Different impacts of cancer types on cancer screening during COVID-19 pandemic in Taiwan
Background: The COVID-19 pandemic has rapidly become a major challenge for global health care systems and affected other priorities such as the utilization of population-based cancer screening services. We sought to examine to what extent the COVID-19 pandemic has affected cancer screening utilizati...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-10-01
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| Series: | Journal of the Formosan Medical Association |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664622000687 |
| _version_ | 1798033251906879488 |
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| author | Cheng-Ting Shen Hui-Min Hsieh Yu-Ling Chang Huei-Yi Tsai Fang-Ming Chen |
| author_facet | Cheng-Ting Shen Hui-Min Hsieh Yu-Ling Chang Huei-Yi Tsai Fang-Ming Chen |
| author_sort | Cheng-Ting Shen |
| collection | DOAJ |
| description | Background: The COVID-19 pandemic has rapidly become a major challenge for global health care systems and affected other priorities such as the utilization of population-based cancer screening services. We sought to examine to what extent the COVID-19 pandemic has affected cancer screening utilization in Taiwan, even the use of inreach and outreach screening services for different types of cancer screening and different regions. Methods: Using nationwide cervical, breast, colorectal and oral cancer screening data, the percentage changes in screening participants at inreach and outreach services were calculated and compared between January to April 2020 (COVID-19 pandemic) and January to April 2019. Results: The average percentage change declined from 15% to 40% for cervical, breast, and colorectal cancer screening, with a nearly 50% decline in oral cancer screening. There was a greater preference for breast and colorectal cancer screening outreach services, which had greater accessibility and declined less than inreach services in most regions. The screening utilization varied in different regions, especially in eastern Taiwan where the less convenient transportation and lower risk of COVID-19 transmission had a positive change on four types of cancer screening outreach services. Conclusion: The COVID-19 pandemic may have had an effect not only in the utilization of different types of cancer screening but also in the preference between inreach and outreach services, and even in variations in screening services in different regions. |
| first_indexed | 2024-04-11T20:27:23Z |
| format | Article |
| id | doaj.art-a4914b2ba7d94dd9a8e1ec0ec565e068 |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-04-11T20:27:23Z |
| publishDate | 2022-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-a4914b2ba7d94dd9a8e1ec0ec565e0682022-12-22T04:04:38ZengElsevierJournal of the Formosan Medical Association0929-66462022-10-011211019932000Different impacts of cancer types on cancer screening during COVID-19 pandemic in TaiwanCheng-Ting Shen0Hui-Min Hsieh1Yu-Ling Chang2Huei-Yi Tsai3Fang-Ming Chen4Department of Family Medicine, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Public Health, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Medical Research, Department of Community Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Center for Big Data Research, Kaohsiung Medical University, Kaohsiung, TaiwanCancer Center, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanGraduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Medical Imaging, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDivision of Breast Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Surgery, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; Corresponding author. Division of Breast Oncology and Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, No. 100, Ziyou 1st Rd., Sanmin Dist., Kaohsiung City, 807, Taiwan.Background: The COVID-19 pandemic has rapidly become a major challenge for global health care systems and affected other priorities such as the utilization of population-based cancer screening services. We sought to examine to what extent the COVID-19 pandemic has affected cancer screening utilization in Taiwan, even the use of inreach and outreach screening services for different types of cancer screening and different regions. Methods: Using nationwide cervical, breast, colorectal and oral cancer screening data, the percentage changes in screening participants at inreach and outreach services were calculated and compared between January to April 2020 (COVID-19 pandemic) and January to April 2019. Results: The average percentage change declined from 15% to 40% for cervical, breast, and colorectal cancer screening, with a nearly 50% decline in oral cancer screening. There was a greater preference for breast and colorectal cancer screening outreach services, which had greater accessibility and declined less than inreach services in most regions. The screening utilization varied in different regions, especially in eastern Taiwan where the less convenient transportation and lower risk of COVID-19 transmission had a positive change on four types of cancer screening outreach services. Conclusion: The COVID-19 pandemic may have had an effect not only in the utilization of different types of cancer screening but also in the preference between inreach and outreach services, and even in variations in screening services in different regions.http://www.sciencedirect.com/science/article/pii/S0929664622000687COVID-19Early detection of cancerMass screening |
| spellingShingle | Cheng-Ting Shen Hui-Min Hsieh Yu-Ling Chang Huei-Yi Tsai Fang-Ming Chen Different impacts of cancer types on cancer screening during COVID-19 pandemic in Taiwan Journal of the Formosan Medical Association COVID-19 Early detection of cancer Mass screening |
| title | Different impacts of cancer types on cancer screening during COVID-19 pandemic in Taiwan |
| title_full | Different impacts of cancer types on cancer screening during COVID-19 pandemic in Taiwan |
| title_fullStr | Different impacts of cancer types on cancer screening during COVID-19 pandemic in Taiwan |
| title_full_unstemmed | Different impacts of cancer types on cancer screening during COVID-19 pandemic in Taiwan |
| title_short | Different impacts of cancer types on cancer screening during COVID-19 pandemic in Taiwan |
| title_sort | different impacts of cancer types on cancer screening during covid 19 pandemic in taiwan |
| topic | COVID-19 Early detection of cancer Mass screening |
| url | http://www.sciencedirect.com/science/article/pii/S0929664622000687 |
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