Academic Journal
The impact of the COVID-19 pandemic on cancer diagnosis and service access in New Zealand–a country pursuing COVID-19 elimination
| العنوان: | The impact of the COVID-19 pandemic on cancer diagnosis and service access in New Zealand–a country pursuing COVID-19 elimination |
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| المؤلفون: | Jason K Gurney, Elinor Millar, Alex Dunn, Ruth Pirie, Michelle Mako, John Manderson, Claire Hardie, Chris GCA Jackson, Richard North, Myra Ruka, Nina Scott, Diana Sarfati |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Uncategorized, COVID-19, COVID, Coronavirus, Cancer, Cancer services, Cancer registration, Cancer treatment, Prevention, 3 Good Health and Well Being |
| الوصف: | BACKGROUND: The COVID-19 pandemic has disrupted cancer services globally. New Zealand has pursued an elimination strategy to COVID-19, reducing (but not eliminating) this disruption. Early in the pandemic, our national Cancer Control Agency (Te Aho o Te Kahu) began monitoring and reporting on service access to inform national and regional decision-making. In this manuscript we use high-quality, national-level data to describe changes in cancer registrations, diagnosis and treatment over the course of New Zealand's response to COVID-19. METHODS: Data were sourced (2018-2020) from national collections, including cancer registrations, inpatient hospitalisations and outpatient events. Cancer registrations, diagnostic testing (gastrointestinal endoscopy), surgery (colorectal, lung and prostate surgeries), medical oncology access (first specialist appointments [FSAs] and intravenous chemotherapy attendances) and radiation oncology access (FSAs and megavoltage attendances) were extracted. Descriptive analyses of count data were performed, stratified by ethnicity (Indigenous Māori, Pacific Island, non-Māori/non-Pacific). FINDINGS: Compared to 2018-2019, there was a 40% decline in cancer registrations during New Zealand's national shutdown in March-April 2020, increasing back to pre-shutdown levels over subsequent months. While there was a sharp decline in endoscopies, pre-shutdown volumes were achieved again by August. The impact on cancer surgery and medical oncology has been minimal, but there has been an 8% year-to-date decrease in radiation therapy attendances. With the exception of lung cancer, there is no evidence that existing inequities in service access between ethnic groups have been exacerbated by COVID-19. INTERPRETATION: The impact of COVID-19 on cancer care in New Zealand has been largely mitigated. The New Zealand experience may provide other agencies or organisations with a sense of the impact of the COVID-19 pandemic on cancer services within a country that has actively pursued elimination of COVID-19. ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | unknown |
| Relation: | https://figshare.com/articles/journal_contribution/The_impact_of_the_COVID-19_pandemic_on_cancer_diagnosis_and_service_access_in_New_Zealand_a_country_pursuing_COVID-19_elimination/20151857 |
| DOI: | 10.25455/wgtn.20151857 |
| الاتاحة: | https://doi.org/10.25455/wgtn.20151857 https://figshare.com/articles/journal_contribution/The_impact_of_the_COVID-19_pandemic_on_cancer_diagnosis_and_service_access_in_New_Zealand_a_country_pursuing_COVID-19_elimination/20151857 |
| Rights: | CC BY-NC-ND 4.0 |
| رقم الانضمام: | edsbas.B8227DDD |
| قاعدة البيانات: | BASE |
| DOI: | 10.25455/wgtn.20151857 |
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