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. 2021 Apr 2;48:1–11. doi: 10.1016/j.ajem.2021.03.087

Table 4.

Distribution of malignant diseases by study period.

Diagnostic categories Prepandemic (Jan 1–Feb 19)a
P for difference Pandemic (Feb 26–Apr 22)
P for difference Postpandemic (Apr 29–Jul 8)b
P value a vs. b
Referrals (n = 384) Referrals (n = 193) Referrals (n = 450)
Malignant neoplasms,n(%) 82 (21.35) <0.001 11 (5.70) <0.001 121 (26.89) 0.004
Pancreatic cancer 14 (3.65) 0.117 2 (1.04) 0.082 19 (4.22) 0.190
Lung cancer 7 (1.82) 1 (0.52) 13 (2.89)
Colorectal cancer 18 (4.69) 0.087 2 (1.04) 0.073 21 (4.67) 0.638
Breast cancer 4 (1.04) 0 (0.00) 5 (1.11)
Ovarian cancer 6 (1.56) 1 (0.52) 9 (2.00)
Hepatocellular carcinoma 1 (0.26) 0 (0.00) 2 (0.44)
Renal cell carcinoma 2 (0.52) 0 (0.00) 4 (0.89)
Prostate cancer 5 (1.30) 1 (0.52) 5 (1.11)
Mesothelioma 1 (0.26) 0 (0.00) 2 (0.44)
Head and neck cancer 2 (0.52) 1 (0.52) 3 (0.67)
Esophageal cancer 1 (0.26) 1 (0.52) 4 (0.89)
Gastric cancer 1 (0.26) 0 (0.00) 2 (0.44)
Endometrial and cervical cancer 1 (0.26) 0 (0.00) 1 (0.22)
Thyroid cancer 1 (0.26) 0 (0.00) 1 (0.22)
Liposarcoma 1 (0.26) 0 (0.00) 2 (0.44)
Bone sarcoma 0 (0.00) 0 (0.00) 1 (0.22)
Neuroendocrine tumor 1 (0.26) 0 (0.00) 1 (0.22)
Hodgkin and non-Hodgkin lymphoma 13 (3.39) 0.143 2 (1.04) 0.072 22 (4.89) 0.169
Multiple myeloma 1 (0.26) 0 (0.00) 1 (0.22)
Myelodysplastic syndrome 0 (0.00) 0 (0.00) 1 (0.22)
Cancer of unknown primary site 2 (0.52) 0 (0.00) 2 (0.44)

According to the International Statistical Classification of Diseases and Related Health Problems (ICD-10 Version: 2019) [22].

Some patients presenting with iron-deficiency anemia were diagnosed with these malignancies (see Table 5).