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Published on: November 7, 2020
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Early Welsh cervical screening programme learning as a consequence of the coronavirus pandemic
Simon Leeson1, Andrew Evered2, Gareth Powell2
1Department of Obstetrics and Gynaecology, Betsi Cadwaladr University Health Board, Bangor, UK.
Summary
The coronavirus pandemic disrupted Wales's cervical screening program, leading to delays and potentially impacting cancer diagnoses. Lessons learned can improve future cervical cancer prevention services.
Area of Science:
- Public Health
- Oncology
- Epidemiology
Background:
- The COVID-19 pandemic significantly disrupted cervical screening services in Wales.
- Impacts were observed across eligible women, healthcare providers, and laboratory/colposcopy services.
Purpose of the Study:
- To investigate pandemic-related changes affecting cervical screening outcomes in Wales.
- To identify lessons for enhancing cervical screening programs nationally and internationally.
Main Methods:
- Review of cervical screening performance data from Wales (2020-2021).
- Comparative analysis of Wales's response with other national cervical screening programs during the pandemic.
Main Results:
- A three-month screening pause and altered working practices (social distancing, PPE, remote work) were implemented.
- Screening delays, reduced primary/secondary care services, and lockdowns led to extended colposcopy waiting times and potential diagnostic delays.
- Pre-pandemic initiatives like improved information, extended HPV-based screening intervals, and remote work for recall staff could mitigate future impacts.
Conclusions:
- Short-term interruptions to cervical screening occurred due to the pandemic.
- Pandemic-induced changes offer valuable lessons for improving cervical cancer prevention services.
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