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Impact of COVID-19-related care disruptions on cervical cancer screening in the United States.
Burger, Emily A; Jansen, Erik El; Killen, James; Kok, Inge McM de; Smith, Megan A; Sy, Stephen; Dunnewind, Niels; G Campos, Nicole; Haas, Jennifer S; Kobrin, Sarah; Kamineni, Aruna; Canfell, Karen; Kim, Jane J.
  • Burger EA; Harvard T. H. Chan School of Public Health, Boston, MA, USA.
  • Jansen EE; Department of Health Management and Health Economics, University of Oslo, Oslo, Norway.
  • Killen J; Erasmus MC, University Medical Center Rotterdam, Department of Public Health, Rotterdam, Netherlands.
  • Kok IM; Cancer Research Division, Cancer Council NSW, Sydney, Australia.
  • Smith MA; Erasmus MC, University Medical Center Rotterdam, Department of Public Health, Rotterdam, Netherlands.
  • Sy S; Cancer Research Division, Cancer Council NSW, Sydney, Australia.
  • Dunnewind N; School of Public Health, University of Sydney, Sydney, Australia.
  • G Campos N; Harvard T. H. Chan School of Public Health, Boston, MA, USA.
  • Haas JS; Erasmus MC, University Medical Center Rotterdam, Department of Public Health, Rotterdam, Netherlands.
  • Kobrin S; Harvard T. H. Chan School of Public Health, Boston, MA, USA.
  • Kamineni A; Massachusetts General Hospital, Boston, MA, USA.
  • Canfell K; National Cancer Institute, Division of Cancer Control and Population Sciences, Rockville, MD, USA.
  • Kim JJ; Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
J Med Screen ; 28(2): 213-216, 2021 06.
Article in English | MEDLINE | ID: covidwho-1140458
Semantic information from SemMedBD (by NLM)
1. IMPACT gene PART_OF Neoplasm Metastasis
Subject
IMPACT gene
Predicate
PART_OF
Object
Neoplasm Metastasis
2. Screening procedure USES Cytological Techniques
Subject
Screening procedure
Predicate
USES
Object
Cytological Techniques
3. Excision TREATS Woman
Subject
Excision
Predicate
TREATS
Object
Woman
4. IMPACT gene PART_OF Neoplasm Metastasis
Subject
IMPACT gene
Predicate
PART_OF
Object
Neoplasm Metastasis
5. Screening procedure USES Cytological Techniques
Subject
Screening procedure
Predicate
USES
Object
Cytological Techniques
6. Excision TREATS Woman
Subject
Excision
Predicate
TREATS
Object
Woman
ABSTRACT

OBJECTIVES:

To quantify the secondary impacts of the COVID-19 pandemic disruptions to cervical cancer screening in the United States, stratified by step in the screening process and primary test modality, on cervical cancer burden.

METHODS:

We conducted a comparative model-based analysis using three independent NCI Cancer Intervention and Surveillance Modeling Network cervical models to quantify the impact of eight alternative COVID-19-related screening disruption scenarios compared to a scenario of no disruptions. Scenarios varied by the duration of the disruption (6 or 24 months), steps in the screening process being disrupted (primary screening, surveillance, colposcopy, excisional treatment), and primary screening modality (cytology alone or cytology plus human papillomavirus "cotesting").

RESULTS:

The models consistently showed that COVID-19-related disruptions yield small net increases in cervical cancer cases by 2027, which are greater for women previously screened with cytology compared with cotesting. When disruptions affected all four steps in the screening process under cytology-based screening, there were an additional 5-7 and 38-45 cases per one million screened for 6- and 24-month disruptions, respectively. In contrast, under cotesting, there were additional 4-5 and 35-45 cases per one million screened for 6- and 24-month disruptions, respectively. The majority (58-79%) of the projected increases in cases under cotesting were due to disruptions to surveillance, colposcopies, or excisional treatment, rather than to primary screening.

CONCLUSIONS:

Women in need of surveillance, colposcopies, or excisional treatment, or whose last primary screen did not involve human papillomavirus testing, may comprise priority groups for reintroductions.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Uterine Cervical Neoplasms / Early Detection of Cancer / COVID-19 Type of study: Diagnostic study / Prognostic study / Randomized controlled trials / Risk factors / Screening study Limits: Adult / Female / Humans / Middle aged Country/Region as subject: North America Language: English Journal: J Med Screen Journal subject: Epidemiology / Public Health Year: 2021 Document Type: Article Affiliation country: 09691413211001097

Full text: Available Collection: International databases Database: MEDLINE Main subject: Uterine Cervical Neoplasms / Early Detection of Cancer / COVID-19 Type of study: Diagnostic study / Prognostic study / Randomized controlled trials / Risk factors / Screening study Limits: Adult / Female / Humans / Middle aged Country/Region as subject: North America Language: English Journal: J Med Screen Journal subject: Epidemiology / Public Health Year: 2021 Document Type: Article Affiliation country: 09691413211001097