Undiagnosed Cancer Cases in the US During the First 10 Months of the COVID-19 Pandemic

  • 0Markey Cancer Center, University of Kentucky, Lexington.

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Summary

This summary is machine-generated.

The COVID-19 pandemic caused a significant drop in cancer diagnoses, with over 134,000 potentially missed cases in the US. This highlights the need to improve cancer screening and detection efforts post-pandemic.

Area Of Science

  • Oncology
  • Public Health
  • Epidemiology

Background

  • The COVID-19 pandemic significantly impacted healthcare services, including cancer screening and diagnosis.
  • A comprehensive national analysis of this disruption using cancer registry data was lacking.

Purpose Of The Study

  • To assess cancer incidence trends in the US from March to December 2020.
  • To quantify the disruption in cancer detection caused by the COVID-19 pandemic.

Main Methods

  • Population-based cross-sectional analysis of invasive cancer diagnoses from US Cancer Statistics (2018-2020).
  • Time-series forecasting used to estimate expected cancer rates based on prepandemic trends.
  • Comparison of observed versus expected incidence rates to determine missed cancer cases.

Main Results

  • A 13.0% decrease in overall cancer incidence was observed during the first 10 months of the pandemic, equating to approximately 134,395 potentially missed diagnoses.
  • Prostate, female breast, and lung cancers accounted for the largest numbers of missed cases.
  • Screenable cancers, including female breast, colorectal, cervical, and lung, showed reduced incidence rates, with varying degrees of recovery.

Conclusions

  • The COVID-19 pandemic caused a substantial disruption in cancer diagnoses across the US.
  • Findings underscore the need for targeted interventions to address the backlog in cancer screening and detection.
  • Understanding these disruptions is crucial for optimizing future cancer care strategies.

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