Cancer screening failed during COVID.Don’t be late, the doctor says

The most commonly diagnosed cancers in the United States include breast cancer, prostate cancer, lung cancer, skin cancer (melanoma), and bladder cancer. According to NCI.. Those that cause the greatest deaths include lung cancer, pancreatic cancer, colorectal cancer, breast cancer, and prostate cancer.

Dr. Jennifer Crosswell, Head of Health Care at NCI’s Department of Cancer Control and Population Science, said today that COVID-19 “influenced cancer treatment along its entire continuum.” This includes not only screening, but also diagnostic follow-up and treatment. “

In the spring of 2021, Nelson and her co-authors enrolled nearly 750 US cancer programs in a large initiative to increase cancer screening rates. Groups such as the American College of Surgeons Cancer Program and the American Cancer Society are cooperating in this effort and are working on three main areas:

• community. This includes social media and local news campaigns that warn the general public about the importance of cancer screening.
• Healthcare settings. Health providers are required to return patients to cancer screening and reassure them about COVID-related safety precautions in the medical setting.
• Individual patients. Urgent reminders and alerts have been sent to patients to get them to come to the cancer screening.

Nelson and her colleagues compared the monthly cancer screening rates reported by healthcare providers in the months before the pandemic in September 2019 and January 2020 with the corresponding two-month rates one year later. did.

For most of the programs, screening rates declined by September 2020 and January 2021.

The most worrisome finding was a median screening rate drop of 17.7%. Colorectal cancer.. The median decline in screening for cervical and breast cancer was as small as 6.8% and 1.6%, respectively. However, the median lung cancer screening rate actually increased by only 1.2%.

The reduction in screening for colorectal cancer was consistent with the 2021 JAMA oncology treatise. This resulted in a 13.1% lower colon-rectal screening rate in July 2020 compared to 2019, but breast and prostate cancer screening almost completely recovered from the spring plunge by the first midsummer of the pandemic. Did.

Nelson said that testing for colorectal cancer Colon endoscopyThis is recommended to detect such cancers from once Most people will be 45 years old, An invasive procedure. People worried about coronavirus infections may have crouched.

On the positive side, Nelson said he was “really happy” that so many cancer institutions have been working on initiatives to increase screening. She and her colleagues are currently busy collecting data to assess the impact of this effort.

“There was a real gap in screening rates, but we hope the trend will reverse and some will be delayed,” Nelson said.

“Despite the pandemic, cancer treatment continues and we need to work harder to ensure that everyone has the treatment they deserve,” said Dana-Farber / Brigham and Women’s Prostate Cancer. Co-Director Dr. Quoc-Dien Trinh added. Program in Boston.

Related: Why and When Should You Get Cancer Screening?

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