Impact of the COVID-19 breast cancer screening hiatus on clinical stage and racial disparities in New York City - 11/10/22

Doi : 10.1016/j.amjsurg.2022.05.037

Genevieve A. Fasano ^a, Solange Bayard ^a, Rulla Tamimi ^b, Vivian Bea ^c, Manmeet Malik ^d, Melissa Davis ^a, Rache Simmons ^a, Alexander Swistel ^a, Jennifer Marti ^a, Michele Drotman ^e, Janine Katzen ^e, Silvia Formenti ^f, John Ng ^f, Alan Astrow ^g, Evelyn Taiwo ^g, Onyinye Balogun ^h, Beth Siegel ^d, Agnes Radzio ^d, Lauren Elreda ⁱ, Yalei Chen ^j, Lisa Newman ^a,^⁎
^a New York Presbyterian-Weill Cornell Medicine, Department of Breast Surgery, 1283 York Avenue, 4th Floor, New York, NY, 10065, USA
^b New York Presbyterian – Weill Cornell Medicine Department of Population Health Sciences, 402 East 67th Street, LA-219, New York, NY, 10065, USA
^c New York Presbyterian-Brooklyn Methodist Hospital, Department of Breast Surgery, 506 6th Street, Brooklyn, NY, 11215, USA
^d New York Presbyterian – Queens Hospital, Department of Breast Surgery, 56-45 Main Street Queens, NY, 11355, USA
^e Weill Cornell Imaging at New York Presbyterian, 425 East 61st Street, 9th Floor, New York, NY, 10021, USA
^f New York Presbyterian-Weill Cornell Medicine, Department of Radiation Oncology, 1283 York Avenue, 4th Floor, New York, NY, 10065, USA
^g New York Presbyterian-Brooklyn Methodist Hospital, Department of Medical Oncology, 263 7th Ave, Suite 4H, Brooklyn, NY, 11215, USA
^h New York Presbyterian-Brooklyn Methodist Hospital, Department of Radiation Oncology, 506 6th Street, Brooklyn, NY, 11215, USA
ⁱ New York Presbyterian – Queens Hospital, Department of Medical Oncology, 56-45 Main Street Queens, NY, 11355, USA
^j Henry Ford Health System, Department of Surgery, 1 Ford Place, Detroit, MI, 48202, USA

^∗Corresponding author. East 70th Street, New York, NY, 10021, USA.East 70th StreetNew YorkNY10021USA

connectez-vous ou créez un compte

Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.

Connectez-vous pour en bénéficier!

Abstract

Background

The impact of the COVID-19 mammography screening hiatus as well as of post-hiatus efforts promoting restoration of elective healthcare on breast cancer detection patterns and stage distribution is unknown.

Methods

Newly diagnosed breast cancer patients (2019–2021) at the New York Presbyterian (NYP) Hospital Network were analyzed. Chi-square and student's t-test compared characteristics of patients presenting before and after the screening hiatus.

Results

A total of 2137 patients were analyzed. Frequency of screen-detected and early-stage breast cancer declined post-hiatus (59.7%), but returned to baseline (69.3%). Frequency of screen-detected breast cancer was lowest for African American (AA) (57.5%) and Medicaid patients pre-hiatus (57.2%), and this disparity was reduced post-hiatus (65.3% for AA and 63.2% for Medicaid).

Conclusions

The return to baseline levels of screen-detected cancer, particularly among AA and Medicaid patients suggest that large-scale breast health education campaigns may be effective in resuming screening practices and in mitigating disparities.

Le texte complet de cet article est disponible en PDF.

Highlights

•	Fewer screen-detected breast cancers were diagnosed after the COVID-19 screening hiatus.
•	Return to baseline levels was observed by mid-2021.
•	Racial disparities in screen-detection were seen prior to the pandemic.
•	Screen-detection disparities were mitigated post-hiatus.

Le texte complet de cet article est disponible en PDF.

Keywords : Breast cancer, Mammography, Healthcare disparities, COVID-19, Screening

Plan

Impact of the screening hiatus on patient population across the network

Impact of the COVID-19 screening hiatus on individual network sites

Disparities in screen-detected breast cancer

Comparison of patients during post-hiatus intervals

Disparities in screen-detected breast cancer by insurance status

Export

Vol 224 - N° 4

P. 1039-1045 - octobre 2022 Retour au numéro

Article précédent

Redressing breast cancer screening disparities during the COVID-19 pandemic: Turning crisis into opportunity
Jennifer H. Fieber, Oluwadamilola M. Fayanju

| Article suivant

Active antiracism through surgical education
Solange Bayard, Josh Johnson, Misha Armstrong, James G. Connolly, Emily Manin, Hillary Polk, Tamika Gillot, Lamisha Shah, Manmeet Malik, Michael Zenilman, Fabrizio Michelassi, Stephen Oh, Vivian Bea, Minerva Romero Arenas, Lisa Newman

Bienvenue sur EM-consulte, la référence des professionnels de santé.

connectez-vous ou créez un compte

Impact of the COVID-19 breast cancer screening hiatus on clinical stage and racial disparities in New York City - 11/10/22

Abstract

Background

Methods

Results

Conclusions

Highlights

Plan

Export citations

Fichier

Contenu

Accès rapides

Mon compte

Aide & support

Plateformes Elsevier Masson

Déclaration CNIL