medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2022,
Volume and Issue:
unknown
Published: Aug. 17, 2022
Abstract
Background
In
Italy,
population-based
screening
programs
for
breast,
cervical
and
colorectal
cancers
are
mandatory,
Regions
in
charge
of
their
delivery.
From
March
to
May
2020,
a
severe
lockdown
was
imposed
due
the
Covid-19
pandemic
by
Italian
Ministry
Health,
with
suspension
programs.
This
paper
describes
impact
on
activities
test
coverage
2020.
Methods
The
regional
number
subjects
invited
tests
performed
2020
were
compared
those
2019.
Invitation
examination
also
calculated.
PASSI
surveillance
system,
through
telephone
interviews,
investigated
population
coverage,
before
during
pandemic,
accordingly
educational
attainment,
perceived
economic
difficulties
citizenship.
Results
A
reduction
performed,
differences
among
periods
geographic
macro
areas,
observed
vs.
larger
than
that
invitation
all
campaigns.
second
half
trend
showed
decrease
areas
Compared
pre-pandemic
period,
there
greater
difference
according
level
education
odds
having
had
last
year
never
been
screened
or
not
being
up
date
tests.
addition,
foreigners
less
access
Italians
did.
Conclusions
ongoing
emergency
caused
an
important
delay
activities.
increased
pre-existing
individual
geographical
inequalities
access.
opportunistic
did
mitigate
impact.
Funding
study
partially
supported
Health
–
Ricerca
Corrente
Annual
Program
2023.
Fundamental Research,
Journal Year:
2024,
Volume and Issue:
4(3), P. 484 - 494
Published: Feb. 8, 2024
The
sudden
onset
of
the
coronavirus
disease
2019
(COVID-19)
in
January
2020
has
affected
essential
global
health
services.
Cancer-screening
services
that
can
reduce
cancer
mortality
are
strongly
affected.
However,
specific
role
COVID-19
screening
is
not
fully
understood.
This
study
aimed
to
assess
efficiency
programs
before
and
during
pandemic
promote
potential
cancer-screening
strategies
for
next
pandemic.
Electronic
searches
PubMed,
Embase,
Web
Science,
manual
were
performed
between
1,
March
2023.
Cohort
studies
reported
number
participants
who
underwent
included.
methodological
quality
included
was
assessed
using
Newcastle-Ottawa
Scale.
Differences
rates
estimated
incidence
rate
ratio
(IRR).
Fifty-five
cohort
this
meta-analysis.
colorectal
invasive
methods
(Pooled
IRR=0.52,
95%
CI:
0.42
0.65,
p<0.01),
cervical
IRR=0.56,
0.47
0.67,
breast
IRR=0.57,
0.49
0.66,
p<0.01)
prostate
IRR=0.71,
0.56
0.90,
significantly
lower
than
those
lung
IRR=0.77,
0.58
1.03,
p=0.08)
noninvasive
IRR=0.74,
0.50
1.09,
p=0.13)
reduced
with
no
statistical
differences.
subgroup
analyses
revealed
reduction
varied
across
economies.
Our
results
suggest
had
a
noteworthy
impact
on
colorectal,
cervical,
breast,
screening.
Developing
innovative
technologies
important
post-COVID-19
era
prepare
Cancer Discovery,
Journal Year:
2021,
Volume and Issue:
12(2), P. 303 - 330
Published: Dec. 10, 2021
The
ongoing
coronavirus
disease
2019
(COVID-19)
pandemic
has
left
patients
with
current
or
past
history
of
cancer
facing
disparate
consequences
at
every
stage
the
trajectory.
This
comprehensive
review
offers
a
landscape
analysis
state
literature
on
COVID-19
and
cancer,
including
immune
response
to
COVID-19,
risk
factors
for
severe
disease,
impact
anticancer
therapies.
We
also
latest
data
treatment
vaccination
safety
efficacy
in
as
well
care,
urgent
need
rapid
evidence
generation
real-world
study
designs.
SIGNIFICANCE:
Patients
have
faced
journey
due
pandemic.
field
regarding
cancer.
cover
response,
implications
care
delivery.
Overall,
this
provides
an
in-depth
summary
key
issues
during
unprecedented
health
crisis.
ESMO Open,
Journal Year:
2021,
Volume and Issue:
7(1), P. 100374 - 100374
Published: Dec. 17, 2021
•Risk
of
distress/burnout
amongst
oncology
professionals
continues
to
worsen
since
COVID-19
despite
improved
job
performance.•Female
and
younger
(≤40
years
old)
colleagues
continue
be
at
higher
risk
poor
well-being
feeling
burnout.•Job
demands
have
increased,
with
nearly
half
now
overwhelmed
workload.•Concerns
regarding
career
development/training,
security,
international
fellowship
opportunities
remain
high.•A
quarter
reported
considering
changing
their
career,
including
leaving
the
profession.
BackgroundCOVID-19
has
had
a
significant
impact
on
performance
globally.
The
European
Society
for
Medical
Oncology
(ESMO)
Resilience
Task
Force
collaboration
set
out
investigate
monitor
in
relation
work,
lifestyle
support
factors
1
year
start
pandemic.MethodsAn
online,
anonymous
survey
was
conducted
February/March
2021
(Survey
III).
Key
outcome
variables
included
or
distress
(expanded
Well-Being
Index),
burnout
(single
item
from
expanded
COVID-19.
Longitudinal
analysis
responses
series
three
surveys
carried
out,
resources
questions
were
interrogated.
SPSS
V.26.0/V.27.0
GraphPad
Prism
V9.0
used
statistical
analyses.ResultsResponses
1269
participants
104
countries
analysed
Survey
III:
55%
(n
=
699/1269)
female,
54%
686/1269)
>40
years,
69%
852/1230)
white
ethnicity.
There
an
increased
464/1169,
40%)
660/1169,
57%)
compared
I
(25%
38%
respectively,
P
<
0.0001),
performance.
Compared
initial
period
pandemic,
more
report
workload
(45%
versus
29%,
0.0001).
concerns
about
negative
pandemic
development/training
(43%),
security
(37%).
(76%).
Alarmingly,
25%
266/1086)
are
future
100/266)
contemplating
profession.ConclusionOncology
face
demands.
is
concern
potential
attrition
workforce.
National
stakeholders
must
act
immediately
work
closely
draw
up
future-proof
recovery
plans.
pandemic.
An
analyses.
Responses
COVID-19
has
strained
population
breast
mammography
screening
programs
that
aim
to
diagnose
and
treat
cancers
earlier.
As
the
pandemic
affected
countries
differently,
we
aimed
quantify
changes
in
volume
uptake
during
first
year
of
.
We
systematically
searched
Medline,
World
Health
Organization
(WHO)
database,
governmental
databases.
Studies
covering
January
2020
March
2022
were
included.
extracted
analyzed
data
regarding
study
methodology,
volume,
uptake.
To
assess
for
risk
bias,
used
Joanna
Briggs
Institute
(JBI)
Critical
Appraisal
Tool.
Twenty-six
cross-sectional
descriptive
studies
(focusing
on
13
countries/nations)
included
out
935
independent
records.
Reductions
rates
observed
among
eight
countries.
Changes
participation
five
nations
with
national
population-based
ranged
from
-13
-31%.
Among
two
limited
programs,
decline
-61
-41%.
Within
USA,
volumes
varied
ranging
+18
-39%,
suggestion
differences
by
insurance
status
(HMO,
Medicare,
low-income
programs).
Almost
all
had
high
bias
due
insufficient
statistical
analysis
confounding
factors.
The
extent
COVID-19-induced
reduction
differed
region
suggested
potential
healthcare
setting
(e.g.,
health
vs.
private
healthcare).
Recovery
efforts
should
monitor
access
early
diagnosis
determine
whether
prevention
services
need
strengthening
increase
coverage
disadvantaged
groups
reduce
disparities.
BMJ Open,
Journal Year:
2022,
Volume and Issue:
12(5), P. e058739 - e058739
Published: May 1, 2022
This
pilot
study
aimed
to
evaluate
the
acceptability
of
a
codesigned,
culturally
tailored,
faith-based
online
intervention
increase
uptake
breast,
colorectal
and
cervical
screening
in
Scottish
Muslim
women.
The
was
codesigned
with
women
(n=10)
underpinned
by
reframe,
reprioritise
reform
model
behaviour
change
wheel.The
conducted
online,
using
Zoom,
due
COVID-19
pandemic.Participants
(n=18)
taking
part
subsequently
its
evaluation,
were
residing
Scotland,
recruited
through
purposive
snowball
sampling
from
mosque
community
organisations.
Participants
aged
between
25
years
54
Asian
Arab
ethnicity.The
study's
included
(1)
peer-led
discussion
barriers
screening,
(2)
health
education
session
led
healthcare
provider,
(3)
videos
women's
experiences
cancer
or
(4)
religious
perspective
on
delivered
female
scholar
(alimah).
twice
March
2021,
followed
1
week
later
two
focus
groups,
consisting
same
participants,
respectively,
discuss
participants'
intervention.
Focus
group
transcripts
analysed
thematically.Participants
accepted
content
delivery
positive
about
their
experience
reported
knowledge
had
increased
shared
views
towards
screening.
They
valued
multidimensional
intervention,
appreciated
perspective,
particular
liked
personal
stories
input
provider.Participatory
community-centred
approaches
can
play
an
important
role
tackling
inequalities
Despite
limitations,
showed
potential
positively
received
participants.
Feasibility
testing
is
needed
investigate
effectiveness
larger
scale
full
trial.
Background:
In
Italy,
regions
have
the
mandate
to
implement
population-based
screening
programs
for
breast,
cervical,
and
colorectal
cancer.
From
March
May
2020,
a
severe
lockdown
was
imposed
due
COVID-19
pandemic
by
Italian
Ministry
of
Health,
with
suspension
programs.
This
paper
describes
impact
on
activities
test
coverage
in
2020
overall
socioeconomic
characteristics.
Methods:
The
regional
number
subjects
invited
tests
performed
were
compared
those
2019.
Invitation
examination
also
calculated.
PASSI
surveillance
system,
through
telephone
interviews,
collects
information
about
uptake
provider
(public
private
opportunistic).
Test
last
year
computed
educational
attainment,
perceived
economic
difficulties,
citizenship.
Results:
A
reduction
performed,
differences
between
periods
geographical
macro
areas,
observed
vs.
larger
than
that
invitation
all
second
half
trend
showed
decrease
areas
Compared
pre-pandemic
period,
there
greater
difference
according
level
education
odds
having
had
never
been
screened
or
not
being
up
date
tests.
Conclusions:
ongoing
emergency
caused
an
important
delay
activities.
increased
preexisting
individual
inequalities
access.
opportunistic
did
mitigate
pandemic.
Funding:
study
partially
supported
Health
–
Ricerca
Corrente
Annual
Program
2023
Emilian
Region
DGR
839/22.
British Journal of Cancer,
Journal Year:
2024,
Volume and Issue:
131(4), P. 619 - 626
Published: May 4, 2024
The
COVID-19
pandemic
brought
unplanned
service
disruption
for
breast
cancer
diagnostic,
treatment
and
support
services.
This
scoping
review
describes
these
changes
their
impact
in
the
UK
Republic
of
Ireland
based
on
studies
published
between
January
2020
August
2023.
Thirty-four
569
papers
were
included.
Data
extracted
results
thematically
organized.
Findings
include
fewer
new
cases;
stage
shift
(fewer
early-
more
late-stage
disease);
to
healthcare
organization,
screening
treatment.
Examples
are
accepting
referrals,
applying
stricter
referral
criteria
relying
virtual
consultations
multi-disciplinary
meetings.
Screening
programs
paused
during
before
enacting
risk-based
phased
restarts
with
longer
appointment
times
accommodate
reduced
staffing
numbers
enhanced
infection-control
regimes.
Treatments
shifted
from
predominantly
conventional
hypofractionated
radiotherapy,
surgical
procedures
increased
use
bridging
endocrine
therapy.
long-term
such
unknown
so
definitive
guidelines
future
emergencies
not
yet
available.
Cancer
registries,
large
sample
sizes
population
coverage,
well
placed
monitor
survival
despite
difficulties
obtaining
staging
diagnosis
because
surgery
pathological
assessments
delayed.
Multisite
longitudinal
can
also
provide
guidance
disaster
preparedness.
The Oncologist,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Nov. 26, 2024
Abstract
Background
As
an
extended
analysis
of
the
COVID-DELAY
study,
we
aimed
to
assess
impact
COVID-19
pandemic
on
diagnosis,
staging,
and
survival
outcomes
among
patients
with
colorectal
cancer
(CRC)
diagnosis
performed
from
2019
2022.
Methods
All
consecutive
newly
diagnosed
CRC
referred
11
Italian
Oncology
Departments
between
March
December
2019,
2020,
2021,
2022
were
enrolled.
Access
rate,
demographics,
diagnostic-therapeutic
temporal
intervals,
first-line
progression-free
(PFS)
OS
metastatic
assessed.
Results
Compared
(n
=
690),
initial
global
reduction
in
new
cases
2020
564,
–18.3%)
was
observed,
followed
by
a
progressive
increase
diagnoses
2021
748,
+
8.4%)
756,
9.6%);
higher
rate
TNM
stage
IV
tumors
(35.4%)
(31.0%)
compared
(29.6%),
normalization
(26.4%)
(P
<
.001).
Not
clinically
relevant
differences
histological
first
oncological
examination,
cytohistological
systemic
treatment
start,
appointment
start
radiological
assessment
2021-2022
years
found.
After
propensity
score
matching
according
year
median
significantly
worse
(27.6
vs
24.8
not
reached
38.9
months,
respectively)
Concordantly,
PFS
each
passing
year:
13.0
11.1
9.2
7.2
months
2022,
respectively
.00027).
Conclusions
A
as
well
stages
at
The
might
have
affected
some
time
intervals
2020.
Significantly,
pre-pandemic
phase,
independently
associated
disease.
BMC Public Health,
Journal Year:
2023,
Volume and Issue:
23(1)
Published: March 22, 2023
Abstract
Background
Response
to
the
early
stages
of
COVID-19
pandemic
resulted
in
temporary
disruption
cancer
screening
UK,
and
strong
public
messaging
stay
safe
protect
NHS
capacity.
Following
reintroduction
services,
we
explored
impact
on
inequalities
uptake
Bowel
Screening
Wales
(BSW)
programme
identify
groups
who
may
benefit
from
tailored
interventions.
Methods
Records
within
BSW
were
linked
electronic
health
records
(EHR)
administrative
data
Secured
Anonymised
Information
Linkage
(SAIL)
Databank.
Ethnic
group
was
obtained
a
method
available
SAIL.
We
examined
for
first
3
months
invitations
(August
October)
following
2020,
compared
same
period
preceding
years.
Uptake
measured
across
6
month
follow-up
period.
Logistic
models
conducted
analyse
variations
by
sex,
age
group,
income
deprivation
quintile,
urban/rural
location,
ethnic
clinically
extremely
vulnerable
(CEV)
status
each
period;
compare
sociodemographic
between
different
periods.
Results
during
August
October
2020
(period
2020/21;
60.4%)
declined
2019/20
(62.7%)
but
remained
above
60%
Welsh
standard.
Variation
age,
deprivation,
observed
all
periods
studied.
Compared
pre-pandemic
2019/20,
most
demographic
groups,
except
older
individuals
(70–74
years)
those
deprived
group.
continues
be
lower
males,
younger
individuals,
people
living
areas
Asian
unknown
backgrounds.
Conclusion
Our
findings
are
encouraging
with
overall
achieving
standard
three
after
restarted
despite
disruption.
Inequalities
did
not
worsen
resumed
activities
CRC
associated
remain.
This
needs
considered
targeting
strategies
improve
informed
choice
avoid
exacerbating
disparities
outcomes
as
services
recover
pandemic.