Integrative Literature Review
DOI:
https://doi.org/10.11606/issn.1679-9836.v103i1e-210147Keywords:
Gastrointestinal Neoplasms, Diagnosis, Endoscopy, COVID-19Abstract
Introduction: In 2019, the World Health Organization was alerted about cases of infection with COVID-19. Due to the measures taken to prevent contamination, many pre-scheduled consultations, treatments and exams were suspended or cancelled. Objectives: This study aims to identify literature data on upper digestive tract cancer diagnosis numbers in patients that had performed endoscopy during the COVID-19 pandemic, along with a pre-pandemic control group. Methods: A literature review was performed through searches on the SciELO, Science Direct, PubMed, and BVS Regional Portal platforms. After applying the inclusion and exclusion criteria, 8 articles were selected for the study. Results: All articles reported a decrease in diagnoses of upper digestive tract cancer (reduction ranged from 76.3% to 19.28%) and in endoscopies performed (reduction ranged from 87.5% to 43.1%) during the pandemic. Conclusion: The COVID-19 pandemic reduced the accessibility of resources and; consequently, increased the number of underdiagnoses of pathologies with no direct relationship with the coronavirus. Thus, a significant reduction in the number of diagnoses of upper digestive tract cancer was observed due to the decline in the number of endoscopies performed.
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References
Organização Pan-america da Saúde. Histórico da pandemia de COVID-19. 2020. https://www.paho.org/pt/covid19/historico-da-pandemia-covid-19 .
Bosch X, Capdevila A, Grafia I, Ladino A, Moreno PJ, López-Soto A. The impact of Covid-19 on patients with suspected cancer: An analysis of ED presentation and referrals to a quick diagnosis unit. Am J Emerg Med. 2021;48:1-11. Doi: 10.1016/j.ajem.2021.03.087.
Lantinga MA, Theunissen F, ter Borg PCJ, Bruno MJ, Ouwendijk RJT, Siersema PD. Impact of the COVID-19 pandemic on gastrointestinal endoscopy in the Netherlands: analysis of a prospective endoscopy database. Endoscopy. 2021;53(02):166-70. Doi: 10.1055/a-1272-3788.
Lui TKL, Leung K, Guo C-G, Tsui VWM, Wu JT, Leung WK. Impacts of the Coronavirus 2019 Pandemic on Gastrointestinal Endoscopy Volume and Diagnosis of Gastric and Colorectal Cancers: A Population-Based Study. Gastroenterology. 2020;159(3):1164-6.e3. Doi: 10.1053/j.gastro.2020.05.037.
Furnari M, Eusebi LH, Savarino E, Petruzzellis C, Esposito G, Maida M, et al. Effects of SARS-CoV-2 emergency measures on high-risk lesions detection: a multicentre cross-sectional study. Gut. 2021 Jul;70(7):1241-3. Doi: 10.1136/gutjnl-2020-323116.
Rutter MD, Brookes M, Lee TJ, Rogers P, Sharp L. Impact of the COVID-19 pandemic on UK endoscopic activity and cancer detection: a National Endoscopy Database Analysis. Gut. 2021;70(3):537-43. Doi: 10.1136/gutjnl-2020-322179.
Longcroft-Wheaton G, Tolfree N, Gangi A, Beable R, Bhandari P. Data from a large Western centre exploring the impact of COVID-19 pandemic on endoscopy services and cancer diagnosis. Frontline Gastroenterol. 2021;12(3):193-9. Doi: 10.1136/flgastro-2020-101543.
Khan A, Bilal M, Morrow V, Cooper G, Thakkar S, Singh S. Impact of the Coronavirus Disease 2019 Pandemic on Gastrointestinal Procedures and Cancers in the United States: A Multicenter Research Network Study. Gastroenterology. 2021;160(7):2602-4. Doi: 10.1053/j.gastro.2021.02.055.
Zhu L, Cai M, Shi Q, Wang P, Li Q, Zhong Y, et al. Analysis of selective endoscopy results during the epidemic of coronavirus disease 2019 (COVID-19). Zhonghua Wei Chang Wai Ke Za Zhi. 2020;25(23). Doi: 10.3760/cma.j.issn.1671-0274.2020-0316-00147.
Zadnik V, Mihor A, Tomsic S, Zagar T, Bric N, Lokar K, et al. Impact of COVID-19 on cancer diagnosis and management in Slovenia – preliminary results. Radiol Oncol. 2020;54(3):329-34. Doi: 10.2478/raon-2020-0048.
Triantafyllou T. Esophageal cancer: challenges, concerns, and recommendations for management amidst the COVID-19 pandemic. Ann Gastroenterol. 2020;33:1-6. Doi: 10.20524/aog.2020.0519.
Peacock HM, Tambuyzer T, Verdoodt F, Calay F, Poirel HA, De Schutter H, et al. Decline and incomplete recovery in cancer diagnoses during the COVID-19 pandemic in Belgium: a year-long, population-level analysis. ESMO Open. 2021;6(4):100197. Doi: 10.1016/j.esmoop.2021.100197.
Huang K, Zhao X, Chen X, Gao Y, Yu J, Wu L. Analysis of digestive endoscopic results during COVID-19. J Transl Intern Med. 2021;9(1):38-42. Doi: 10.2478/jtim-2021-0006.
Organização Pan-americana de Saúde. OPAS pede garantia de diagnóstico e tratamento do câncer, segunda causa de morte nas Américas [Internet]. 2021. Available from: https://www.paho.org/pt/noticias/2-2-2021-opas-pede-garantia-diagnostico-e-tratamento-do-cancer-segunda-causa-morte-nas#:~:text=%E2%80%9CDevemos%20garantir%20que%2C%20apesar%20da,e%20Sa%C3%BAde%20Mental%20da%20OPAS.
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Copyright (c) 2024 Ana Paula Copetti Goi, Luciano Luiz Alt, Ana Katharina Dalbosco, Bruna Vedana, Dayane Pilatti, Marina Capoani Garcia
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