Understanding disruptions in cancer care to reduce increased cancer burden
Background: This study seeks to understand how and for whom COVID-19 disrupted cancer care to understand the potential for cancer health disparities across the cancer prevention and control continuum. Methods: In this cross-sectional study, participants age 30+residing in an 82-county region in Miss...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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eLife Sciences Publications Ltd
2023-08-01
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| Series: | eLife |
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| Online Access: | https://elifesciences.org/articles/85024 |
| _version_ | 1797737479988576256 |
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| author | Kia L Davis Nicole Ackermann Lisa M Klesges Nora Leahy Callie Walsh-Bailey Sarah Humble Bettina Drake Vetta L Sanders Thompson |
| author_facet | Kia L Davis Nicole Ackermann Lisa M Klesges Nora Leahy Callie Walsh-Bailey Sarah Humble Bettina Drake Vetta L Sanders Thompson |
| author_sort | Kia L Davis |
| collection | DOAJ |
| description | Background: This study seeks to understand how and for whom COVID-19 disrupted cancer care to understand the potential for cancer health disparities across the cancer prevention and control continuum.
Methods: In this cross-sectional study, participants age 30+residing in an 82-county region in Missouri and Illinois completed an online survey from June-August 2020. Descriptive statistics were calculated for all variables separately and by care disruption status. Logistic regression modeling was conducted to determine the correlates of care disruption.
Results: Participants (N=680) reported 21% to 57% of cancer screening or treatment appointments were canceled/postponed from March 2020 through the end of 2020. Approximately 34% of residents stated they would need to know if their doctor’s office is taking the appropriate COVID-related safety precautions to return to care. Higher education (OR = 1.26, 95% CI:1.11–1.43), identifying as female (OR = 1.60, 95% CI:1.12–2.30), experiencing more discrimination in healthcare settings (OR = 1.40, 95% CI:1.13–1.72), and having scheduled a telehealth appointment (OR = 1.51, 95% CI:1.07–2.15) were associated with higher odds of care disruption. Factors associated with care disruption were not consistent across races. Higher odds of care disruption for White residents were associated with higher education, female identity, older age, and having scheduled a telehealth appointment, while higher odds of care disruption for Black residents were associated only with higher education.
Conclusions: This study provides an understanding of the factors associated with cancer care disruption and what patients need to return to care. Results may inform outreach and engagement strategies to reduce delayed cancer screenings and encourage returning to cancer care.
Funding: This study was supported by the National Cancer Institute’s Administrative Supplements for P30 Cancer Center Support Grants (P30CA091842-18S2 and P30CA091842-19S4). Kia L. Davis, Lisa Klesges, Sarah Humble, and Bettina Drake were supported by the National Cancer Institute’s P50CA244431 and Kia L. Davis was also supported by the Breast Cancer Research Foundation. Callie Walsh-Bailey was supported by NIMHD T37 MD014218. The content does not necessarily represent the official view of these funding agencies and is solely the responsibility of the authors. |
| first_indexed | 2024-03-12T13:30:16Z |
| format | Article |
| id | doaj.art-49e546ca4c6a478786d2f551a8b3ec92 |
| institution | Directory Open Access Journal |
| issn | 2050-084X |
| language | English |
| last_indexed | 2024-03-12T13:30:16Z |
| publishDate | 2023-08-01 |
| publisher | eLife Sciences Publications Ltd |
| record_format | Article |
| series | eLife |
| spelling | doaj.art-49e546ca4c6a478786d2f551a8b3ec922023-08-24T15:00:33ZengeLife Sciences Publications LtdeLife2050-084X2023-08-011210.7554/eLife.85024Understanding disruptions in cancer care to reduce increased cancer burdenKia L Davis0https://orcid.org/0000-0002-1338-3018Nicole Ackermann1https://orcid.org/0000-0001-7411-3233Lisa M Klesges2Nora Leahy3Callie Walsh-Bailey4Sarah Humble5https://orcid.org/0000-0003-0694-091XBettina Drake6Vetta L Sanders Thompson7Department of Surgery, Public Health Sciences, School of Medicine, Washington University in St. Louis, St Louis, United StatesDepartment of Surgery, Public Health Sciences, School of Medicine, Washington University in St. Louis, St Louis, United StatesDepartment of Surgery, Public Health Sciences, School of Medicine, Washington University in St. Louis, St Louis, United StatesDepartment of Surgery, Public Health Sciences, School of Medicine, Washington University in St. Louis, St Louis, United StatesBrown School, Washington University in St. Louis, St Louis, United StatesDepartment of Surgery, Public Health Sciences, School of Medicine, Washington University in St. Louis, St Louis, United StatesDepartment of Surgery, Public Health Sciences, School of Medicine, Washington University in St. Louis, St Louis, United StatesBrown School, Washington University in St. Louis, St Louis, United StatesBackground: This study seeks to understand how and for whom COVID-19 disrupted cancer care to understand the potential for cancer health disparities across the cancer prevention and control continuum. Methods: In this cross-sectional study, participants age 30+residing in an 82-county region in Missouri and Illinois completed an online survey from June-August 2020. Descriptive statistics were calculated for all variables separately and by care disruption status. Logistic regression modeling was conducted to determine the correlates of care disruption. Results: Participants (N=680) reported 21% to 57% of cancer screening or treatment appointments were canceled/postponed from March 2020 through the end of 2020. Approximately 34% of residents stated they would need to know if their doctor’s office is taking the appropriate COVID-related safety precautions to return to care. Higher education (OR = 1.26, 95% CI:1.11–1.43), identifying as female (OR = 1.60, 95% CI:1.12–2.30), experiencing more discrimination in healthcare settings (OR = 1.40, 95% CI:1.13–1.72), and having scheduled a telehealth appointment (OR = 1.51, 95% CI:1.07–2.15) were associated with higher odds of care disruption. Factors associated with care disruption were not consistent across races. Higher odds of care disruption for White residents were associated with higher education, female identity, older age, and having scheduled a telehealth appointment, while higher odds of care disruption for Black residents were associated only with higher education. Conclusions: This study provides an understanding of the factors associated with cancer care disruption and what patients need to return to care. Results may inform outreach and engagement strategies to reduce delayed cancer screenings and encourage returning to cancer care. Funding: This study was supported by the National Cancer Institute’s Administrative Supplements for P30 Cancer Center Support Grants (P30CA091842-18S2 and P30CA091842-19S4). Kia L. Davis, Lisa Klesges, Sarah Humble, and Bettina Drake were supported by the National Cancer Institute’s P50CA244431 and Kia L. Davis was also supported by the Breast Cancer Research Foundation. Callie Walsh-Bailey was supported by NIMHD T37 MD014218. The content does not necessarily represent the official view of these funding agencies and is solely the responsibility of the authors.https://elifesciences.org/articles/85024cancer health disparitiesCOVID-19 pandemicaccess to careearly detection of cancerepidemiologysocial determinants of health |
| spellingShingle | Kia L Davis Nicole Ackermann Lisa M Klesges Nora Leahy Callie Walsh-Bailey Sarah Humble Bettina Drake Vetta L Sanders Thompson Understanding disruptions in cancer care to reduce increased cancer burden eLife cancer health disparities COVID-19 pandemic access to care early detection of cancer epidemiology social determinants of health |
| title | Understanding disruptions in cancer care to reduce increased cancer burden |
| title_full | Understanding disruptions in cancer care to reduce increased cancer burden |
| title_fullStr | Understanding disruptions in cancer care to reduce increased cancer burden |
| title_full_unstemmed | Understanding disruptions in cancer care to reduce increased cancer burden |
| title_short | Understanding disruptions in cancer care to reduce increased cancer burden |
| title_sort | understanding disruptions in cancer care to reduce increased cancer burden |
| topic | cancer health disparities COVID-19 pandemic access to care early detection of cancer epidemiology social determinants of health |
| url | https://elifesciences.org/articles/85024 |
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