Early assessment of the first wave of the COVID-19 pandemic on cancer screening services: The International Cancer Screening Network COVID-19 survey

PREVENTIVE MEDICINE

卷:151

Article

Perin, Douglas M. Puricelli¹  Elfstrom, K. Miriam^2,3  Bulliard, Jean-Luc⁴  Buron, Andrea^5,6,7  Campbell, Christine⁸  Flugelman, Anath A.^9,10,11  Giordano, Livia¹²  Kamineni, Aruna¹³  Ponti, Antonio¹²  Rabeneck, Linda^14,15,16  Saraiya, Mona¹⁷  Smith, Robert A.¹⁸  Broeders, Mireille J. M.^19,20 

[1] Frederick Natl Lab Canc Res, Clin Monitoring Res Program Directorate, Frederick, MD USA

[2] Karolinska Inst, Dept Lab Med, Stockholm, Sweden

[3] Reg Canc Ctr Stockholm Gotland, Stockholm, Sweden

[4] Univ Lausanne, Ctr Primary Care & Publ Hlth Unisante, Lausanne, Switzerland

[5] Hosp del Mar, Epidemiol & Evaluat Dept, Barcelona, Spain

[6] IMIM Hosp del Mar Med Res Inst, Barcelona, Spain

[7] REDISSEC Hlth Serv Res Chron Patients Network, Madrid, Spain

[8] Univ Edinburgh, Usher Inst, Edinburgh, Midlothian, Scotland

[9] Lady Davis Carmel Med Ctr, Dept Community Med & Epidemiol, Haifa, Israel

[10] Technion Israel Inst Technol, Ruth & Bruce Rappaport Fac Med, Haifa, Israel

[11] Clalit Natl Canc Control Ctr, Haifa, Israel

[12] Univ Hosp Citta & Salute Sci, SSD Epidemiol & Screening CPO, Turin, Italy

[13] Kaiser Permanente, Washington Hlth Res Inst, Seattle, WA USA

[14] Ontario Hlth Canc Care Ontario, Prevent & Canc Control, Toronto, ON, Canada

[15] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada

[16] Univ Toronto, Dept Med, Toronto, ON, Canada

[17] Ctr Dis Control & Prevent, Div Canc Prevent & Control, Atlanta, GA USA

[18] Amer Canc Soc, Atlanta, GA USA

[19] Radboud Univ Nijmegen, Med Ctr, Radboud Inst Hlth Sci, Nijmegen, Netherlands

[20] Dutch Expert Ctr Screening, Nijmegen, Netherlands

关键词: Cancer screening;    COVID-19;    Health care services;    Disruption;   

DOI  :  10.1016/j.ypmed.2021.106642

来源: Elsevier

【 摘 要 】

Screening can decrease the burden of breast, cervical, and colorectal cancers. The COVID-19 pandemic led many countries to suspend cancer screening services as part of their response to the pandemic. The International Cancer Screening Network (ICSN) carried out an online survey to assess the effects of the first wave of the COVID-19 pandemic on cancer screening. A 33-item survey was distributed to 834 email addresses to gather information about settings and assess decision-making processes that led to cancer screening suspension. Information about communication, impact on resources, and patient follow-up was collected. Quantitative data was analyzed as frequencies overall and by setting, while a comment section under each survey item captured nuanced details. Responses were recategorized into 66 settings, representing 35 countries. Most settings suspended cancer screening services (n = 60, 90.9%) in March 2020 (n = 45, 68.2%), guided by a government decision (n = 51, 77.3%). Few settings made the decision whether to suspend services based on a preparedness plan (n = 17, 25.8%). In most settings, professionals were reassigned (n = 41, 62.1%) and infrastructure repurposed (n = 35, 53.0%). The first wave of the COVID-19 pandemic has had profound effects on cancer screening worldwide, including the suspension of services in almost all settings. Most settings were unprepared to deal with the scale of the pandemic but demonstrated flexibility in the response. These results contribute to inform, through experiences and lessons learned, the next steps for the global cancer screening community to further evaluate the impact of COVID-19 and prepare for future disruptions.

【 授权许可】

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