The trajectory of racial/ethnic disparities in the use of cancer screening before and during the COVID-19 pandemic: A large U.S. academic center analysis.
The trajectory of racial/ethnic disparities in the use of cancer screening before and during the COVID-19 pandemic: A large U.S. academic center analysis.
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DOI：
10.1016/j.ypmed.2021.106640
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发表时间：
2021-10
影响因子：
5.1
通讯作者：
Haas JS
中科院分区：
文献类型：
--
作者：
Marcondes FO;Cheng D;Warner ET;Kamran SC;Haas JS
癌症筛查率在COVID-19大流行早期急剧下降。由于少数种族/族裔群体的疾病负担和失业不成比例，以及不同种族/族裔群体之间恢复护理的可能性不均衡，大流行的影响可能加剧了癌症筛查方面的现有差距。我们使用马萨诸塞州总布里格姆（MGB）的电子健康记录数据，评估了大流行之前和期间乳腺癌、宫颈癌、结直肠癌和肺癌筛查率的变化。在MGB附属初级保健实践中接受初级保健的患者中，癌症筛查率计算为在2019年4月至2020年11月期间每个月接受每种癌症类型筛查测试的人数超过每次测试的人数。我们进行了一项中断的时间序列分析，以测试在大流行之前和期间按种族/民族划分的筛查率的变化。在大流行之前，相对于白色个体，亚洲女性接受乳腺癌筛查的可能性较小（p < 0.001），拉丁裔和黑人个体接受肺癌筛查的可能性较小（p < 0.001和p = 0.02）。我们的研究结果没有显示任何癌症筛查类型的种族/民族差异随着筛查的恢复而显著改善或恶化。然而，截至2020年11月，拉丁裔个体的乳腺癌筛查率低于大流行前的水平，拉丁裔、黑人或白色个体的肺癌筛查率高于基线水平。随着大流行病的发展，有必要进一步监测癌症筛查的差异。
Cancer screening rates declined sharply early in the COVID-19 pandemic. The impact of the pandemic may have exacerbated existing disparities in cancer screening due to the disproportionate burden of illness and job loss among racial/ ethnic minorities, and potentially, uneven resumption of care between different racial/ ethnic groups. Using electronic health record data from Mass General Brigham (MGB), we assessed changes in rates of breast, cervical, colorectal and lung cancer screening before and during the pandemic. Among patients who received primary care in an MGB-affiliated primary care practice, cancer screening rates were calculated as the number of individuals who received a screening test for each cancer type over the number of individuals due for each test, during each month between April 2019–November 2020. We conducted an interrupted time-series analysis to test for changes in screening rates by race/ethnicity before and during the pandemic. Prior to the pandemic, relative to White individuals, Asian women were less likely to receive breast cancer screening (p < 0.001), and Latinx and Black individuals were less likely to screen for lung cancer (p < 0.001 and p = 0.02). Our results did not show significant improvement or worsening of racial/ethnic disparities for any cancer screening type as screening resumed. However, as of November 2020 rates of screening for breast cancer were lower than pre-pandemic levels for Latinx individuals, and lung cancer screening rates were higher than baseline for Latinx, Black or White individuals. Further monitoring of disparities in cancer screening is warranted as the pandemic evolves.
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DOI：
10.1200/edbk_201365
发表时间：
2018-05-23
期刊：
American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting
影响因子：
--
作者：
El Saghir, Nagi S;Soto Perez de Celis, Enrique;Sullivan, Richard
通讯作者：
Sullivan, Richard
影响因子：
39.2
作者：
Moyer, Virginia A.
通讯作者：
Moyer, Virginia A.
DOI：
10.1046/j.1365-2710.2002.00430.x
发表时间：
2002-08-01
影响因子：
2
作者：
Wagner, AK;Soumerai, SB;Ross-Degnan, D
通讯作者：
Ross-Degnan, D
影响因子：
5.5
作者：
Hall, Ingrid J.;Tangka, Florence K. L.;Breen, Nancy
通讯作者：
Breen, Nancy
影响因子：
13.8
作者：
Kreps S;Prasad S;Brownstein JS;Hswen Y;Garibaldi BT;Zhang B;Kriner DL
通讯作者：
Kriner DL