Global impact of the COVID-19 pandemic on cytopathology practice: Results from an international survey of laboratories in 23 countries

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Vigliar, ElenaUniv Naples Federico II, Italy (author)

Global impact of the COVID-19 pandemic on cytopathology practice: Results from an international survey of laboratories in 23 countries

Article/chapterEnglish2020

Publisher, publication year, extent ...

2020-10-27
WILEY,2020
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LIBRIS-ID:oai:DiVA.org:liu-171537
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-171537URI
https://doi.org/10.1002/cncy.22373DOI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Funding Agencies|Monitoraggio ambientale, studio ed approfondimento della salute della popolazione residente in aree a rischio-In attuazione della D.G.R. Campania [180/2019]; POR Campania FESR 2014-2020 Progetto "Sviluppo di Approcci Terapeutici Innovativi per patologie Neoplastiche resistenti ai trattamenti (SATIN)"; Campania Region for the Investigation of the Molecular Biology of Thyroid Cancer [24 29/12/2005]
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.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Cancer och onkologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cancer and Oncology hsv//eng
coronavirus disease 2019 (COVID‐ 19); cytopathology; fine‐ needle aspiration; malignancy rate

Added entries (persons, corporate bodies, meetings, titles ...)

Cepurnaite, RimaUniv Naples Federico II, Italy (author)
Alcaraz-Mateos, EduardoJose M Morales Meseguer Univ, Spain (author)
Ali, Syed Z.Johns Hopkins Univ Hosp, MD 21287 USA (author)
Baloch, Zubair W.Univ Penn, PA 19104 USA (author)
Bellevicine, ClaudioUniv Naples Federico II, Italy (author)
Bongiovanni, MassimoSYNLAB Suisse SA, Switzerland (author)
Botsun, PavlinaLab Pathol CSD, Ukraine (author)
Bruzzese, DarioUniv Naples Federico II, Italy (author)
Bubendorf, LukasUniv Hosp Basel, Switzerland (author)
Buttner, ReinhardUniv Hosp Cologne, Germany (author)
Canberk, SuleUniv Porto, Portugal (author)
Capitanio, ArrigoLinköpings universitet,Avdelningen för neurobiologi,Medicinska fakulteten,Region Östergötland, Klinisk patologi(Swepub:liu)arrca35 (author)
Casadio, ChiaraEuropean Inst Oncol, Italy (author)
Cazacu, EugeniuNicolae Testemitanu State Univ Med & Pharm, Moldova (author)
Cochand-Priollet, BeatrixUniv Med Ctr Paris, France (author)
DAmuri, AlessandroASL Brindisi, Italy (author)
Eloy, CatarinaUniv Porto, Portugal (author)
Engels, MarianneUniv Hosp Cologne, Germany (author)
Fadda, GuidoAOU Polyclin G Martino, Italy (author)
Fontanini, GabriellaUniv Pisa, Italy (author)
Fulciniti, FrancoLocarno Cantonal Hosp, Switzerland (author)
Hofman, PaulPasteur Hosp, France (author)
Iaccarino, AntoninoUniv Naples Federico II, Italy (author)
Ieni, AntonioAOU Polyclin G Martino, Italy (author)
Jiang, Xiaoyin SaraDuke Univ, NC 27710 USA (author)
Kakudo, KennichiIzumi City Gen Hosp, Japan (author)
Kern, IzidorUniv Clin Golnik, Slovenia (author)
Kholova, IvanaTampere Univ, Finland (author)
Liu, ChinhuaUniv Texas MD Anderson Canc Ctr, TX 77030 USA (author)
Lobo, AnandiKapoor Path Labs, India (author)
Lozano, Maria D.Univ Navarra Clin, Spain (author)
Malapelle, UmbertoUniv Naples Federico II, Italy (author)
Maleki, ZahraJohns Hopkins Univ Hosp, MD 21287 USA (author)
Michelow, PamelaUniv Witwatersrand, South Africa (author)
Musayev, JamalBaku Pathol Ctr, Azerbaijan (author)
ozgun, GoncaBaskent Univ, Turkey (author)
Oznur, MeltemTekirdag Namik Kemal Univ, Turkey (author)
Peiro Marques, Francisca MariaGen Univ Hosp Alicante, Spain (author)
Pisapia, PasqualeUniv Naples Federico II, Italy (author)
Poller, DavidQueen Alexandra Hosp, England (author)
Pyzlak, MichalCtr Diagnost Pathol, Poland (author)
Robinson, BetsyDuke Univ, NC 27710 USA (author)
Rossi, Esther DianaUniv Polyclin Fdn Gemini, Italy (author)
Roy-Chowdhuri, SinchitaUniv Texas MD Anderson Canc Ctr, TX 77030 USA (author)
Saieg, MauroSanta Casa Med Sch, Brazil (author)
Savic Prince, SpasenijaUniv Hosp Basel, Switzerland (author)
Schmitt, Fernando C.Univ Porto, Portugal (author)
Javier Segui Ivanez, FranciscoGen Univ Hosp Alicante, Spain (author)
Stoos-Veic, TajanaUniv Hosp Dubrava, Croatia (author)
Sulaieva, OksanaLab Pathol CSD, Ukraine (author)
Sweeney, Brenda J.Harvard Med Sch, MA 02115 USA (author)
Tuccari, GiovanniAOU Polyclin G Martino, Italy (author)
van Velthuysen, Marie-LouiseErasmus MC, Netherlands (author)
VanderLaan, Paul A.Harvard Med Sch, MA 02115 USA (author)
Vielh, PhilippeAmer Hosp Paris, France (author)
Viola, PatriziaImperial Coll Healthcare, England (author)
Voorham, RinusPALGA Fdn, Netherlands (author)
Weynand, BirgitUniv Hosp Leuven, Belgium (author)
Zeppa, PioUniv Salerno, Italy (author)
Faquin, William C.Harvard Med Sch, MA 02115 USA (author)
Pitman, Martha BishopHarvard Med Sch, MA 02115 USA (author)
Troncone, GiancarloUniv Naples Federico II, Italy (author)
Univ Naples Federico II, ItalyJose M Morales Meseguer Univ, Spain (creator_code:org_t)

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By the author/editor: Vigliar, Elena; Cepurnaite, Rima; Alcaraz-Mateos, ...; Ali, Syed Z.; Baloch, Zubair W ...; Bellevicine, Cla ...; show more...; Bongiovanni, Mas ...; Botsun, Pavlina; Bruzzese, Dario; Bubendorf, Lukas; Buttner, Reinhar ...; Canberk, Sule; Capitanio, Arrig ...; Casadio, Chiara; Cazacu, Eugeniu; Cochand-Priollet ...; DAmuri, Alessand ...; Eloy, Catarina; Engels, Marianne; Fadda, Guido; Fontanini, Gabri ...; Fulciniti, Franc ...; Hofman, Paul; Iaccarino, Anton ...; Ieni, Antonio; Jiang, Xiaoyin S ...; Kakudo, Kennichi; Kern, Izidor; Kholova, Ivana; Liu, Chinhua; Lobo, Anandi; Lozano, Maria D.; Malapelle, Umber ...; Maleki, Zahra; Michelow, Pamela; Musayev, Jamal; ozgun, Gonca; Oznur, Meltem; Peiro Marques, F ...; Pisapia, Pasqual ...; Poller, David; Pyzlak, Michal; Robinson, Betsy; Rossi, Esther Di ...; Roy-Chowdhuri, S ...; Saieg, Mauro; Savic Prince, Sp ...; Schmitt, Fernand ...; Javier Segui Iva ...; Stoos-Veic, Taja ...; Sulaieva, Oksana; Sweeney, Brenda ...; Tuccari, Giovann ...; van Velthuysen, ...; VanderLaan, Paul ...; Vielh, Philippe; Viola, Patrizia; Voorham, Rinus; Weynand, Birgit; Zeppa, Pio; Faquin, William ...; Pitman, Martha B ...; Troncone, Gianca ...; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Cancer and Oncol ...

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