Impact of the COVID-19 pandemic on breast cancer screening volumes and patient screening behaviors.
Impact of the COVID-19 pandemic on breast cancer screening volumes and patient screening behaviors.
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DOI：
10.1007/s10549-021-06252-1
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发表时间：
2021-08
影响因子：
3.8
通讯作者：
Showalter SL
中科院分区：
文献类型：
--
作者：
Miller MM;Meneveau MO;Rochman CM;Schroen AT;Lattimore CM;Gaspard PA;Cubbage RS;Showalter SL
为了促进有针对性的外展，我们试图确定在covid -19相关成像中心关闭后返回乳腺癌筛查可能性较低的患者人群。将2019年（基准年）和2020年（受covid -19影响年）每周进行的乳房x线检查总数进行比较。比较2019年3月16日至10月31日（基线队列）和2020年（受covid -19影响的队列）患者的人口统计学和临床特征，包括年龄、种族、民族、乳房密度、乳腺癌病史、保险状况、使用的成像设备类型和翻译需求。研究人员利用人口普查数据和在线地图服务来估算社会经济变量，并计算每位患者的出行时间。使用逻辑回归来确定与covid -19相关关闭后返回筛查可能性较低相关的患者特征。乳房x光检查数量的年累积差异在第21周达到顶峰，在受covid -19影响的一年里，检查次数减少了2962次。到第47周，赤字减少了49.4%，为1498。与covid -19相关的关闭后返回筛查的可能性较低与年龄较小（比值比（OR） 0.78, p < 0.001）、居住在高贫困地区（OR 0.991, p = 0.014）、缺乏健康保险（OR 0.65, p = 0.007）、需要翻译（OR 0.68, p = 0.029）、旅行时间较长（OR 0.998, p < 0.001）和利用移动乳房x光检查服务（OR 0.27, p < 0.001）独立相关。一些患者因素与covid -19相关关闭后返回进行乳房x光筛查的可能性较低有关。了解这些因素可以指导有针对性地向弱势患者推广，以促进乳腺癌筛查。在线版本包含补充材料，可在10.1007/s10549-021-06252-1获得。
In order to facilitate targeted outreach, we sought to identify patient populations with a lower likelihood of returning for breast cancer screening after COVID-19-related imaging center closures. Weekly total screening mammograms performed throughout 2019 (baseline year) and 2020 (COVID-19-impacted year) were compared. Demographic and clinical characteristics, including age, race, ethnicity, breast density, breast cancer history, insurance status, imaging facility type used, and need for interpreter, were compared between patients imaged from March 16 to October 31 in 2019 (baseline cohort) and 2020 (COVID-19-impacted cohort). Census data and an online map service were used to impute socioeconomic variables and calculate travel times for each patient. Logistic regression was used to identify patient characteristics associated with a lower likelihood of returning for screening after COVID-19-related closures. The year-over-year cumulative difference in screening mammogram volumes peaked in week 21, with 2962 fewer exams in the COVID-19-impacted year. By week 47, this deficit had reduced by 49.4% to 1498. A lower likelihood of returning for screening after COVID-19-related closures was independently associated with younger age (odds ratio (OR) 0.78, p < 0.001), residence in a higher poverty area (OR 0.991, p = 0.014), lack of health insurance (OR 0.65, p = 0.007), need for an interpreter (OR 0.68, p = 0.029), longer travel time (OR 0.998, p < 0.001), and utilization of mobile mammography services (OR 0.27, p < 0.001). Several patient factors are associated with a lower likelihood of returning for screening mammography after COVID-19-related closures. Knowledge of these factors can guide targeted outreach to vulnerable patients to facilitate breast cancer screening. The online version contains supplementary material available at 10.1007/s10549-021-06252-1.
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影响因子：
3
作者：
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通讯作者：
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