EVALUATION OF THE DIAGNOSTIC STAGE AND DIAGNOSIS PATTERNS OF PATIENTS DIAGNOSED WITH LUNG CANCER DURING THE COVID-19 PANDEMIC PERIOD


Polat A. A., Kurtipek A. C., Karaahmetoğlu S., İnan O., Uçar G.

European Congress of Internal Medicine, İstanbul, Türkiye, 06 Mart 2024, (Tam Metin Bildiri)

  • Yayın Türü: Bildiri / Tam Metin Bildiri
  • Doi Numarası: 10.12890/2024_v11sup1
  • Basıldığı Şehir: İstanbul
  • Basıldığı Ülke: Türkiye
  • Ankara Üniversitesi Adresli: Evet

Özet

Aim:  In  our  study,  we  aimed  to  contribute  to  cancer  studies  in  our   country   by   investigating   whether   there   was   an   increase   in  the  incidence  of  incidental  lung  cancer  detection  in  patients  diagnosed with lung cancer in Ankara Bilkent City Hospital during the  pandemic  period  compared  to  the  pre-pandemic  period  and  whether patients diagnosed with lung cancer had an earlier stage and lower mortality. Materials and Methods: In this study, we analysed the data of 196 patients  with  lung  cancer  who  were  followed  up  in  the  Medical  Oncology  department  of  Ankara  Bilkent  City  Hospital  between  March  1,  2019  and  March  1,  2021.  Patient  files  and  clinical characteristics were analysed. The mode of diagnosis, complaints at admission, diagnostic stage of incidental cases, disease course, mortality and clinical laboratory data were collected. The patients included  in  the  study  were  divided  into  two  groups  according  to  the  date  of  diagnosis:  pre-pandemic  and  pandemic  period.  Conclusions:  There  was  no  statistically  significant  difference between the pre-pandemic and pandemic process groups in terms of  initial  complaints,  methods  of  diagnosis,  stages  at  the  time  of  diagnosis,  mortality  rates  and  progression-free  survival  rates.  In  terms  of  mortality  in  lung  cancer,  progression  in  disease  stage,  high  LDH  and  low  albumin  levels  increase  the  mortality  hazard  ratio, while being diagnosed during the pandemic period does not affect  the  mortality  hazard  ratio.  Especially  in  our  centre,  thanks  to the measures taken for the COVID-19 pandemic, there was no disruption in the diagnosis, follow-up and treatment processes of patients with lung cancer.Keywords: lung cancer, COVID-19, clinical oncolo