A Comparison of Prostate Biopsies Performed Before and During the COVID-19 Pandemic

Autor: Stjepan Frkanec, Toni Zekulić, Hrvoje Saić, Ilija Jurić, Luka Penezić, Tvrtko Hudolin, Tomislav Kuliš, Željko Kaštelan
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Acta Clinica Croatica, Vol 63., Iss Supplement 2, Pp 29-33 (2024)
Druh dokumentu: article
ISSN: 0353-9466
1333-9451
DOI: 10.20471/acc.2024.63.s2.4
Popis: Prostate cancer is the most common cancer in men in developed countries, and prostate biopsy is the gold standard for diagnosis. However, the COVID-19 pandemic disrupted medical examinations, potentially leading to delays in diagnostic investigations, particularly for vulnerable oncology patients. This study included a total of 2796 patients. Biopsies were performed from 2018 to 2021, with a division into pre-pandemic (2018-2019) and pandemic (2020-2021) periods. To compare the two period and yearly data, we used the Chi-square test and the Cochran-Armitage trend test, respectively. During the pandemic period, there was a 26.47% decrease in prostate biopsies compared with pre-pandemic years. The percentage of patients diagnosed with GS 3+3 adenocarcinomas decreased by 37.93% and by 17.66% for GS ≥3+4 (p=0.0164). The percentage of decrease for systematic biopsy was 37.85%, while the percentage of targeted+systematic biopsy increased by 57.89% (p
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