Medical Care of Cancer Patients During the COVID-19 Pandemic - an Analysis of Health Insurance Claims Data
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 6,500
- 试验地点
- 1
- 主要终点
- Number of confirmed diagnoses (new cases of CRC or PaCa)
研究概览
简要总结
The focus on treatment of COVID19 patients during the Sars-CoV-2 outbreak has most likely implications for the extent and quality of diagnosis and treatment of non-COVID19 patients. Medical care of cancer patients is a particularly sensitive area. To draw holistic conclusions, it is necessary to analyze the provision of healthcare as broadly as possible with regard to the dimensions of access, processes and outcome during the Sars-CoV-2 pandemic. This will be implemented exemplarily for the early detection, diagnosis and treatment of colorectal cancer (CRC) and pancreatic cancer (PaCa) in Saxony. Patients with diagnosis, treatment or early detection measures for type 2 diabetes (T2D), coronary heart disease (CHD) and multiple sclerosis (MS) serve as comparison groups.
详细描述
For a realistic assessment, the situation will be compared with the situation before the Sars-CoV-2 pandemic while considering confounders and effect modifiers. The evaluation is based on pseudonymised routine statutory health insurance (SHI) data of the AOK PLUS for Saxony.
As data sources, SHI data of the AOK PLUS Saxony for the period 2015 to 4th quarter 2020 and publicly available data on COVID19 are used. The differentiation between incidence and prevalent diseases is based on a 4-year washout period, so that the health care situation can be compared between 2019 (pre-period) and 2020 (post-period). Patients with confirmed diagnoses of CRC and PaCa or early detection measures regarding CRC are investigated. These will be contrasted to patients with confirmed diagnoses of T2D, CHD, and MS or early detection measures regarding T2D.
The differentiation of subgroups as confounders or effect modifiers is taken into account. Subgroups are considered with respect to the factors age groups, gender, Elixhauser comorbidities, metastasis y/n, residential regions (postal code 3 digits), characteristics of the treating institution and possibly seasonal effects.
Aims:
Analysis of the differences in the health care provision situation during the Sars-CoV-2 outbreak compared to the time before.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 4 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Resident of Saxony, Germany with health insurance coverage provided by AOK PLUS
- •Diagnosis of colorectal cancer, pancreatic cancer, type 2 diabetes, coronary heart disease or multiple sclerosis between in 2019 or 2020 according to ICD-10
排除标准
- •Change of health insurance provider between 2015 and 2020
- •Born after 2014
- •Deceased between 2015-2018
结局指标
主要结局
Number of confirmed diagnoses (new cases of CRC or PaCa)
时间窗: Comparison of 2019 to 2020
Number of colonoscopies
时间窗: Comparison of 2019 to 2020
次要结局
- Number of hospitalizations(Comparison of 2019 to 2020)
- Number of surgeries/systemic therapies related to cancer after onset of disease(Comparison of 2019 to 2020)