Journal article 9 views
Delayed treatment in breast cancer patients during the COVID-19 pandemic: a population health information research infrastructure (PHIRI) case study
,
Santiago Royo-Sierra,
Javier González-Galindo,
Natalia Martínez-Lizaga ,
Petronille Bogaert ,
Nienke Schutte ,
Liesbet Van Eycken,
Nancy Van Damme,
Kris Henau,
Ronan Lyons ,
Sarah Aldridge,
Andrea Faragalli ,
Flavia Carle,
Rosaria Gesuita,
Luigi Palmieri ,
Jānis Misiņš,
Martin Thiβen ,
Enrique Bernal-Delgado
European Journal of Public Health, Volume: 34, Issue: Supplement_1, Pages: i50 - i57
Swansea University Authors:
Ronan Lyons , Sarah Aldridge
Full text not available from this repository: check for access using links below.
DOI (Published version): 10.1093/eurpub/ckae038
Abstract
Background: The indirect impact of the coronavirus disease 2019 pandemic on healthcare services was studied by assessing changes in the trend of the time to first treatment for women 18 or older who were diagnosed and treated for breast cancer between 2017 and 2021. Methods: An observational retrosp...
| Published in: | European Journal of Public Health |
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| ISSN: | 1101-1262 1464-360X |
| Published: |
Oxford University Press (OUP)
2024
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| Online Access: |
Check full text
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa68529 |
| Abstract: |
Background: The indirect impact of the coronavirus disease 2019 pandemic on healthcare services was studied by assessing changes in the trend of the time to first treatment for women 18 or older who were diagnosed and treated for breast cancer between 2017 and 2021. Methods: An observational retrospective longitudinal study based on aggregated data from four European Union (EU) countries/regions investigating the time it took to receive breast cancer treatment. We compiled outputs from a federated analysis to detect structural breakpoints, confirming the empirical breakpoints by differences between the trends observed and forecasted after March 2020. Finally, we built several segmented regressions to explore the association of contextual factors with the observed changes in treatment delays. Results: We observed empirical structural breakpoints on the monthly median time to surgery trend in Aragon (ranging from 9.20 to 17.38 days), Marche (from 37.17 to 42.04 days) and Wales (from 28.67 to 35.08 days). On the contrary, no empirical structural breakpoints were observed in Belgium (ranging from 21.25 to 23.95 days) after the pandemic's beginning. Furthermore, we confirmed statistically significant differences between the observed trend and the forecasts for Aragon and Wales. Finally, we found the interaction between the region and the pandemic's start (before/after March 2020) significantly associated with the trend of delayed breast cancer treatment at the population level. Conclusions: Although they were not clinically relevant, only Aragon and Wales showed significant differences with expected delays after March 2020. However, experiences differed between countries/regions, pointing to structural factors other than the pandemic. |
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| College: |
Faculty of Medicine, Health and Life Sciences |
| Funders: |
This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 101018317. PHIRI—Population Health Information Research Infrastructure (101018317). |
| Issue: |
Supplement_1 |
| Start Page: |
i50 |
| End Page: |
i57 |