Disparities in Cancer Prevention in the COVID-19 Era.
Disparities in Cancer Prevention in the COVID-19 Era.
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DOI：
10.1158/1940-6207.capr-20-0447
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发表时间：
2020-11
期刊：
影响因子：
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通讯作者：
D'Souza G
中科院分区：
文献类型：
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作者：
Carethers JM;Sengupta R;Blakey R;Ribas A;D'Souza G
癌症筛查是预防癌症死亡的一种经过验证和推荐的方法;筛查可以在早期阶段定位前驱病变和/或癌症，此时可能是可治愈的。在美国，种族和少数民族以及其他医疗服务不足的人群比非少数民族的癌症筛查率低。COVID-19大流行对少数族裔社区造成不成比例的影响，减少了预防服务，包括癌症筛查，以保护个人防护设备并防止感染传播。虽然有证据显示，全国范围内因大流行而减少的癌症筛查有所反弹，但这种反弹可能并非在所有人群中实现，由于COVID-19对社区的破坏，已经落后的少数人群筛查变得更加落后。对感染COVID-19的恐惧，有限的安全网诊所以及个人因素，如财务，就业和交通问题，是医疗服务不足的社区加剧的担忧。癌症筛查的长期延迟将使总体人群中的癌症从COVID-19前的轨迹增加，并加剧少数人群中的癌症差异。了解癌症筛查的总体益处与获得COVID-19的风险，利用家庭筛查测试并将COVID-19引起的筛查延迟降至最低可能会减缓差异的增长。
Screening for cancer is a proven and recommended approach to prevent deaths from cancer; screening can locate precursor lesions and/or cancer at early stages when it is potentially curable. Racial and ethnic minorities and other medically underserved populations exhibit lower uptake of cancer screening than nonminorities in the United States. The COVID-19 pandemic, which disproportionately affected minority communities, has curtailed preventive services including cancer screening to preserve personal protective equipment and prevent spread of infection. While there is evidence for a rebound from the pandemic-driven reduction in cancer screening nationally, the return may not be even across all populations, with minority population screening that was already behind becoming further behind as a result of the community ravages from COVID-19. Fear of contracting COVID-19, limited access to safety-net clinics, and personal factors like, financial, employment, and transportation issues are concerns that are intensified in medically underserved communities. Prolonged delays in cancer screening will increase cancer in the overall population from pre-COVID-19 trajectories, and elevate the cancer disparity in minority populations. Knowing the overall benefit of cancer screening versus the risk of acquiring COVID-19, utilizing at-home screening tests and keeping the COVID-19–induced delay in screening to a minimum might slow the growth of disparity.