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Has COVID-19 Affected Cancer Screening Programs? A Systematic Review
Ibrahim Alkatout1, Matthias Biebl2, Zohre Momenimovahed3
1Kiel School of Gynaecological Endoscopy, University Hospitals Schleswig-Holstein, Kiel, Germany.
Background:
Health care services across the world have been enormously affected by the onset of the coronavirus disease 2019 (COVID-19). Services in oncology have been curtailed because medical services have been focused on preventing the spread of the virus and maximizing the number of available hospital beds. The present study was designed to investigate the impact of COVID-19 on cancer screening.
Methods:
Databases such as Medline, Web of Science Core Collection (Indexes = SCI-EXPANDED, SSCI, A & HCI Timespan) and Scopus were searched comprehensively for articles published until January 2021. The keywords used were COVID-19 and cancer screening, Articles dealing with cancer screening in the COVID-19 pandemic were included in the review.
Results:
The review comprised 17 publications. The impact of COVID-19 was categorized into four dimensions: a significant decline in cancer screening and pathology samples, the cancer diagnosis rate, an increase in advanced cancers, mortality rate and years of life lost (YLLs).
Conclusion:
Cancer screening programs have been clearly interrupted since the onset of the COVID-19 disease. The anticipated outcomes include delayed diagnosis and marked increases in the numbers of avoidable cancer deaths. Urgent policy interventions are needed to handle the backlog of routine diagnostic services and minimize the harmful effects of the COVID-19 pandemic on cancer patients.
Insights
The coronavirus disease 2019 (COVID-19) pandemic significantly disrupted cancer screening services, leading to fewer diagnoses and more advanced cancers. Urgent interventions are needed to address the backlog and prevent avoidable cancer deaths.
Area of Science:
- Oncology
- Public Health
- Epidemiology
Background:
- The COVID-19 pandemic severely impacted global healthcare services, including oncology.
- Cancer screening programs were curtailed due to resource reallocation and infection control measures.
Purpose of the Study:
- To investigate the impact of the COVID-19 pandemic on cancer screening.
- To analyze the consequences of these disruptions on cancer diagnosis and patient outcomes.
Main Methods:
- A comprehensive literature review was conducted.
- Searched databases included Medline, Web of Science, and Scopus for articles published until January 2021.
- Keywords used were 'COVID-19' and 'cancer screening'.
Main Results:
- The review analyzed 17 publications detailing the pandemic's effects.
- Observed impacts included a significant decline in cancer screening and pathology samples.
- There was a noted increase in advanced cancers, higher mortality rates, and increased Years of Life Lost (YLLs).
Conclusions:
- Cancer screening programs experienced significant interruptions due to COVID-19.
- Anticipated outcomes include delayed diagnoses and a rise in preventable cancer deaths.
- Urgent policy interventions are crucial to manage diagnostic backlogs and mitigate adverse effects on cancer patients.
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