Global Impact of COVID-19 on Colorectal Cancer Screening: Current Insights and Future Directions

Jonathan Kopel1, Bojana Ristic2, Gregory L Brower3

  • 1Department of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX 79430, USA.

Insights

The COVID-19 pandemic disrupted colorectal cancer (CRC) screening, including colonoscopies, due to healthcare system strain. This review examines the pandemic's impact on CRC screening practices and patient outcomes.

Area of Science:

  • Gastroenterology
  • Oncology
  • Public Health

Background:

  • The COVID-19 pandemic significantly challenged healthcare delivery globally.
  • Colorectal cancer (CRC) is a leading cause of cancer death in the US.
  • SARS-CoV-2, the virus causing COVID-19, can affect digestive organs due to ACE2 receptors.

Purpose of the Study:

  • To review the impact of the COVID-19 pandemic on colorectal cancer screening.
  • To analyze disruptions in routine CRC screening procedures.

Main Methods:

  • Review of published guidelines and recommendations regarding medical procedures during the pandemic.
  • Analysis of the effects of delayed non-urgent procedures, such as screening colonoscopies.

Main Results:

  • The Centers for Medicare and Medicaid Services (CMS) recommended delaying non-urgent procedures, including screening colonoscopies, at the pandemic's onset.
  • Disruptions in CRC screening may have significant implications for early detection and patient outcomes.

Conclusions:

  • The COVID-19 pandemic necessitated a re-evaluation of healthcare delivery for essential screenings like CRC screening.
  • Understanding the impact of such disruptions is crucial for future public health preparedness and cancer control strategies.

Related Concept Videos

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy

This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
169
Cancer Prevention02:59

Cancer Prevention

Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
6.3K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.9K
Cancer Survival Analysis01:21

Cancer Survival Analysis

Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
476
Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
234
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
484