P112 The impact of Covid-19 pandemic on lung cancer diagnosis and treatment at St George’s Hospital

Jajbhay, Danyal; Arberry, Jamie; Gates, Jessica; Panguiton, J.; Yarham, E.; Ong, Yee-Ean; Draper, Adrian

doi:10.1136/thorax-2021-btsabstracts.221

Cited by 1 publication

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“…10 Clinically and statistically significant reduction in the number of LCs diagnosed has been correlated with prognostically significant upstaging of LC during the pandemic; with 44% being early stage (Ia-IIb) pre-pandemic, and only 39% during. 11 This unique healthcare crisis offers an opportunity to examine the existing infrastructure and how it can be improved.…”

Section: Introductionmentioning

confidence: 99%

“…English National Health Service data demonstrated a reduction in national cancer screening during the pandemic and estimates a 5% increasing in LC mortality in the coming 5 years 10 . Clinically and statistically significant reduction in the number of LCs diagnosed has been correlated with prognostically significant upstaging of LC during the pandemic; with 44% being early stage (Ia–IIb) pre‐pandemic, and only 39% during 11 . This unique healthcare crisis offers an opportunity to examine the existing infrastructure and how it can be improved.…”

Section: Introductionmentioning

confidence: 99%

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The influence of the COVID‐19 pandemic on lung cancer surgery in Queensland

Kirk

Crathern

Chang

et al. 2023

ANZ Journal of Surgery

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Background: The coronavirus disease-19 (COVID-19) pandemic poses unprecedented challenges to global healthcare. The contemporary influence of COVID-19 on the delivery of lung cancer surgery has not been examined in Queensland. Methods: We performed a retrospective registry analysis of the Queensland Cardiac Outcomes Registry (QCOR), thoracic database examining all adult lung cancer resections across Queensland from 1/1/2016 to 30/4/2022. We compared the data prior to, and after, the introduction of COVID-restrictions. Results: There were 1207 patients. Mean age at surgery was 66 years and 1115 (92%) lobectomies were performed. We demonstrated a significant delay from time of diagnosis to surgery from 80 to 96 days (P < 0.0005), after introducing COVID-restrictions. The number of surgeries performed per month decreased after the pandemic and has not recovered (P = 0.012). 2022 saw a sharp reduction in cases with 49 surgeries, compared to 71 in 2019 for the same period. Conclusion: Restrictions were associated with a significant increase in pathological upstaging, greatest immediately after the introduction of COVID-restrictions (IRR 1.71, CI 0.93-2.94, P = 0.05). COVID-19 delayed the access to surgery, reduced surgical capacity and consequently resulted in pathological upstaging throughout Queensland.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%