Effects of COVID-19 Pandemic on the Diagnosis of Melanoma and Keratinocyte Carcinomas : a Systematic Review and Meta-analysis
Since December 2019, the COVID-19 pandemic has profoundly affected healthcare. The real effects of the COVID-19 pandemic on skin cancer are still unclear, more than 3 years later. This study aims to summarise the pandemic's impact on skin cancer diagnosis and outcome. A systematic review and meta-analysis was conducted, selecting studies comparing skin cancer diagnosis and prognosis post-pandemic with pre-pandemic data. A total of 27 papers were reviewed including 102,263 melanomas and 271,483 keratinocyte carcinomas. During the initial pandemic months (January-July 2020), melanoma surgeries dropped by 29.7% and keratinocyte carcinomas surgeries by 50.8%. Early pandemic tumours exhibited greater thickness and stage. In a long-term period beyond the initial months, melanoma surgeries decreased by 9.3%, keratinocyte carcinomas by 16.6%. No significant differences were observed in the Breslow thickness of melanomas after the start of the pandemic (mean difference 0.06, 95% confidence interval -0.46, 0.58). Melanomas operated on post-pandemic onset had an increased risk of ulceration (odds ratio 1.35, 95% confidence interval 1.22-1.50). Keratinocyte carcinomas showed increased thickness and worsened stage post-pandemic. However, studies included were mostly retrospective and cross-sectional, reporting diverse data. This review indicates that the pandemic likely caused delays in skin cancer diagnosis and treatment, potentially impacting patient outcomes.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2024 |
---|---|
Erschienen: |
2024 |
Enthalten in: |
Zur Gesamtaufnahme - volume:104 |
---|---|
Enthalten in: |
Acta dermato-venereologica - 104(2024) vom: 14. März, Seite adv19460 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Díaz-Calvillo, Pablo [VerfasserIn] |
---|
Links: |
---|
Themen: |
---|
Anmerkungen: |
Date Completed 15.03.2024 Date Revised 22.03.2024 published: Electronic Citation Status MEDLINE |
---|
doi: |
10.2340/actadv.v104.19460 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM369727843 |
---|
LEADER | 01000caa a22002652 4500 | ||
---|---|---|---|
001 | NLM369727843 | ||
003 | DE-627 | ||
005 | 20240323001141.0 | ||
007 | cr uuu---uuuuu | ||
008 | 240315s2024 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.2340/actadv.v104.19460 |2 doi | |
028 | 5 | 2 | |a pubmed24n1341.xml |
035 | |a (DE-627)NLM369727843 | ||
035 | |a (NLM)38483083 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Díaz-Calvillo, Pablo |e verfasserin |4 aut | |
245 | 1 | 0 | |a Effects of COVID-19 Pandemic on the Diagnosis of Melanoma and Keratinocyte Carcinomas |b a Systematic Review and Meta-analysis |
264 | 1 | |c 2024 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Completed 15.03.2024 | ||
500 | |a Date Revised 22.03.2024 | ||
500 | |a published: Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a Since December 2019, the COVID-19 pandemic has profoundly affected healthcare. The real effects of the COVID-19 pandemic on skin cancer are still unclear, more than 3 years later. This study aims to summarise the pandemic's impact on skin cancer diagnosis and outcome. A systematic review and meta-analysis was conducted, selecting studies comparing skin cancer diagnosis and prognosis post-pandemic with pre-pandemic data. A total of 27 papers were reviewed including 102,263 melanomas and 271,483 keratinocyte carcinomas. During the initial pandemic months (January-July 2020), melanoma surgeries dropped by 29.7% and keratinocyte carcinomas surgeries by 50.8%. Early pandemic tumours exhibited greater thickness and stage. In a long-term period beyond the initial months, melanoma surgeries decreased by 9.3%, keratinocyte carcinomas by 16.6%. No significant differences were observed in the Breslow thickness of melanomas after the start of the pandemic (mean difference 0.06, 95% confidence interval -0.46, 0.58). Melanomas operated on post-pandemic onset had an increased risk of ulceration (odds ratio 1.35, 95% confidence interval 1.22-1.50). Keratinocyte carcinomas showed increased thickness and worsened stage post-pandemic. However, studies included were mostly retrospective and cross-sectional, reporting diverse data. This review indicates that the pandemic likely caused delays in skin cancer diagnosis and treatment, potentially impacting patient outcomes | ||
650 | 4 | |a Meta-Analysis | |
650 | 4 | |a Systematic Review | |
650 | 4 | |a Journal Article | |
700 | 1 | |a Muñoz-Barba, Daniel |e verfasserin |4 aut | |
700 | 1 | |a Ureña-Paniego, Clara |e verfasserin |4 aut | |
700 | 1 | |a Maul, Lara Valeska |e verfasserin |4 aut | |
700 | 1 | |a Cerminara, Sara |e verfasserin |4 aut | |
700 | 1 | |a Kostner, Lisa |e verfasserin |4 aut | |
700 | 1 | |a Martínez López, Antonio |e verfasserin |4 aut | |
700 | 1 | |a Arias-Santiago, Salvador |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t Acta dermato-venereologica |d 1945 |g 104(2024) vom: 14. März, Seite adv19460 |w (DE-627)NLM000480754 |x 1651-2057 |7 nnns |
773 | 1 | 8 | |g volume:104 |g year:2024 |g day:14 |g month:03 |g pages:adv19460 |
856 | 4 | 0 | |u http://dx.doi.org/10.2340/actadv.v104.19460 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 104 |j 2024 |b 14 |c 03 |h adv19460 |