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Table 1 Changes in diagnosis of lung cancer at our hospital from March to August 2017 to 2020

From: Effect of the coronavirus disease pandemic on bronchoscopic diagnosis of lung cancer in a provincial city in Japan

 

2017

2018

2019

2020

p value†

Number of surgical cases of lung cancera

 Stage 0-IV

82

80

79

89

–

 Stage I-II

56

60

58

62

–

Age (mean ± SD)b

69.4 ± 5.1

69.9 ± 7.1

69.1 ± 6.5

69.6 ± 8.9

NS

Sex

    

NS

 Male

37

39

40

42

 

 Female

19

21

18

20

 

Bronchoscopy

    

< 0.05

 Performed

49

48

47

4

 

 Not performed

7

12

11

58

 

Method for preoperative definitive diagnosis

    

< 0.05

 Sputum cytology

0

1

0

0

 

 Bronchoscopic examination

27

26

28

2

 

 CT-guided needle biopsy

1

0

1

0

 

 None

28

33

29

60

 

Rapid pathological examination during surgery among those without a preoperative definitive diagnosis

    

< 0.05

 Done

4

5

4

21

 

 Not done

24

28

25

39

 

Surgical procedure

    

NS

 Lobectomy

49

55

52

57

 

 Segmentectomy

6

4

5

4

 

 Partial resection

1

2

1

1

 

Histology

    

NS

 Adenocarcinoma

43

46

45

46

 

 Squamous cell carcinoma

12

12

12

14

 

 Others

1

2

1

2

 

Pathological stage

    

< 0.05

 IA

35

44

43

26

 

 IB

9

8

7

12

 

 IIA

7

6

5

16

 

 IIB

5

2

3

8

 

Number of days waiting to have surgery

24.1 ± 6.3

26.3 ± 5.6

24.5 ± 6.1

13.9 ± 4.5*

< 0.05

Total hospitalization period (hospitalization for tests plus hospitalization for surgery)

10.1 ± 4.2

11.1 ± 4.3

10.6 ± 3.9

8.0 ± 1.7*

< 0.05

Diagnostic unpredictability

4.2

4.6

4.1

4.0

< 0.05

  1. CT computed tomography, NS not significant, SD standard deviation
  2. aHistological typing was performed according to the World Health Organization classification (3rd edition), and clinical staging was performed according to the International Union Against Cancer Tumor-Node-Metastasis classification (8th edition)
  3. bContinuous variables were presented as mean ± SD, and one-way analysis of variance and the Tukey–Kramer multiple comparison test were used to detect significant differences between groups
  4. †Chi-square tests were used to compare categorical data between groups
  5. *P < 0.05, compared to previous years. P -values < 0.05 in the two-tailed analyses were considered to denote statistical significance