Colorectal cancer screening in the COVID-19 era

Kadakuntla, Anusri; Wang, Tiffany; Medgyesy, Karen; Rrapi, Enxhi; Litynski, James; Adynski, Gillian I.; Tadros, Micheal

doi:10.4251/wjgo.v13.i4.238

Cited by 33 publications

(44 citation statements)

References 72 publications

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“…The findings align with published accounts of responses by individual breast, cervical, colorectal and lung cancer screening programmes 6 17 19 20 22 32–41. The literature ranged from reports from individual screening clinics or jurisdictions, to national cancer screening approaches.…”

Section: Discussionsupporting

confidence: 77%

“…Our study suggests that while these decisions can be extremely challenging, they are important and necessary considerations to being fast, adapting, calculating and ethically mindful. A prioritisation model for CRC screening and colonoscopy follow-up was essential during this time and has also been alluded to by others 18 35 44 50 51. The need for this type of prioritisation protocol is likely to extend to other crises and may also be useful in addressing the lingering backlog in screening and diagnosis resulting from the pandemic 43 52.…”

Section: Discussionmentioning

confidence: 99%

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Nimble Approach: fast, adapting, calculating and ethically mindful approach to managing colorectal cancer screening programmes during a pandemic

Baxter

Facey

Ruco

et al. 2022

BMJ Open Gastroenterol

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ObjectiveTo describe a conceptual framework that provides understanding of the challenges encountered and the adaptive approaches taken by organised colorectal cancer (CRC) screening programmes during the initial phase of the COVID-19 pandemic.DesignThis was a qualitative case study of international CRC screening programmes. Semi-structured interviews were conducted with programme managers/leaders and programme experts, researchers and clinical leaders of large, population-based screening programmes. Data analysis, using elements of grounded theory, as well as cross-cases analysis was conducted by two experienced qualitative researchers.Results19 participants were interviewed from seven programmes in North America, Europe and Australasia. A conceptual framework (‘Nimble Approach’) was the key outcome of the analysis. Four concepts constitute this approach to managing CRC screening programmes during COVID-19: Fast (meeting the need to make decisions and communicate quickly), Adapting (flexibly and creatively managing testing/colonoscopy capacity, access and backlogs), Calculating (modelling and actively monitoring programmes to inform decision-making and support programme quality) and Ethically Mindful (considering ethical conundrums emerging from programme responses). Highly integrated programmes, those with highly integrated communication networks, and that managed greater portions of the screening process seemed best positioned to respond to the crisis.ConclusionsThe Nimble Approach has potentially broad applications; it can be deployed to effectively respond to programme-specific challenges or manage CRC programmes during future pandemics, other health crises or emergencies.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Nimble Approach: fast, adapting, calculating and ethically mindful approach to managing colorectal cancer screening programmes during a pandemic

Baxter

Facey

Ruco

et al. 2022

BMJ Open Gastroenterol

View full text Add to dashboard Cite

show abstract

“…In order to mitigate the survival decline attributed to the interruption of the CRC screening pathway elicited by the COVID-19 pandemic, public health screening programs need to be restructured [40]. Loveday et al noted that prioritizing the high-risk CRC patients via FIT triage would alleviate 89% of deaths that would occur due to the lockdown backlog [37].…”

Section: Modified Crc Screening Approaches During Covid-19 Pandemicmentioning

confidence: 99%

Global Impact of COVID-19 on Colorectal Cancer Screening: Current Insights and Future Directions

et al. 2022

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The coronavirus disease 2019 (COVID-19) pandemic has brought significant challenges to many aspects of healthcare delivery since the first reported case in early December 2019. Once in the body, SARS-CoV-2 can spread to other digestive organs, such as the liver, because of the presence of ACE2 receptors. Colorectal cancer (CRC) remains the second-leading cause of death in the United States (US). Therefore, individuals are routinely screened using either endoscopic methods (i.e., flexible sigmoidoscopy and colonoscopy) or stool-based tests, as per the published guidelines. At the beginning of the COVID-19 pandemic, the Centers for Medicare and Medicaid Services (CMS) recommended that all non-urgent surgical and medical procedures, including screening colonoscopies, be delayed until the pandemic stabilization. This article aims to review the impact of COVID-19 on CRC screening.

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“…Note that throughout the pandemic, the use of telemedicine picked up to meet the needs of the healthcare system. This approach extends to CRC screening, where telehealth appointments regarding CRC screening have increased [39,40]. Telehealth visits are still ongoing, even as in-person CRC screenings in hospitals or other medical settings are starting to resume [41][42][43].…”

Section: Resuming Crc Screening During Covid-19 and Beyondmentioning

confidence: 99%

Colorectal Cancer Screening: Impact of COVID-19 Pandemic and Possible Consequences

Harber

Zeidan

Aslam

2021

Life

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Colonoscopy procedure has been the key screening method to detect colorectal cancer (CRC). As a fatal disease, CRC needs early detection. The COVID-19 pandemic caused screening tests (colonoscopy) to be halted and delayed. As a result, there could be dire consequences such as later-stage or missed diagnosis or greater mortality. This report will analyze scientific literature pertaining to interrupted CRC screenings due to COVID-19 while drawing historical parallels from the 1918 flu pandemic. We conducted literature searches in the PubMed database as well as in Google Scholar. One of the main lessons learned from the 1918 flu pandemic was to employ social distancing to stop the spread of the virus. So, the global response at the start and peak of the COVID-19 pandemic was decreased hospital visits for any non-emergency cases. That led to a halt and delays in cancer (including CRC) screenings. The Medical community predicted this lag will cause more CRC cases and deaths in the future. However, reorganizing and changing screening method strategies were helpful during the ongoing pandemic. In conclusion, COVID-19 greatly affected CRC screening, including how we view the future of CRC screening. We can learn from this prospect to better prepare for future pandemics or other public health crises.

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Colorectal cancer screening in the COVID-19 era

Cited by 33 publications

References 72 publications

Nimble Approach: fast, adapting, calculating and ethically mindful approach to managing colorectal cancer screening programmes during a pandemic

Nimble Approach: fast, adapting, calculating and ethically mindful approach to managing colorectal cancer screening programmes during a pandemic

Global Impact of COVID-19 on Colorectal Cancer Screening: Current Insights and Future Directions

Colorectal Cancer Screening: Impact of COVID-19 Pandemic and Possible Consequences

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