Impact of the COVID-19 Pandemic on Colorectal and Prostate Cancer Screening in a Large U.S. Health System

During the first year of the coronavirus disease 2019 (COVID-19) pandemic, prevention measures included quarantining and facility closures. Because cancer screening is dependent on interventions in facilities, the extent of the COVID-19 impact on screening was questioned. A claims registry from a la...

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Main Authors: Amar H. Kelkar, Jing Zhao, Shu Wang, Christopher R. Cogle
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/2/264
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author Amar H. Kelkar
Jing Zhao
Shu Wang
Christopher R. Cogle
author_facet Amar H. Kelkar
Jing Zhao
Shu Wang
Christopher R. Cogle
author_sort Amar H. Kelkar
collection DOAJ
description During the first year of the coronavirus disease 2019 (COVID-19) pandemic, prevention measures included quarantining and facility closures. Because cancer screening is dependent on interventions in facilities, the extent of the COVID-19 impact on screening was questioned. A claims registry from a large health system was queried for colorectal and prostate cancer screening. A screening gap and screening loss ratio were calculated by comparing 2020 screening to historical reference years. All cancer screenings decreased in the first four months of the pandemic. Colorectal cancer screening returned to baseline in the latter six months of 2020. Prostate cancer screening exceeded baseline in the latter six months, but with a lesser gain than previous years. Populations disproportionately affected by decreased cancer screening included men and black people. To catch-up after the initial deficit in screening, it is estimated that the rate of colorectal cancer screening needs to increase by 50%.
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spelling doaj.art-d14163f3c03f41309046fd0d0216cfb72023-11-23T20:09:07ZengMDPI AGHealthcare2227-90322022-01-0110226410.3390/healthcare10020264Impact of the COVID-19 Pandemic on Colorectal and Prostate Cancer Screening in a Large U.S. Health SystemAmar H. Kelkar0Jing Zhao1Shu Wang2Christopher R. Cogle3Division of Hematology and Oncology, Department of Medicine, College of Medicine, University of Florida, Gainesville, FL 32610, USADepartment of Biostatistics, College of Public Health and Health Professions, University of Florida, Gainesville, FL 32610, USADepartment of Biostatistics, College of Public Health and Health Professions, University of Florida, Gainesville, FL 32610, USADivision of Hematology and Oncology, Department of Medicine, College of Medicine, University of Florida, Gainesville, FL 32610, USADuring the first year of the coronavirus disease 2019 (COVID-19) pandemic, prevention measures included quarantining and facility closures. Because cancer screening is dependent on interventions in facilities, the extent of the COVID-19 impact on screening was questioned. A claims registry from a large health system was queried for colorectal and prostate cancer screening. A screening gap and screening loss ratio were calculated by comparing 2020 screening to historical reference years. All cancer screenings decreased in the first four months of the pandemic. Colorectal cancer screening returned to baseline in the latter six months of 2020. Prostate cancer screening exceeded baseline in the latter six months, but with a lesser gain than previous years. Populations disproportionately affected by decreased cancer screening included men and black people. To catch-up after the initial deficit in screening, it is estimated that the rate of colorectal cancer screening needs to increase by 50%.https://www.mdpi.com/2227-9032/10/2/264cancer screeningcolorectal cancerprostate cancerCOVID-19health disparitieshealth policy
spellingShingle Amar H. Kelkar
Jing Zhao
Shu Wang
Christopher R. Cogle
Impact of the COVID-19 Pandemic on Colorectal and Prostate Cancer Screening in a Large U.S. Health System
Healthcare
cancer screening
colorectal cancer
prostate cancer
COVID-19
health disparities
health policy
title Impact of the COVID-19 Pandemic on Colorectal and Prostate Cancer Screening in a Large U.S. Health System
title_full Impact of the COVID-19 Pandemic on Colorectal and Prostate Cancer Screening in a Large U.S. Health System
title_fullStr Impact of the COVID-19 Pandemic on Colorectal and Prostate Cancer Screening in a Large U.S. Health System
title_full_unstemmed Impact of the COVID-19 Pandemic on Colorectal and Prostate Cancer Screening in a Large U.S. Health System
title_short Impact of the COVID-19 Pandemic on Colorectal and Prostate Cancer Screening in a Large U.S. Health System
title_sort impact of the covid 19 pandemic on colorectal and prostate cancer screening in a large u s health system
topic cancer screening
colorectal cancer
prostate cancer
COVID-19
health disparities
health policy
url https://www.mdpi.com/2227-9032/10/2/264
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AT shuwang impactofthecovid19pandemiconcolorectalandprostatecancerscreeninginalargeushealthsystem
AT christopherrcogle impactofthecovid19pandemiconcolorectalandprostatecancerscreeninginalargeushealthsystem