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Impact of the COVID-19 Pandemic on Breast Imaging: An Analysis of the National Mammography Database.
Grimm, Lars J; Lee, Cindy; Rosenberg, Robert D; Burleson, Judy; Simanowith, Michael; Fruscello, Tom; Pelzl, Casey E; Friedewald, Sarah M; Moy, Linda; Zuley, Margarita L.
  • Grimm LJ; Department of Radiology, Duke University, Durham, North Carolina; Vice Chair, National Mammography Database. Electronic address: lars.grimm@duke.edu.
  • Lee C; NYU Langone Health, New York, New York.
  • Rosenberg RD; Radiology Associates of Albuquerque, Albuquerque, New Mexico; Chair, National Mammography Database.
  • Burleson J; Vice President, Quality Programs, American College of Radiology, Reston, Virginia.
  • Simanowith M; Director, Quality Registries, American College of Radiology, Reston, Virginia.
  • Fruscello T; American College of Radiology, Reston, Virginia.
  • Pelzl CE; American College of Radiology, Harvey L. Neimann Health Institute, Reston, Virginia.
  • Friedewald SM; Vice Chair, Women's Imaging, Chief of Breast Imaging, Northwestern Medicine, Chicago, Illinois.
  • Moy L; NYU Langone Health, New York, New York.
  • Zuley ML; Chief of Breast Imaging, Vice Chair of Quality Assurance and Strategic Development, University of Pittsburgh, Pittsburgh, Pennsylvania; Chair, National Radiology Data Registry.
J Am Coll Radiol ; 19(8): 919-934, 2022 08.
Article in English | MEDLINE | ID: covidwho-1945364
ABSTRACT

PURPOSE:

The aim of this study was to quantify the initial decline and subsequent rebound in breast cancer screening metrics throughout the coronavirus disease 2019 (COVID-19) pandemic.

METHODS:

Screening and diagnostic mammographic examinations, biopsies performed, and cancer diagnoses were extracted from the ACR National Mammography Database from March 1, 2019, through May 31, 2021. Patient (race and age) and facility (regional location, community type, and facility type) demographics were collected. Three time periods were used for

analysis:

pre-COVID-19 (March 1, 2019, to May 31, 2019), peak COVID-19 (March 1, 2020, to May 31, 2020), and COVID-19 recovery (March 1, 2021, to May 31, 2021). Analysis was performed at the facility level and overall between time periods.

RESULTS:

In total, 5,633,783 screening mammographic studies, 1,282,374 diagnostic mammographic studies, 231,390 biopsies, and 69,657 cancer diagnoses were analyzed. All peak COVID-19 metrics were less than pre-COVID-19 volumes 36.3% of pre-COVID-19 for screening mammography, 57.9% for diagnostic mammography, 47.3% for biopsies, and 48.7% for cancer diagnoses. There was some rebound during COVID-19 recovery as a percentage of pre-COVID-19 volumes 85.3% of pre-COVID-19 for screening mammography, 97.8% for diagnostic mammography, 91.5% for biopsies, and 92.0% for cancer diagnoses. Across various metrics, there was a disproportionate negative impact on older women, Asian women, facilities in the Northeast, and facilities affiliated with academic medical centers.

CONCLUSIONS:

COVID-19 had the greatest impact on screening mammography volumes, which have not returned to pre-COVID-19 levels. Cancer diagnoses declined significantly in the acute phase and have not fully rebounded, emphasizing the need to increase outreach efforts directed at specific patient population and facility types.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Breast Neoplasms / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study Limits: Aged / Female / Humans Language: English Journal: J Am Coll Radiol Journal subject: Radiology Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Breast Neoplasms / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study Limits: Aged / Female / Humans Language: English Journal: J Am Coll Radiol Journal subject: Radiology Year: 2022 Document Type: Article