Impact of the COVID-19 Pandemic on Breast Cancer                     Diagnoses

Heller, Samantha L.

doi:10.1148/radiol.2021212477

Cited by 2 publications

(1 citation statement)

References 10 publications

(8 reference statements)

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“…This is suggestive that the impact of COVID-19 might derive from a delay from screening-based detection of breast cancer, which will emerge over decades. [4][5][6] As such, it is likely that a difference in breast cancer stage at operation would be challenging to detect as it would not manifest in a year-long study period. However, other analyses suggest that if analyses continue for longer duration and with increased power, a difference in morbidity and mortality might manifest.…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Breast Cancer Screening and Operative Treatment

Cairns

Jones

Cronin

et al. 2022

The American Surgeon™

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Introduction The COVID-19 pandemic has impacted many areas of health care and had a significant impact on care delivery, including breast cancer. Methods To better understand the changes to detection and treatment of breast cancer at our institution, we analyzed mammogram rates (screening and diagnostic) and breast cancer operations in 2019-2020. Mammography rates were calculated using county level census data for eligible women (Z-test). For breast cancer staging, a stage severity score was analyzed with a Mann-Whitney U-test (two-tail, P < .05) with proportions derived from WFBH operative volume quarterly reports. Results: Data revealed a relative decline from 2019 to 2020 in breast cancer screening. Screening mammograms decreased by 44% or 1558 fewer screening mammograms (Z = 4.75, P < .00001) and by 21% or 771 fewer for diagnostic mammograms (Z = 2.16, P = .03). With regards to breast cancer operations, we did not identify a statistically significant difference in number of new breast cancer operations at WFBH with 340 cases in 2020 as compared to 384 cases in 2019 ( P = .9905). We compared a breast cancer severity score (weighted by stage at time of operation), which did not reveal statistically significant difference in clinical stage of breast cancer at time of operation ( P = .71, U = 28). Conclusion Mammography was impacted more than breast surgery cases by the COVID-19 pandemic. More data needs to be collected to evaluate future morbidity and mortality related to breast cancer operations and persistent disparities related to delay in breast cancer care due to COVID-19.

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Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Breast Cancer Screening and Operative Treatment

Cairns

Jones

Cronin

et al. 2022

The American Surgeon™

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Mobile Mammography Services and Underserved Women

et al. 2022

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Breast cancer, the second most common cause of cancer in women, affects people across different ages, ethnicities, and incomes. However, while all women have some risk of breast cancer, studies have found that some populations are more vulnerable to poor breast cancer outcomes. Specifically, women with lower socioeconomic status and of Black and Hispanic ethnicity have been found to have more advanced stages of cancer upon diagnosis. These findings correlate with studies that have found decreased use of screening mammography services in these underserved populations. To alleviate these healthcare disparities, mobile mammography units are well positioned to provide convenient screening services to enable earlier detection of breast cancer. Mobile mammography services have been operating since the 1970s, and, in the current pandemic, they may be extremely helpful. The COVID-19 pandemic has significantly disrupted necessary screening services, and reinstatement and implementation of accessible mobile screenings may help to alleviate the impact of missed screenings. This review discusses the history and benefits of mobile mammography, especially for underserved women.

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Impact of the COVID-19 Pandemic on Breast Cancer Diagnoses

Cited by 2 publications

References 10 publications

Impact of the COVID-19 Pandemic on Breast Cancer Screening and Operative Treatment

Impact of the COVID-19 Pandemic on Breast Cancer Screening and Operative Treatment

Mobile Mammography Services and Underserved Women

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