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The impact of the COVID-19 pandemic on Italian population-based cancer screening activities and test coverage: Results from national cross-sectional repeated surveys in 2020.
Giorgi Rossi, Paolo; Carrozzi, Giuliano; Falini, Patrizia; Sampaolo, Letizia; Gorini, Giuseppe; Zorzi, Manuel; Armaroli, Paola; Senore, Carlo; Sassoli de Bianchi, Priscilla; Masocco, Maria; Zappa, Marco; Battisti, Francesca; Mantellini, Paola.
  • Giorgi Rossi P; Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Carrozzi G; Azienda Unità Sanitaria Locale Di Modena, Modena, Italy.
  • Falini P; Istituto per lo Studio, la Prevenzione e la Rete Oncologica (ISPRO), Florence, Italy.
  • Sampaolo L; Azienda Unità Sanitaria Locale Di Modena, Modena, Italy.
  • Gorini G; Istituto per lo Studio, la Prevenzione e la Rete Oncologica (ISPRO), Florence, Italy.
  • Zorzi M; Registro Tumori del Veneto, Azienda Zero, Padua, Italy.
  • Armaroli P; Centro di Prevenzione Oncologica, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, Turin, Italy.
  • Senore C; Centro di Prevenzione Oncologica, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino, Turin, Italy.
  • Sassoli de Bianchi P; Servizio Prevenzione Collettiva e Sanità Pubblica, Direzione Generale Cura della Persona, Salute e Welfare, Regione Emilia-Romagna, Bologna, Italy.
  • Masocco M; Istituto Superiore di Sanita, Rome, Italy.
  • Zappa M; Osservatorio Nazionale Screening, Florence, Italy.
  • Battisti F; Istituto per lo Studio, la Prevenzione e la Rete Oncologica (ISPRO), Florence, Italy.
  • Mantellini P; Istituto per lo Studio, la Prevenzione e la Rete Oncologica (ISPRO), Florence, Italy.
Elife ; 122023 02 03.
Article in English | MEDLINE | ID: covidwho-2230386
ABSTRACT

Background:

In Italy, regions have the mandate to implement population-based screening programs for breast, cervical, and colorectal cancer. From March to May 2020, a severe lockdown was imposed due to the COVID-19 pandemic by the Italian Ministry of Health, with the suspension of screening programs. This paper describes the impact of the pandemic on Italian screening activities and test coverage in 2020 overall and by socioeconomic characteristics.

Methods:

The regional number of subjects invited and of screening tests performed in 2020 were compared with those in 2019. Invitation and examination coverage were also calculated. PASSI surveillance system, through telephone interviews, collects information about screening test uptake by test provider (public screening and private opportunistic). Test coverage and test uptake in the last year were computed by educational attainment, perceived economic difficulties, and citizenship.

Results:

A reduction of subjects invited and tests performed, with differences between periods and geographical macro areas, was observed in 2020 vs. 2019. The reduction in examination coverage was larger than that in invitation coverage for all screening programs. From the second half of 2020, the trend for test coverage showed a decrease in all the macro areas for all the screening programs. Compared with the pre-pandemic period, there was a greater difference according to the level of education in the odds of having had a test last year vs. never having been screened or not being up to date with screening tests.

Conclusions:

The lockdown and the ongoing COVID-19 emergency caused an important delay in screening activities. This increased the preexisting individual and geographical inequalities in access. The opportunistic screening did not mitigate the impact of the pandemic.

Funding:

This study was partially supported by Italian Ministry of Health - Ricerca Corrente Annual Program 2023 and by the Emilian Region DGR 839/22.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Neoplasms Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Europa Language: English Year: 2023 Document Type: Article Affiliation country: ELife.81804

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Neoplasms Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Humans Country/Region as subject: Europa Language: English Year: 2023 Document Type: Article Affiliation country: ELife.81804