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Assessing the long-term impacts of the COVID-19 pandemic on disparities in cancer screening and follow-up

评估 COVID-19 大流行对癌症筛查和随访差异的长期影响

基本信息

批准号：
10673630
负责人：
GLORIA D CORONADO
金额：
$ 59.82万
依托单位：
KAISER FOUNDATION RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-07-15 至 2026-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10673630
关键词：
Adult American Cancer Society Authorization documentation COVID-19 COVID-19 impact COVID-19 pandemic COVID-19 pandemic effects Cancer Intervention and Surveillance Modeling Network Caring Centers for Population Health Cessation of life Clinic Clinical Collaborations Colonoscopy Colorectal Cancer Communities Data Data Sources Disparity Drops Electronic Health Record Eligibility Determination Ensure Equity Ethnic Origin Federally Qualified Health Center Fright Future Gastroenterology Goals Health Services Health Services Accessibility Health system Hospitalization Incidence Income Individual Insurance Coverage Interruption Intervention Interview Job loss Language Latinx Latinx population Life Long-Term Care Long-Term Effects Low income Malignant Neoplasms Mammography Medical Methods Modeling Natural Disasters Neighborhood Health Center Outcome Pap smear Patients Pattern Persons Preventive care Primary Care Protocols documentation Provider Race Recommendation Recovery Recovery Support Reduce health disparities Research Resources SARS-CoV-2 infection Screening for cancer Services Site United States Visit Vulnerable Populations authority cancer diagnosis cancer health disparity cancer prevention care delivery coronavirus disease disparity reduction economic impact experience federal poverty level follow-up health assessment health disparity populations improved infection rate innovation long term consequences of COVID-19 medical specialties models and simulation pandemic disease pandemic impact patient-level barriers post-COVID-19 post-pandemic pre-pandemic preference prevent screening screening services service delivery sex telehealth trend uptake

项目摘要

PROJECT SUMMARY/ABSTRACT: The COVID-19 pandemic has led to dramatic reductions in cancer screening and follow-up services. During the early months of the pandemic, national organizations recommended postponing all routine cancer screening, resulting in dramatic reductions in adult primary care and specialty care visits; current rates remain far below pre-pandemic levels. Modeling suggests that these reductions will result in over 57,000 missed cancer diagnoses and 10,000 excess deaths over the next decade. However, these models are largely informed by data sources made up predominantly of insured patients and lacking race/ethnicity information. Thus, more information is needed to understand the strategies and resources need to support the recovery of health systems and communities that have been most impacted by COVID-19. The effects of the pandemic on cancer screening uptake may be particularly profound for patients served by resource-limited federally qualified health centers (FQHCs), which deliver services a large share of patients with incomes below the federal poverty level and who are Latinx. Latinx populations already have some of the lowest rates of cancer screening and follow-up care in the United States and are likely to experience the largest reductions in care and slower return to normal following COVID-19. This is, in part, because their communities have been hit particularly hard by COVID-19 (e.g. high rates of COVID-19 infections and hospitalizations and job loss) and they may fear returning for preventive care even when medical authorities have deemed it safe. Our proposed mixed-methods study will estimate the impact of the COVID-19 pandemic on rates of cancer screening and follow-up in patients served by a large, diverse FQHC (Aim 1), and estimate impacts on cancer outcomes (e.g. changes in life years gained, cancers prevented, and late-stage cancer incidence) in the FQHC population building on models developed by the CRC-SPN Cancer Intervention and Surveillance Modeling Network (Aim 2). Finally, we will gather qualitative data from clinic staff and patients to identify opportunities to improve post-pandemic cancer preventive care delivery for adults served by FQHCs (Aim 3). There is a critical need to understand the long-term impacts of COVID-19-care reductions on vulnerable populations and identify opportunities to meet the ongoing cancer prevention needs of patients served by FQHCs. We will collaborate with national stakeholders to develop FQHC-specific guidance to inform future interventions to support recovery from COVID-like care disruptions Thus, our findings will support access to care and reduction of health disparities for communities most impacted by COVID-19.

项目摘要/摘要：2019冠状病毒病大流行导致癌症病例大幅减少