Evidence map›Paper›PMID 36964405›Full record

ArticleJournal of cancer research and clinical oncology2023

Impact of the COVID-19 pandemic on reported cancer diagnoses in Bavaria, Germany.

Sven Voigtländer, Amir Hakimhashemi, Nina Grundmann, Martin Radespiel-Tröger, Elisabeth C Inwald, Olaf Ortmann, Michael Gerken, Stefanie J Klug, Monika Klinkhammer-Schalke, Martin Meyer and 1 more

Open access · hybridFull text read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Sven VoigtländerBavarian Cancer Registry, Bavarian Health and Food Safety Authority, Schweinauer Hauptstraße 80, 90441, Nuremberg, Germany. sven.voigtlaender@lgl.bayern.de.ORCID http://orcid.org/0000-0003-3808-9605
Amir HakimhashemiBavarian Cancer Registry, Bavarian Health and Food Safety Authority, Schweinauer Hauptstraße 80, 90441, Nuremberg, Germany.
Nina GrundmannBavarian Cancer Registry, Bavarian Health and Food Safety Authority, Schweinauer Hauptstraße 80, 90441, Nuremberg, Germany.
Martin Radespiel-TrögerBavarian Cancer Registry, Bavarian Health and Food Safety Authority, Schweinauer Hauptstraße 80, 90441, Nuremberg, Germany.
Elisabeth C InwaldDepartment of Gynecology and Obstetrics, University Medical Center, Landshuter Straße 65, 93053, Regensburg, Germany.
Olaf OrtmannDepartment of Gynecology and Obstetrics, University Medical Center, Landshuter Straße 65, 93053, Regensburg, Germany.
Michael GerkenInstitute for Quality Assurance and Health Services Research, University of Regensburg, Am BioPark 9, 93053, Regensburg, Germany.
Stefanie J KlugChair of Epidemiology, Department of Sport and Health Sciences, Technical University of Munich, Georg-Brauchle-Ring 56, 80992, Munich, Germany.
Monika Klinkhammer-SchalkeInstitute for Quality Assurance and Health Services Research, University of Regensburg, Am BioPark 9, 93053, Regensburg, Germany.
Martin MeyerBavarian Cancer Registry, Bavarian Health and Food Safety Authority, Schweinauer Hauptstraße 80, 90441, Nuremberg, Germany.
Jacqueline Müller-NordhornBavarian Cancer Registry, Bavarian Health and Food Safety Authority, Schweinauer Hauptstraße 80, 90441, Nuremberg, Germany.
University Hospital Regensburg · DEUniversity of Regensburg · DEHealth and Safety Authority · IETechnical University of Munich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of our study was to explore the impact of the COVID-19 pandemic on reported cancer cases in Bavaria, Germany, by comparing pre-pandemic (March 2019 to February 2020) and pandemic period (March 2020 to February 2021).

methodsData on incident cases were retrieved from the Bavarian Cancer Registry (until 22nd April 2022). We included patients with malignant and in situ neoplasms reported by pathology departments with consistent reporting. We calculated the number of incident cases during the COVID-19 pandemic and the pre-pandemic period with 95% confidence intervals (CI) with Bonferroni correction (α = 0.0018) based on a Poisson approach. We stratified for malignancy (malignant, in situ), tumor site, and month of year.

resultsData was available for 30 out of 58 pathology departments (51.7%) from Bavaria. Incident malignant neoplasms dropped from 42,857 cases in the pre-pandemic period to 39,980 cases in the pandemic period (- 6.7%; 95% CI - 8.7%, - 4.7%). Reductions were higher for colon, rectum, skin/melanoma as well as liver (> 10.0% reduction) and less for breast cancer (4.9% reduction). No case reductions were observed for pancreas, esophagus, ovary, and cervix. Percent changes were largest for April 2020 (- 20.9%; 95% CI - 24.7%, - 16.8%) and January 2021 (- 25.2%; 95% CI - 28.8%, - 21.5%) compared to the previous year. Declines tended to be larger for in situ compared to malignant neoplasms.

conclusionDetection and diagnosis of cancer were substantially reduced during the COVID-19 pandemic. Potential effects, e.g. a stage shift of tumors or an increase of cancer mortality, need to be monitored.

Indexed as

Breast NeoplasmsCOVID-19MelanomaFemaleGermanyHumansPandemicsBenign neoplasmsCancerCancer registryCOVID-19IncidencePandemics

Identifiers

PMID36964405
PMCPMC10038367
OpenAlexW4360829351

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read109
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.