2020
DOI: 10.1200/cci.20.00134
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Impact of COVID-19 on Cancer Care: How the Pandemic Is Delaying Cancer Diagnosis and Treatment for American Seniors

Abstract: PURPOSE While the immediate care and access disruptions associated with the COVID-19 pandemic have received growing attention in certain areas, the full range of gaps in cancer screenings and treatment is not yet well understood or well documented throughout the country comprehensively. METHODS This study used a large medical claims clearinghouse database representing 5%-7% of the Medicare fee-for-service population to characterize changes in the utilization of cancer care services and gain insight into the im… Show more

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Cited by 517 publications
(603 citation statements)
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“…Screening rates declined in both routinely screened age groups during the stay-at-home order compared with rates during 2019, with similar declines across all racial and ethnic groups. Rates are compatible with findings of decreased cancer screening rates during 2020 in other parts of the United States ( 1 – 4 ). For example, the electronic health record vendor Epic Systems Corporation reviewed 2.7 million patient records from 39 organizations spanning 23 states and found a 67% decline in mean weekly cervical cancer screening volume during spring 2020, an estimated 40,000 delayed or missed screenings compared with equivalent weeks during spring 2017–2019 ( 1 ).…”
Section: Discussionsupporting
confidence: 86%
“…Screening rates declined in both routinely screened age groups during the stay-at-home order compared with rates during 2019, with similar declines across all racial and ethnic groups. Rates are compatible with findings of decreased cancer screening rates during 2020 in other parts of the United States ( 1 – 4 ). For example, the electronic health record vendor Epic Systems Corporation reviewed 2.7 million patient records from 39 organizations spanning 23 states and found a 67% decline in mean weekly cervical cancer screening volume during spring 2020, an estimated 40,000 delayed or missed screenings compared with equivalent weeks during spring 2017–2019 ( 1 ).…”
Section: Discussionsupporting
confidence: 86%
“…9 Preventative screenings for cervical, breast, and colon cancer plummeted. [10][11][12] And radiation oncology clinics in the United States reported treating 32% fewer patients than normal in April. 13 Given the risks of delaying cancer treatment, these trends were especially concerning.…”
mentioning
confidence: 99%
“…According to a recent study that used a large medical claim database in the United States [55] , cancer-related procedures (screening, biopsies, therapy) significantly dropped during the year 2020 when compared to the previous year 2019. Specifically, lung biopsies dropped by 58% and 47% during April 2020 and July 2020, respectively; lung cancer screening dropped by 75% in April 2020 and outpatient visits dropped by 74% in April 2020.…”
Section: Access To Health Care For Patients With Lung Cancer During Tmentioning
confidence: 99%