Prioritizing breast imaging services during the COVID pandemic: A survey of breast imaging facilities within the Breast Cancer Surveillance Consortium

PREVENTIVE MEDICINE

卷:151

Article

Sprague, Brian L.^1,2,3  O'Meara, Ellen S.⁴  Lee, Christoph I.^5,6  Lee, Janie M.^5,6  Henderson, Louise M.⁷  Buist, Diana S. M.⁷  Alsheik, Nila⁸  Macarol, Teresita⁸  Perry, Hannah^2,3  Tosteson, Anna N. A.^9,10  Onega, Tracy¹¹  Kerlikowske, Karla^12,13,14  Miglioretti, Diana L.^4,7,15 

[1] Univ Vermont, Dept Surg, Off Hlth Promot Res, Larner Coll Med, Burlington, VT 05405 USA

[2] Univ Vermont, Larner Coll Med, Dept Radiol, Burlington, VT USA

[3] Univ Vermont, Canc Ctr, Larner Coll Med, Burlington, VT USA

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

[5] Univ Washington, Dept Radiol, Seattle, WA USA

[6] Seattle Canc Care Alliance, Seattle, WA USA

[7] Univ N Carolina, Dept Radiol & Epidemiol, Chapel Hill, NC 27515 USA

[8] Advocate Aurora Hlth, Syst Breast Imaging, Downers Grove, IL USA

[9] Geisel Sch Med, Dartmouth Inst Hlth Policy & Clin Practice, Dartmouth, NS, Lebanon

[10] Geisel Sch Med, Norris Cotton Canc Ctr, Dartmouth, NS, Lebanon

[11] Univ Utah, Dept Populat Hlth Sci, Huntsman Canc Inst, Salt Lake City, UT USA

[12] Univ Calif San Francisco, Dept Med, San Francisco, CA 94143 USA

[13] Univ Calif San Francisco, Dept Epidemiol & Biostat, San Francisco, CA 94143 USA

[14] Univ Calif San Francisco, Gen Internal Med Sect, Dept Vet Affairs, San Francisco, CA 94143 USA

[15] Univ Calif Davis, Dept Publ Hlth Sci, Div Biostat, Davis, CA 95616 USA

关键词: Breast cancer;    COVID-19;    Breast imaging;    Preventive services;    Mammography;    Radiology;    Screening;    Diagnostic imaging;    Healthcare delivery;    Health services research;   

DOI  :  10.1016/j.ypmed.2021.106540

来源: Elsevier

【 摘 要 】

The COVID-19 pandemic disrupted breast cancer screening and diagnostic imaging in the United States. We sought to evaluate how medical facilities prioritized breast imaging services during periods of reduced capacity or upon re-opening after closures. In fall 2020, we surveyed 77 breast imaging facilities within the Breast Cancer Surveillance Consortium in the United States. The survey ascertained the pandemic's impact on clinical practices during March-September 2020. Nearly all facilities (97%) reported closing or operating at reduced capacity at some point during this period. All facilities were open by August 2020, though 14% were still operating at reduced capacity in September 2020. During periods of re-opening or reduced capacity, 93% of facilities reported prioritizing diagnostic breast imaging over breast cancer screening. For diagnostic imaging, facilities prioritized based on rescheduling canceled appointments (89%), specific indication for diagnostic imaging (89%), patient demand (84%), individual characteristics and risk factors (77%), and time since last imaging examination (72%). For screening mammography, facilities prioritized based on rescheduled cancelations (96%), patient demand (83%), individual characteristics and risk factors (73%), and time since last mammogram (71%). For biopsy services, more than 90% of facilities reported prioritization based on rescheduling of canceled exams, patient demand, patient characteristics and risk factors and level of suspicion on imaging. The observed patterns from this large and geographically diverse sample of facilities in the United States indicate that multiple factors were commonly used to prioritize breast imaging services during periods of reduced capacity.

【 授权许可】

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