1. Monitoring the impact of COVID-19 in France on cancer care: a differentiated impact.
- Author
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Le Bihan Benjamin C, Simonnet JA, Rocchi M, Khati I, Ménard E, Houas-Bernat E, Méric JB, and Bousquet PJ
- Subjects
- Communicable Disease Control methods, Communicable Disease Control statistics & numerical data, Delivery of Health Care methods, France epidemiology, Humans, COVID-19 prevention & control, Delivery of Health Care statistics & numerical data, Neoplasms diagnosis, Neoplasms therapy, Oncology Service, Hospital statistics & numerical data, Quarantine statistics & numerical data
- Abstract
The COVID-19 pandemic has had a substantial and lasting impact on care provision, particularly in the field of cancer care. National steering has helped monitor the health situation and adapt the provision and organisation of care. Based on data from the French administrative healthcare database (SNDS) on the entire French population (67 million people), screening, diagnostic and therapeutic activity was monitored and compared 2019 on a monthly basis. A noteworthy decline in all activities (with the exception of chemotherapy) was observed during the first lockdown in France. Over the months that followed, this activity returned to normal but did not make up for the shortfall from the first lockdown. Finally, during the lockdown in late 2020, cancer care activity was conserved. In brief, in 2020, the number of mammograms decreased by 10% (- 492,500 procedures), digestive endoscopies by 19% (- 648,500), and cancer-related excision by 6% (- 23,000 surgical procedures). Hospital radiotherapy activity was down 3.8% (- 4400 patients) and that in private practice was down 1.4% (- 1600 patients). Chemotherapy activity increased by 2.2% (7200 patients), however. To summarize, COVID-19 had a very substantial impact during the first lockdown. Safeguarding cancer care activity helped limit this impact over the months that followed, but the situation remains uncertain. Further studies on the medium- and long-term impact on individuals (survival, recurrence, after-effects) will be conducted., (© 2022. The Author(s).)
- Published
- 2022
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