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Impact of the COVID-19 pandemic on breast cancer screening volumes and patient screening behaviors

Miller, Matthew M. ; Meneveau, Max O. ; Rochman, Carrie M. ; Schroen, Anneke T. ; Lattimore, Courtney M. ; Gaspard, Patricia A. ; Cubbage, Richard S. ; Showalter, Shayna L.

Breast cancer research and treatment, 2021-08, Vol.189 (1), p.237-246 [Periódico revisado por pares]

New York: Springer US

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  • Título:
    Impact of the COVID-19 pandemic on breast cancer screening volumes and patient screening behaviors
  • Autor: Miller, Matthew M. ; Meneveau, Max O. ; Rochman, Carrie M. ; Schroen, Anneke T. ; Lattimore, Courtney M. ; Gaspard, Patricia A. ; Cubbage, Richard S. ; Showalter, Shayna L.
  • Assuntos: Breast cancer ; Cancer ; Cancer patients ; Cancer screening ; Comparative analysis ; Coronaviruses ; COVID-19 ; Diagnosis ; Digital map services ; Epidemiology ; Mammography ; Medical colleges ; Medical imaging equipment ; Medical screening ; Medicine ; Medicine & Public Health ; Oncology ; Pandemics ; Patients ; Travel
  • É parte de: Breast cancer research and treatment, 2021-08, Vol.189 (1), p.237-246
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: Purpose In order to facilitate targeted outreach, we sought to identify patient populations with a lower likelihood of returning for breast cancer screening after COVID-19-related imaging center closures. Methods Weekly total screening mammograms performed throughout 2019 (baseline year) and 2020 (COVID-19-impacted year) were compared. Demographic and clinical characteristics, including age, race, ethnicity, breast density, breast cancer history, insurance status, imaging facility type used, and need for interpreter, were compared between patients imaged from March 16 to October 31 in 2019 (baseline cohort) and 2020 (COVID-19-impacted cohort). Census data and an online map service were used to impute socioeconomic variables and calculate travel times for each patient. Logistic regression was used to identify patient characteristics associated with a lower likelihood of returning for screening after COVID-19-related closures. Results The year-over-year cumulative difference in screening mammogram volumes peaked in week 21, with 2962 fewer exams in the COVID-19-impacted year. By week 47, this deficit had reduced by 49.4% to 1498. A lower likelihood of returning for screening after COVID-19-related closures was independently associated with younger age (odds ratio (OR) 0.78, p  < 0.001), residence in a higher poverty area (OR 0.991, p  = 0.014), lack of health insurance (OR 0.65, p  = 0.007), need for an interpreter (OR 0.68, p  = 0.029), longer travel time (OR 0.998, p  < 0.001), and utilization of mobile mammography services (OR 0.27, p  < 0.001). Conclusion Several patient factors are associated with a lower likelihood of returning for screening mammography after COVID-19-related closures. Knowledge of these factors can guide targeted outreach to vulnerable patients to facilitate breast cancer screening.
  • Editor: New York: Springer US
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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