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Changes in Mammography Use by Women's Characteristics During the First 5 Months of the COVID-19 Pandemic.
Sprague, Brian L; Lowry, Kathryn P; Miglioretti, Diana L; Alsheik, Nila; Bowles, Erin J A; Tosteson, Anna N A; Rauscher, Garth; Herschorn, Sally D; Lee, Janie M; Trentham-Dietz, Amy; Weaver, Donald L; Stout, Natasha K; Kerlikowske, Karla.
  • Sprague BL; Department of Surgery, Office of Health Promotion Research, University of Vermont Larner College of Medicine, Burlington, VT, USA.
  • Lowry KP; Department of Radiology, University of Vermont Larner College of Medicine, Burlington, VT, USA.
  • Miglioretti DL; University of Vermont Cancer Center, University of Vermont Larner College of Medicine, Burlington, VT, USA.
  • Alsheik N; Department of Radiology, University of Washington and Seattle Cancer Care Alliance, Seattle, WA, USA.
  • Bowles EJA; Division of Biostatistics, Department of Public Health Sciences, University of California Davis, Davis, CA, USA.
  • Tosteson ANA; Kaiser Permanente Washington Health Research Institute, Kaiser Permanente WA, Seattle, WA, USA.
  • Rauscher G; Advocate Caldwell Breast Center, Advocate Lutheran General Hospital, Park Ridge, IL, USA.
  • Herschorn SD; Kaiser Permanente Washington Health Research Institute, Kaiser Permanente WA, Seattle, WA, USA.
  • Lee JM; The Dartmouth Institute for Health Policy and Clinical Practice and Norris Cotton Cancer Center, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
  • Trentham-Dietz A; Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, IL, USA.
  • Weaver DL; Department of Radiology, University of Vermont Larner College of Medicine, Burlington, VT, USA.
  • Stout NK; University of Vermont Cancer Center, University of Vermont Larner College of Medicine, Burlington, VT, USA.
  • Kerlikowske K; Department of Radiology, University of Washington and Seattle Cancer Care Alliance, Seattle, WA, USA.
J Natl Cancer Inst ; 113(9): 1161-1167, 2021 09 04.
Article in English | MEDLINE | ID: covidwho-1402395
ABSTRACT

BACKGROUND:

The coronavirus disease 2019 (COVID-19) pandemic led to a near-total cessation of mammography services in the United States in mid-March 2020. It is unclear if screening and diagnostic mammography volumes have recovered to prepandemic levels and whether use has varied by women's characteristics.

METHODS:

We collected data on 461 083 screening mammograms and 112 207 diagnostic mammograms conducted during January 2019 through July 2020 at 62 radiology facilities in the Breast Cancer Surveillance Consortium. We compared monthly screening and diagnostic mammography volumes before and during the pandemic stratified by age, race and ethnicity, breast density, and family history of breast cancer.

RESULTS:

Screening and diagnostic mammography volumes in April 2020 were 1.1% (95% confidence interval [CI] = 0.5% to 2.4%) and 21.4% (95% CI = 18.7% to 24.4%) of the April 2019 prepandemic volumes, respectively, but by July 2020 had rebounded to 89.7% (95% CI = 79.6% to 101.1%) and 101.6% (95% CI = 93.8% to 110.1%) of the July 2019 prepandemic volumes, respectively. The year-to-date cumulative volume of screening and diagnostic mammograms performed through July 2020 was 66.2% (95% CI = 60.3% to 72.6%) and 79.9% (95% CI = 75.4% to 84.6%), respectively, of year-to-date volume through July 2019. Screening mammography rebound was similar across age groups and by family history of breast cancer. Monthly screening mammography volume in July 2020 for Black, White, Hispanic, and Asian women reached 96.7% (95% CI = 88.1% to 106.1%), 92.9% (95% CI = 82.9% to 104.0%), 72.7% (95% CI = 56.5% to 93.6%), and 51.3% (95% CI = 39.7% to 66.2%) of the July 2019 prepandemic volume, respectively.

CONCLUSIONS:

Despite a strong overall rebound in mammography volume by July 2020, the rebound lagged among Asian and Hispanic women, and a substantial cumulative deficit in missed mammograms accumulated, which may have important health consequences.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Breast Neoplasms / Mammography / Ethnicity / Registries / Early Detection of Cancer / SARS-CoV-2 / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Aged / Female / Humans / Middle aged Country/Region as subject: North America Language: English Journal: J Natl Cancer Inst Year: 2021 Document Type: Article Affiliation country: Jnci

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Breast Neoplasms / Mammography / Ethnicity / Registries / Early Detection of Cancer / SARS-CoV-2 / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Aged / Female / Humans / Middle aged Country/Region as subject: North America Language: English Journal: J Natl Cancer Inst Year: 2021 Document Type: Article Affiliation country: Jnci