Evidence map›Paper›PMID 40598436›Full record

ArticleBMC medicine2025

The COVID-19 pandemic increased the incidence of newly diagnosed cancers: evidence from a large cohort study in Southern Italy.

Valentina Trimarco, Raffaele Izzo, Daniela Pacella, Maria V Manzi, Fahimeh Varzideh, Maria Lembo, Paola Gallo, Roberto Piccinocchi, Carmine Morisco, Francesco Rozza and 7 more

Abstract read
In one paragraph

Article in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. COVID-19 and Lung Cancer Interactions: A Literature Review.Medical sciences (Basel, Switzerland) · 2025
    Review
  5. Editorial: Dormant Cancer Cells, Cancer Progression, and Post-Acute Sequelae of COVID-19 and Influenza.Medical science monitor : international medical journal of experimental and clinical research · 2025
    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

17 authors.

Valentina Trimarco *Department of Neuroscience, Reproductive Sciences, and Dentistry, Federico II University, Naples, Italy.
Raffaele Izzo *Department of Advanced Biomedical Sciences, Federico II University, Naples, Italy.
Daniela Pacella *Department of Public Health, Federico II University, Naples, Italy.
Maria V ManziDepartment of Advanced Biomedical Sciences, Federico II University, Naples, Italy.
Fahimeh VarzidehDepartment of Medicine, Fleischer Institute for Diabetes and Metabolism (FIDAM) Wilf Family Cardiovascular Research Institute, Einstein Institute for Aging Research, Albert Einstein College of Medicine, New York City, NY, USA.
Maria LemboDepartment of Advanced Biomedical Sciences, Federico II University, Naples, Italy.
Paola GalloDepartment of Advanced Biomedical Sciences, Federico II University, Naples, Italy.
Roberto PiccinocchiLuigi Vanvitelli Hospital, Naples, Italy.
Carmine MoriscoDepartment of Advanced Biomedical Sciences, Federico II University, Naples, Italy.
Francesco RozzaDepartment of Advanced Biomedical Sciences, Federico II University, Naples, Italy.
Gaetano PiccinocchiCOMEGEN Primary Care Physician Cooperative, Italian Society of General Medicine (SIMG), Naples, Italy.
Michelangelo MercoglianoDepartment of Public Health, Federico II University, Naples, Italy.
Stanislovas S JankauskasDepartment of Medicine, Fleischer Institute for Diabetes and Metabolism (FIDAM) Wilf Family Cardiovascular Research Institute, Einstein Institute for Aging Research, Albert Einstein College of Medicine, New York City, NY, USA.
Giovanni EspositoDepartment of Advanced Biomedical Sciences, Federico II University, Naples, Italy.
Raffaele PalladinoDepartment of Public Health, Federico II University, Naples, Italy.
Gaetano Santulli *Department of Advanced Biomedical Sciences, Federico II University, Naples, Italy. gsantulli001@gmail.com.
Bruno Trimarco *Department of Advanced Biomedical Sciences, Federico II University, Naples, Italy.

Funding

Caspase-9 as a nodal point connecting necrotic and apoptotic cell death in myocardial infarctionR01HL164772 · NHLBI · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI KITSIS, RICHARD N · 2022 to 2025
$2.5M
European Commission PNRR-POC-2022-12376833NHLBI NIH HHS R01 HL164772NHLBI NIH HHS R01-HL164772
6 · The paper itself

Abstract

backgroundRecent studies based on hospital and outpatient clinic databases have reported a decline in cancer diagnoses during the COVID-19 pandemic, an observation that has been mainly attributed to halted screenings.

methodsWe investigated the impact of COVID-19 on cancer incidence in the Campania Region (Italy) among adults followed by their primary care physicians over a 6-year period (2017-2022). Using a single-cohort design, we employed interrupted time series (ITS) analysis to compare cancer incidence rates during the 3 years preceding the pandemic (2017-2019) with those during the three pandemic years (2020-2022).

resultsWe analyzed data from 212,656 individuals and found that the incidence of new cancer diagnoses rose from 14.3 to 23.1 per 1000 person-years when comparing the pre-pandemic to the COVID-19 period. ITS analysis revealed a stable trend in cancer diagnoses before the pandemic, followed by a marked increase of ~8 new cases per month beginning in January 2020, with a peak observed in August 2021. Notably, diagnoses of brain and skin cancers increased by 300% in 2022 compared to 2017.

conclusionsTaken together, these findings highlight a concerning increase in cancer diagnoses in the Campania Region during the COVID-19 pandemic, contrasting with earlier reports that pointed to a decline in cases, mostly attributed to interrupted screening services. Several indirect factors might contribute to this trend, including heightened psychosocial stress and shifts in lifestyle behaviors, as well as profound disruptions in access to and continuity of healthcare delivery.

Indexed as

COVID-19NeoplasmsAdultAgedCohort StudiesFemaleHumansIncidenceItalyMaleMiddle AgedPandemicsSARS-CoV-2Clinical researchCOVID-19EpidemiologyInfectious disordersOncologyPandemicReal world data

Identifiers

PMID40598436
PMCPMC12218094

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.