The impact of the COVID-19 pandemic on radiotherapy services in England, UK: a population-based study
| Autor: | Tom Roques, Louise Miller, Sarah Lawton, K. Spencer, Philippa Lewis, David Sebag-Montefiore, Mererid Evans, Catherine Roe, Rebecca Girdler, Christopher M. Jones, Michael Sharpe, Rebecca Smittenaar, Eva Morris |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Colorectal cancer medicine.medical_treatment Population Corrections 030218 nuclear medicine & medical imaging 03 medical and health sciences Prostate cancer 0302 clinical medicine Neoplasms Internal medicine Epidemiology Humans Medicine education Aged education.field_of_study Bladder cancer SARS-CoV-2 business.industry COVID-19 Cancer Articles Middle Aged medicine.disease United Kingdom Radiation therapy Oncology 030220 oncology & carcinogenesis Female Skin cancer business |
| Zdroj: | The Lancet. Oncology The Lancet Oncology |
| ISSN: | 1474-5488 1470-2045 |
| Popis: | BACKGROUND: The indirect impact of the COVID-19 pandemic on cancer outcomes is of increasing concern. However, the extent to which key treatment modalities have been affected is unclear. We aimed to assess the impact of the pandemic on radiotherapy activity in England. METHODS: In this population-based study, data relating to all radiotherapy delivered for cancer in the English NHS, between Feb 4, 2019, and June 28, 2020, were extracted from the National Radiotherapy Dataset. Changes in mean weekly radiotherapy courses, attendances (reflecting fractions), and fractionation patterns following the start of the UK lockdown were compared with corresponding months in 2019 overall, for specific diagnoses, and across age groups. The significance of changes in radiotherapy activity during lockdown was examined using interrupted time-series (ITS) analysis. FINDINGS: In 2020, mean weekly radiotherapy courses fell by 19·9% in April, 6·2% in May, and 11·6% in June compared with corresponding months in 2019. A relatively greater fall was observed for attendances (29·1% in April, 31·4% in May, and 31·5% in June). These changes were significant on ITS analysis (p |
| Databáze: | OpenAIRE |
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