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The effects of the COVID-19 pandemic on the case profile of the Department of Pathology of a tertiary hospital: Comparison of the number of cases and malignancy rates between 2019 and 2020

Year 2022, Volume: 3 Issue: 2, 226 - 233, 01.08.2022

Abstract

Introduction: Because of the COVID-19 (coronavirus disease-2019) pandemic the number of applications to health institutions for non-COVID-19 reasons has generally decreased for many reasons. We aimed to investigate the case volume of 2019 and 2020 with the rates of malignant and non-malignant categories to document the effects of the pandemic to a pathology department of a tertiary hospital. Methods: All the pathology reports that routinely examined in 2019 and 2020 in the department of pathology of a tertiary hospital in Turkey were evaluated from the hospital records. For the purpose of exact comparison, cases interpreted as before and after the first COVID-19 case in Turkey (March 11, 2020) (pre-covid and post-covid period). All the cases divided into diagnostic categories as malignant and non-malignant. We also evaluated biopsies and cytologies both together and also separately. Results: A total of 23325 pathology reports were evaluated (14105 cases in 2019, and 9220 cases in 2020). Comparing with the same period of previous year, in post-covid period of 2020 there was 43.6% reduction in all cases, 41.3% reduction in biopsies, and 47.4% reduction in cytology cases. The malignancy rate of the post-covid period of 2020 cases was higher than that of 2019 (13.1% vs 10.6%, respectively, p<0.001). The month with the most significant decrease in case volume by 84.9% and also highest malignancy rate with 25.7% was April 2020. In both malignant and non-malignant categories, mean age of the 2020 cases were lower than that of 2019 cases (p= 0.018 and p<0.001, respectively). In both years the malignancy rates were significantly higher in women. Conclusion: In the post-COVID period, we experienced the decrease in our pathology and cytology case volume as all over the world, but with a significant increase in the malignancy rates.

References

  • 1. Çiftçiler R, Haznedaroğlu İ C, Tufan A, Öztürk MA. Covid-19 scientific publications from Turkey. Turk J Med Sci. 2021;51(3).
  • 2. Şık N, Duman M, Yılmaz D, et al. Evaluation of COVID-19 Disease and the Effect of Trends in Intervention Measures: The Pediatric Perspective from a Tertiary Care Hospital in Turkey. Balkan Med J. 2021;38(4):222-8.
  • 3. Göksoy B, Akça MT, Inanç Ö F. The impacts of the COVID-19 outbreak on emergency department visits of surgical patients. Ulus Travma Acil Cerrahi Derg. 2020;26(5):685-92.
  • 4. Ahmad Z, Rahim S, Ud Din N, Ahmed A. Practice of Academic Surgical Pathology During the COVID-19 Pandemic. Am J Clin Pathol. 2020;154(6):724-30.
  • 5. Hartnett KP, Kite-Powell A, DeVies J, et al. Impact of the COVID-19 Pandemic on Emergency Department Visits - United States, January 1, 2019-May 30, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(23):699-704.
  • 6. Ojetti V, Covino M, Brigida M, et al. Non-COVID Diseases during the Pandemic: Where Have All Other Emergencies Gone? Medicina (Kaunas). 2020;56(10).
  • 7. Pellegrini M, Roda M, Lupardi E, Di Geronimo N, Giannaccare G, Schiavi C. The impact of COVID-19 pandemic on ophthalmological emergency department visits. Acta Ophthalmol. 2020;98(8):e1058-e9.
  • 8. Sinard JH. An Analysis of the Effect of the COVID-19 Pandemic on Case Volumes in an Academic Subspecialty-Based Anatomic Pathology Practice. Acad Pathol. 2020;7:2374289520959788.
  • 9. Brandler TC, Warfield D, Adler E, et al. Lessons Learned From an Anatomic Pathology Department in a Large Academic Medical Center at the Epicenter of COVID-19. Acad Pathol. 2021;8:2374289521994248.
  • 10. Miller TI, Smith KD, Gonzalez-Cuyar LF, Swanson PE. Operational Impacts of the Coronavirus Disease 2019 (COVID-19) Pandemic and Early Recovery Trends: University of Washington Anatomic Pathology Experience. Arch Pathol Lab Med. 2021;145(4):399-406.
  • 11. Rana C, Kumar S, Babu S, et al. Impact of ongoing COVID-19 pandemic on cytology: An institutional experience. Diagn Cytopathol. 2021;49(2):311-5.
  • 12. Vigliar E, Cepurnaite R, Alcaraz-Mateos E, et al. Global impact of the COVID-19 pandemic on cytopathology practice: Results from an international survey of laboratories in 23 countries. Cancer Cytopathol. 2020;128(12):885-94.
  • 13. Çıkrıkçı Işık G, Çevik Y. Impact of COVID-19 pandemic on visits of an urban emergency department. Am J Emerg Med. 2021;42:78-82.
  • 14. Çakıcı M, Temiz MZ, İplikçi A, et al. The clinical impact of the COVID-19 pandemic on daily urological practice: first 3-month multicenter results from İstanbul. Turk J Med Sci. 2021;51(3):962-71.
  • 15. Toniolo M, Negri F, Antonutti M, Masè M, Facchin D. Unpredictable Fall of Severe Emergent Cardiovascular Diseases Hospital Admissions During the COVID-19 Pandemic: Experience of a Single Large Center in Northern Italy. J Am Heart Assoc. 2020;9(13):e017122.
  • 16. Reichardt P, Bollmann A, Hohenstein S, et al. Decreased Incidence of Oncology Admissions in 75 Helios Hospitals in Germany during the COVID-19 Pandemic. Oncol Res Treat. 2021;44(3):71-5.

COVID-19 pandemisinin üçüncü basamak bir hastanenin Patoloji Bölümü vaka profiline etkileri: 2019-2020 yılları arasındaki vaka sayısı ve malignite oranlarının karşılaştırılması

Year 2022, Volume: 3 Issue: 2, 226 - 233, 01.08.2022

Abstract

Giriş: COVID-19 (Koronavirüs hastalığı-2019) pandemisi nedeniyle sağlık kuruluşlarına COVID-19 dışı nedenlerle yapılan başvuruların sayısı genel olarak birçok nedenden dolayı azalmıştır. Pandeminin üçüncü basamak bir hastanenin patoloji bölümüne etkilerini belgelemek için 2019 ve 2020 vaka sayılarının, malign ve malign olmayan kategori oranlarıyla birlikte araştırılması amaçlanmıştır. Yöntemler: Türkiye'de üçüncü basamak bir hastanenin patoloji bölümünde 2019 ve 2020 yıllarında rutin olarak incelenen tüm patoloji raporları hastane kayıtlarından değerlendirildi. Karşılaştırma amacıyla, vakalar Türkiye'deki ilk COVID-19 vakasının (11 Mart 2020) öncesi ve sonrası (COVID öncesi ve sonrası dönem) olarak ele alındı. Tüm olgular malign ve malign olmayan olarak tanı kategorilerine ayrıldı. Ayrıca biyopsiler ve sitolojiler hem birlikte, hem de ayrı ayrı değerlendirildi. Bulgular: Toplam 23325 patoloji raporu (2019'da 14105, 2020'de 9220 vaka) değerlendirildi. Bir önceki yılın aynı dönemine göre 2020 yılı COVID sonrası dönemde tüm vakalarda %43,6, biyopsilerde %41,3 ve sitoloji vakalarında %47,4 azalma tespit edildi. 2020 vakalarının COVID sonrası dönemdeki malignite oranı 2019'dakinden daha yüksekti (sırasıyla %13,1 ve %10,6, p<0,001). Vaka hacminde %84,9 ile en belirgin düşüşün ve aynı zamanda %25,7 ile en yüksek malignite oranının olduğu ay Nisan 2020 oldu. Hem malign hem de malign olmayan kategorilerde 2020 vakalarının yaş ortalaması 2019 vakalarına göre daha düşüktü (p=0,018 ve p<0,001, sırasıyla). Her iki yılda da kadınlarda malignite oranları anlamlı derecede yüksekti. Sonuç: Tüm dünyada olduğu gibi bizim bölümümüzde de COVID-19 pandemisi sonrasındaki dönemde patoloji ve sitoloji vaka hacmimizde azalma; ancak malignite oranlarında önemli artışlarla tespit edilmiştir.

References

  • 1. Çiftçiler R, Haznedaroğlu İ C, Tufan A, Öztürk MA. Covid-19 scientific publications from Turkey. Turk J Med Sci. 2021;51(3).
  • 2. Şık N, Duman M, Yılmaz D, et al. Evaluation of COVID-19 Disease and the Effect of Trends in Intervention Measures: The Pediatric Perspective from a Tertiary Care Hospital in Turkey. Balkan Med J. 2021;38(4):222-8.
  • 3. Göksoy B, Akça MT, Inanç Ö F. The impacts of the COVID-19 outbreak on emergency department visits of surgical patients. Ulus Travma Acil Cerrahi Derg. 2020;26(5):685-92.
  • 4. Ahmad Z, Rahim S, Ud Din N, Ahmed A. Practice of Academic Surgical Pathology During the COVID-19 Pandemic. Am J Clin Pathol. 2020;154(6):724-30.
  • 5. Hartnett KP, Kite-Powell A, DeVies J, et al. Impact of the COVID-19 Pandemic on Emergency Department Visits - United States, January 1, 2019-May 30, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(23):699-704.
  • 6. Ojetti V, Covino M, Brigida M, et al. Non-COVID Diseases during the Pandemic: Where Have All Other Emergencies Gone? Medicina (Kaunas). 2020;56(10).
  • 7. Pellegrini M, Roda M, Lupardi E, Di Geronimo N, Giannaccare G, Schiavi C. The impact of COVID-19 pandemic on ophthalmological emergency department visits. Acta Ophthalmol. 2020;98(8):e1058-e9.
  • 8. Sinard JH. An Analysis of the Effect of the COVID-19 Pandemic on Case Volumes in an Academic Subspecialty-Based Anatomic Pathology Practice. Acad Pathol. 2020;7:2374289520959788.
  • 9. Brandler TC, Warfield D, Adler E, et al. Lessons Learned From an Anatomic Pathology Department in a Large Academic Medical Center at the Epicenter of COVID-19. Acad Pathol. 2021;8:2374289521994248.
  • 10. Miller TI, Smith KD, Gonzalez-Cuyar LF, Swanson PE. Operational Impacts of the Coronavirus Disease 2019 (COVID-19) Pandemic and Early Recovery Trends: University of Washington Anatomic Pathology Experience. Arch Pathol Lab Med. 2021;145(4):399-406.
  • 11. Rana C, Kumar S, Babu S, et al. Impact of ongoing COVID-19 pandemic on cytology: An institutional experience. Diagn Cytopathol. 2021;49(2):311-5.
  • 12. Vigliar E, Cepurnaite R, Alcaraz-Mateos E, et al. Global impact of the COVID-19 pandemic on cytopathology practice: Results from an international survey of laboratories in 23 countries. Cancer Cytopathol. 2020;128(12):885-94.
  • 13. Çıkrıkçı Işık G, Çevik Y. Impact of COVID-19 pandemic on visits of an urban emergency department. Am J Emerg Med. 2021;42:78-82.
  • 14. Çakıcı M, Temiz MZ, İplikçi A, et al. The clinical impact of the COVID-19 pandemic on daily urological practice: first 3-month multicenter results from İstanbul. Turk J Med Sci. 2021;51(3):962-71.
  • 15. Toniolo M, Negri F, Antonutti M, Masè M, Facchin D. Unpredictable Fall of Severe Emergent Cardiovascular Diseases Hospital Admissions During the COVID-19 Pandemic: Experience of a Single Large Center in Northern Italy. J Am Heart Assoc. 2020;9(13):e017122.
  • 16. Reichardt P, Bollmann A, Hohenstein S, et al. Decreased Incidence of Oncology Admissions in 75 Helios Hospitals in Germany during the COVID-19 Pandemic. Oncol Res Treat. 2021;44(3):71-5.
There are 16 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Articles
Authors

Gülsüm Şeyma Yalçın 0000-0002-1944-2955

Çiğdem Özdemir 0000-0001-8500-0744

Çiğdem Tokyol 0000-0001-5971-5295

Publication Date August 1, 2022
Published in Issue Year 2022 Volume: 3 Issue: 2

Cite

APA Yalçın, G. Ş., Özdemir, Ç., & Tokyol, Ç. (2022). The effects of the COVID-19 pandemic on the case profile of the Department of Pathology of a tertiary hospital: Comparison of the number of cases and malignancy rates between 2019 and 2020. Eskisehir Medical Journal, 3(2), 226-233.
AMA Yalçın GŞ, Özdemir Ç, Tokyol Ç. The effects of the COVID-19 pandemic on the case profile of the Department of Pathology of a tertiary hospital: Comparison of the number of cases and malignancy rates between 2019 and 2020. Eskisehir Med J. August 2022;3(2):226-233.
Chicago Yalçın, Gülsüm Şeyma, Çiğdem Özdemir, and Çiğdem Tokyol. “The Effects of the COVID-19 Pandemic on the Case Profile of the Department of Pathology of a Tertiary Hospital: Comparison of the Number of Cases and Malignancy Rates Between 2019 and 2020”. Eskisehir Medical Journal 3, no. 2 (August 2022): 226-33.
EndNote Yalçın GŞ, Özdemir Ç, Tokyol Ç (August 1, 2022) The effects of the COVID-19 pandemic on the case profile of the Department of Pathology of a tertiary hospital: Comparison of the number of cases and malignancy rates between 2019 and 2020. Eskisehir Medical Journal 3 2 226–233.
IEEE G. Ş. Yalçın, Ç. Özdemir, and Ç. Tokyol, “The effects of the COVID-19 pandemic on the case profile of the Department of Pathology of a tertiary hospital: Comparison of the number of cases and malignancy rates between 2019 and 2020”, Eskisehir Med J, vol. 3, no. 2, pp. 226–233, 2022.
ISNAD Yalçın, Gülsüm Şeyma et al. “The Effects of the COVID-19 Pandemic on the Case Profile of the Department of Pathology of a Tertiary Hospital: Comparison of the Number of Cases and Malignancy Rates Between 2019 and 2020”. Eskisehir Medical Journal 3/2 (August 2022), 226-233.
JAMA Yalçın GŞ, Özdemir Ç, Tokyol Ç. The effects of the COVID-19 pandemic on the case profile of the Department of Pathology of a tertiary hospital: Comparison of the number of cases and malignancy rates between 2019 and 2020. Eskisehir Med J. 2022;3:226–233.
MLA Yalçın, Gülsüm Şeyma et al. “The Effects of the COVID-19 Pandemic on the Case Profile of the Department of Pathology of a Tertiary Hospital: Comparison of the Number of Cases and Malignancy Rates Between 2019 and 2020”. Eskisehir Medical Journal, vol. 3, no. 2, 2022, pp. 226-33.
Vancouver Yalçın GŞ, Özdemir Ç, Tokyol Ç. The effects of the COVID-19 pandemic on the case profile of the Department of Pathology of a tertiary hospital: Comparison of the number of cases and malignancy rates between 2019 and 2020. Eskisehir Med J. 2022;3(2):226-33.