Every day, about one thousand new cases of cancer are diagnosed in the UK. This means that, in the seven weeks since the UK shut down to contain coronavirus, roughly 50,000 people should have found out they had cancer.
Instead, oncologists and pathology labs across the country have only caught about 10% of those cases, estimates Karol Sikora, the chief medical officer at the Rutherford Cancer Centers in the UK.
Tens of thousands of patients with potentially fatal illnesses are slipping through the cracks of a healthcare system laser-focused on treating Covid-19. Its not just cancer: Cardiologists and other healthcare professionals are also sounding the alarm. People have been told to stay at home, so they are not coming into hospitalsfor checkups or visiting emergency rooms if they feel ill. In April, doctors postponed more than 2 million surgeries to free up 12,000 beds for coronavirus patients, at a potential cost of 3 billion ($3.7 billion).
Specialists say all this has caused a backlog of cases, and that backlog will come at a human cost: Cancers, for instance, can become more lethal and harder to treat as time goes on. If the delay is only a month, not much happens, Sikora said. If the delay is six months, then a lot of stage one patients convert to three and four stages, which means their chances of survival, even with optimal care, are much less.
Meanwhile, there has been a significant drop in patients going to emergency roomsfor heart attacks and other cardiovascular problems across the UK. Robin Choudhury, a professor of cardiovascular medicine at the University of Oxford, thinks its because some patients are being misdiagnosedeither by emergency responders, their own physicians over the phone, or are misdiagnosing themselves (heart attacks can be hard to detect, even when were having them). Some patients may also be scared of catching coronavirus if they go to an emergency room, even if they feel like something is wrong.
Unlike cancers,heart attacks are immediate emergencies. Every minute that goes by without treatment after someone has a heart attack decreases their chances of survival and of living a healthy life afterwards. With cancer, youre getting the ticking time bomb, but its a relatively slow burn, Choudhury said. Even though you want to diagnose early and treat early, theres an opportunity to store up problems for the future. In a cardiology emergency, the problem is now.
Cancers and cardiovascular diseasesare among the leading causes of death in the UK.
Thats why, on April 29, two executives at the National Health Service (NHS) in England asked all NHS chiefs in a letter (pdf)(p. 5) to step up non-Covid-19 urgent services as soon as possible over the next six weeks. They emphasized that urgent and time-critical surgery and non-surgical procedures should be provided at pre-Covid-19 levels of capacity, and that routine elective procedures should resume where possible.
This will take some time. Choudhury argues that hospitals should leverage new technologies, including telemedicine, to prioritize care, and treat the most urgent cases first, while encouraging people who feel sick to come into hospitals. (Incidentally, he says, this could usher in a fundamental shift in the way the NHS delivers care.) I dont think we are at normal, and we cant pretend were in normal times, he said.
There are a few important caveats: First, the data is either preliminary or anecdotal, and it will be months or years before anyone can assess the full effect that shifting most NHS resources to the Covid-19 response had on patients with other illnesses. Cancer Research UK, for example, believes that about 2,000 new cases of cancer are being missed each week, a more conservative figure than the one Sikora put forward. Secondly, the dynamics are different for patients who live in areas of the UK less affected by Covid-19.
Still, experts believe the excess deaths caused by undiagnosed illnesses will be greater than those ultimately caused by the pandemic. There are also other serious conditions that healthcare professionals say are going undetected or untreated, like psychiatric or geriatric emergencies. Hospitals have delayed all non-urgent or routine procedures for at least three months, including some that have a huge positive effect on peoples lives, like knee replacements or cataract surgeries.
Even before this pandemic, the NHS was under-staffed and under-funded, critics say. Patients with urgent needs could wait a long time to receive care, with worse results on average than similar European countries. Its a system with no buffer for any emergencies, Sikora said. There isnt the capacity for recovery.
More here:
UK deaths from undiagnosed illnesses may be greater than Covid-19 - Quartz
- Muscular Dystrophy - OrthoInfo - AAOS - December 25th, 2017 [December 25th, 2017]
- Adult Stem Cells - Therapies and Treatments - January 3rd, 2018 [January 3rd, 2018]
- Stem Cell Treatment for Cerebral Palsy Beike Biotechnology - January 22nd, 2018 [January 22nd, 2018]
- Crohns Disease and Ulcerative Colitis - February 6th, 2018 [February 6th, 2018]
- Ulcerative Colitis - Drugs.com - February 6th, 2018 [February 6th, 2018]
- Eczema Symptoms | Causes | Treatments | Types | Triggers - March 2nd, 2018 [March 2nd, 2018]
- Atopic Eczema - Patient - March 12th, 2018 [March 12th, 2018]
- Arnold Schwarzenegger undergoes heart surgery | Film | The ... - April 4th, 2018 [April 4th, 2018]
- Arnold Schwarzenegger Undergoes Emergency Heart Surgery - April 4th, 2018 [April 4th, 2018]
- Cardiac Surgery - University of California, San Francisco ... - April 4th, 2018 [April 4th, 2018]
- Cerebral Palsy Spasticity in Children - Causes, Effects ... - May 6th, 2018 [May 6th, 2018]
- Cardiac catheterization - Mayo Clinic - May 22nd, 2018 [May 22nd, 2018]
- Welcome to the ABG Tutorial - Welcome to Hansen Nursing - May 22nd, 2018 [May 22nd, 2018]
- UKNEQAS for Molecular Genetics - May 23rd, 2018 [May 23rd, 2018]
- Congenital Heart Defects, Simplified - May 23rd, 2018 [May 23rd, 2018]
- Interventional radiology - Wikipedia - May 27th, 2018 [May 27th, 2018]
- Heart Rhythm Abnormalities (Arrhythmias) - NYP.org - May 30th, 2018 [May 30th, 2018]
- Cardiac rhythm abnormalities - symptoms and treatment ... - May 30th, 2018 [May 30th, 2018]
- Pediatric Heart Institute | Children's Hospital Vanderbilt - June 2nd, 2018 [June 2nd, 2018]
- Concentric Remodeling - Cardioserv - June 5th, 2018 [June 5th, 2018]
- Aegean Conferences - June 7th, 2018 [June 7th, 2018]
- 2018 Cardiac Regulatory Mechanisms Conference GRC - June 7th, 2018 [June 7th, 2018]
- Fight Heart Disease - Victor Chang Cardiac Research Institute - June 7th, 2018 [June 7th, 2018]
- NHS Direct Wales - Encyclopaedia : Ulcerative colitis - June 11th, 2018 [June 11th, 2018]
- Cannabis Treatment for Parkinson's Disease Green Rush Daily - June 11th, 2018 [June 11th, 2018]
- Diuretics - Pharmacology - Merck Veterinary Manual - June 18th, 2018 [June 18th, 2018]
- 2018 Multiscale Plant Vascular Biology Conference GRC - June 23rd, 2018 [June 23rd, 2018]
- Cerebral Palsy Treatment | Birth Injury Guide - July 9th, 2018 [July 9th, 2018]
- Division of Pediatric Cardiology | University of Maryland ... - July 11th, 2018 [July 11th, 2018]
- Nuclear Medicine - Molecular Imaging - Nuclear Medicine ... - July 11th, 2018 [July 11th, 2018]
- Blood vessel - Wikipedia - July 12th, 2018 [July 12th, 2018]
- What is Atrial Fibrillation (AF)? - Heart Foundation NZ - July 15th, 2018 [July 15th, 2018]
- EBR Systems, Inc - July 17th, 2018 [July 17th, 2018]
- Coronary artery disease - Symptoms and causes - Mayo Clinic - July 29th, 2018 [July 29th, 2018]
- CV Physiology | Ventricular and Atrial Hypertrophy and ... - July 31st, 2018 [July 31st, 2018]
- Cardiac Surgery Advanced life Support - Home - August 2nd, 2018 [August 2nd, 2018]
- Cardiac Nursing Care: NCP - 5 Nursing Diagnosis for ... - August 2nd, 2018 [August 2nd, 2018]
- Welcome to Hansen Nursing - August 2nd, 2018 [August 2nd, 2018]
- TARA / Innovating predictive cardiac physiology - August 18th, 2018 [August 18th, 2018]
- Board of Directors Summary - Victor Chang Cardiac Research ... - August 18th, 2018 [August 18th, 2018]
- Wound Care - KRMC - September 19th, 2018 [September 19th, 2018]
- Welcome to the ABG Tutorial - Welcome to Hansen - October 13th, 2018 [October 13th, 2018]
- Sudden Death in Dogs - Pet Health Network - October 15th, 2018 [October 15th, 2018]
- gmcheart.com - Cardiovascular Services at Gwinnett Medical ... - November 14th, 2018 [November 14th, 2018]
- Interventional Cardiology | WVU Heart and Vascular Institute - November 21st, 2018 [November 21st, 2018]
- Heart Attack (Myocardial Infarction) | Symptoms and Causes - November 22nd, 2018 [November 22nd, 2018]
- Cerebral Palsy | Boston Children's Hospital - November 27th, 2018 [November 27th, 2018]
- Cerebral Palsy | Cleveland Clinic - November 27th, 2018 [November 27th, 2018]
- Cerebral Palsy - November 27th, 2018 [November 27th, 2018]
- Cerebral Palsy Diagnosis and Treatments | Gillette Children's ... - November 27th, 2018 [November 27th, 2018]
- Cerebral palsy | Genetic and Rare Diseases Information Center ... - November 27th, 2018 [November 27th, 2018]
- Spastic cerebral palsy - Wikipedia - November 27th, 2018 [November 27th, 2018]
- Cerebral Palsy - CHASA - November 27th, 2018 [November 27th, 2018]
- Cerebral Palsy Symptoms & Types - WebMD - November 27th, 2018 [November 27th, 2018]
- Cerebral palsy - NHS - November 27th, 2018 [November 27th, 2018]
- Ventricle (heart) - Wikipedia - December 4th, 2018 [December 4th, 2018]
- Cardiomyopathy - Wikipedia - December 5th, 2018 [December 5th, 2018]
- Cardiomyopathy - British Heart Foundation - December 5th, 2018 [December 5th, 2018]
- Cardiomyopathy | National Heart, Lung, and Blood Institute ... - December 5th, 2018 [December 5th, 2018]
- Community Mental Health Centers - MS Department of Mental ... - December 9th, 2018 [December 9th, 2018]
- Atopic dermatitis (eczema) - Symptoms and causes - Mayo Clinic - December 23rd, 2018 [December 23rd, 2018]
- Dermatitis - Wikipedia - December 23rd, 2018 [December 23rd, 2018]
- Eczema Symptoms & Causes | National Eczema Association - December 23rd, 2018 [December 23rd, 2018]
- Eating too much added sugar increases the risk of dying ... - December 25th, 2018 [December 25th, 2018]
- Heart Diseases & Disorders - December 25th, 2018 [December 25th, 2018]
- 5 Types of Heart Disease Symptoms, Risk Factors, Causes ... - December 25th, 2018 [December 25th, 2018]
- Different heart diseases - World Heart Federation - December 25th, 2018 [December 25th, 2018]
- Cardiovascular disease - Wikipedia - December 25th, 2018 [December 25th, 2018]
- Cardiac arrest - Wikipedia - December 27th, 2018 [December 27th, 2018]
- What Is Arrhythmia? Symptoms, Treatment, Causes & Types - December 27th, 2018 [December 27th, 2018]
- Heart arrhythmia - Wikipedia - December 27th, 2018 [December 27th, 2018]
- The Heart Truth - Lower Heart Disease Risk - December 30th, 2018 [December 30th, 2018]
- What are the different types of heart disease? | Heart ... - December 30th, 2018 [December 30th, 2018]
- Radiofrequency ablation - Wikipedia - January 14th, 2019 [January 14th, 2019]
- Singanitropin HGH 100 IU by Singani Pharma - pharmacomstore.ws - February 9th, 2019 [February 9th, 2019]
- Photosynthesis - Definition, Equation and Products ... - March 6th, 2019 [March 6th, 2019]
- Cardiology Conferences | Cardiology World Congress 2019 ... - March 18th, 2019 [March 18th, 2019]
- 2019 Tissue Repair and Regeneration Conference GRC - April 2nd, 2019 [April 2nd, 2019]
- The SHaRe Cardiomyopathy Registry - April 8th, 2019 [April 8th, 2019]
- Heart arrhythmia - Symptoms and causes - Mayo Clinic - April 20th, 2019 [April 20th, 2019]