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Global impact of the COVID‐19 pandemic on cytopathology practice: Results from an international survey of laboratories in 23 countries
- Source :
- CANCER CYTOPATHOLOGY, r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante, instname, Cancer Cytopathology, Cancer cytopathology, vol. 128, pp. 1-10, 2020., Cancer cytopathology, 128(12), 885-894. Wiley-Blackwell
- Publication Year :
- 2020
- Publisher :
- Wiley, 2020.
-
Abstract
- BACKGROUND: To the authors' knowledge, the impact of the coronavirus disease 2019 (COVID-19) pandemic on cytopathology practices worldwide has not been investigated formally. In the current study, data from 41 respondents from 23 countries were reported. METHODS: Data regarding the activity of each cytopathology laboratory during 4 weeks of COVID-19 lockdown were collected and compared with those obtained during the corresponding period in 2019. The overall number and percentage of exfoliative and fine-needle aspiration cytology samples from each anatomic site were recorded. Differences in the malignancy and suspicious rates between the 2 periods were analyzed using a meta-analytical approach. RESULTS: Overall, the sample volume was lower compared with 2019 (104,319 samples vs 190,225 samples), with an average volume reduction of 45.3% (range, 0.1%-98.0%). The percentage of samples from the cervicovaginal tract, thyroid, and anorectal region was significantly reduced (P < .05). Conversely, the percentage of samples from the urinary tract, serous cavities, breast, lymph nodes, respiratory tract, salivary glands, central nervous system, gastrointestinal tract, pancreas, liver, and biliary tract increased (P < .05). An overall increase of 5.56% (95% CI, 3.77%-7.35%) in the malignancy rate in nongynecological samples during the COVID-19 pandemic was observed. When the suspicious category was included, the overall increase was 6.95% (95% CI, 4.63%-9.27%). CONCLUSIONS: The COVID-19 pandemic resulted in a drastic reduction in the total number of cytology specimens regardless of anatomic site or specimen type. The rate of malignancy increased, reflecting the prioritization of patients with cancer who were considered to be at high risk. Prospective monitoring of the effect of delays in access to health services during the lockdown period is warranted. ispartof: CANCER CYTOPATHOLOGY vol:128 issue:12 pages:885-894 ispartof: location:United States status: published
- Subjects :
- Cancer Research
Biopsy
neoplasms
0302 clinical medicine
Surveys and Questionnaires
Cytology
Pathology
Surveys and Questionnaire
coronavirus disease 2019 (COVID‐
malignancy rate
Societies, Medical
Gastrointestinal tract
Pathology, Clinical
medicine.diagnostic_test
stopnja malignosti
udc:616
Serous fluid
citopatologija
Fine-needle aspiration
Oncology
Biliary tract
030220 oncology & carcinogenesis
coronavirus disease 2019 (COVID-19)
Life Sciences & Biomedicine
Human
medicine.medical_specialty
fine‐
Urinary system
Biopsy, Fine-Needle
030209 endocrinology & metabolism
Workload
Malignancy
cytopathology
fine-needle aspiration
needle aspiration
COVID-19
Communicable Disease Control
Humans
Laboratories, Hospital
SARS-CoV-2
Hospital
Clinical
coronavirus disease 2019
03 medical and health sciences
novotvorbe
Medical
Internal medicine
medicine
coronavirus disease 2019 (COVID-19), cytopathology, fine-needle aspiration, malignancy rate
tankoigelna biopsija
Science & Technology
koronavirusna bolezen
business.industry
medicine.disease
patologija
Cytopathology
Fine-Needle
pathology
Laboratories
Societies
19)
business
Subjects
Details
- ISSN :
- 19346638 and 1934662X
- Volume :
- 128
- Database :
- OpenAIRE
- Journal :
- Cancer Cytopathology
- Accession number :
- edsair.doi.dedup.....67d4bde6afa13d79c7fc73020d486ab5
- Full Text :
- https://doi.org/10.1002/cncy.22373