medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2022,
Volume and Issue:
unknown
Published: Dec. 26, 2022
Abstract
The
aftermath
of
the
initial
phase
COVID-19
pandemic
may
contribute
to
widening
disparities
in
access
colorectal
cancer
(CRC)
screening
due
differential
disruptions
CRC
screening.
This
comparative
microsimulation
analysis
uses
two
CISNET
models
simulate
impact
ongoing
induced
by
on
long-term
outcomes.
We
evaluate
three
channels
through
which
was
disrupted:
delays
screening,
regimen
switching,
and
discontinuation.
these
outcomes
measured
number
Life-years
lost
compared
a
scenario
without
any
disruptions.
While
short-term
3-18
months
are
predicted
result
minor
life-years
loss,
discontinuing
could
much
more
significant
reductions
expected
benefits
These
results
demonstrate
that
unequal
recovery
following
can
widen
emphasize
importance
ensuring
equitable
pandemic.
BMJ Open Gastroenterology,
Journal Year:
2022,
Volume and Issue:
9(1), P. e000826 - e000826
Published: Jan. 1, 2022
Objective
To
describe
a
conceptual
framework
that
provides
understanding
of
the
challenges
encountered
and
adaptive
approaches
taken
by
organised
colorectal
cancer
(CRC)
screening
programmes
during
initial
phase
COVID-19
pandemic.
Design
This
was
qualitative
case
study
international
CRC
programmes.
Semi-structured
interviews
were
conducted
with
programme
managers/leaders
experts,
researchers
clinical
leaders
large,
population-based
Data
analysis,
using
elements
grounded
theory,
as
well
cross-cases
analysis
two
experienced
researchers.
Results
19
participants
interviewed
from
seven
in
North
America,
Europe
Australasia.
A
(‘Nimble
Approach’)
key
outcome
analysis.
Four
concepts
constitute
this
approach
to
managing
COVID-19:
Fast
(meeting
need
make
decisions
communicate
quickly),
Adapting
(flexibly
creatively
testing/colonoscopy
capacity,
access
backlogs),
Calculating
(modelling
actively
monitoring
inform
decision-making
support
quality)
Ethically
Mindful
(considering
ethical
conundrums
emerging
responses).
Highly
integrated
programmes,
those
highly
communication
networks,
managed
greater
portions
process
seemed
best
positioned
respond
crisis.
Conclusions
The
Nimble
Approach
has
potentially
broad
applications;
it
can
be
deployed
effectively
programme-specific
or
manage
future
pandemics,
other
health
crises
emergencies.
Objectives.
To
evaluate
the
effectiveness,
use,
and
implementation
of
telehealth
for
women’s
preventive
services
reproductive
healthcare
interpersonal
violence
(IPV),
to
patient
preferences
engagement
telehealth,
particularly
in
context
coronavirus
(COVID-19)
pandemic.
Data
sources.
Ovid
MEDLINE®,
CINAHL®,
Embase®,
Cochrane
CENTRAL
databases
(July
1,
2016,
March
4,
2022);
manual
review
reference
lists;
suggestions
from
stakeholders;
responses
a
Federal
Register
Notice.
Review
methods.
Eligible
abstracts
full-text
articles
interventions
were
independently
dual
reviewed
inclusion
using
predefined
criteria.
Dual
was
used
data
abstraction,
study-level
risk
bias
assessment,
strength
evidence
(SOE)
rating
established
Meta-analysis
not
conducted
due
heterogeneity
studies
limited
available
data.
Results.
Searches
identified
5,704
unique
records.
Eight
randomized
controlled
trials,
one
nonrandomized
trial,
seven
observational
studies,
involving
10,731
participants,
met
Of
these,
nine
evaluated
IPV
contraceptive
care,
only
health
service
studied.
Risk
low
study,
moderate
trials
five
high
study.
Telehealth
intended
replace
usual
care
14
supplement
2
studies.
Delivery
modes
included
telephone
(5
studies),
online
modules
mobile
applications
(1
study),
unclear
or
undefined
There
no
differences
between
comparators
rates
sexually
transmitted
infection,
pregnancy
(low
SOE);
insufficient
abortion
rates.
versus
outcomes
measuring
repeat
IPV,
depression,
post-traumatic
stress
disorder,
fear
partner,
coercive
control,
self-efficacy,
safety
behaviors
SOE).
The
COVID-19
pandemic
increased
utilization.
Barriers
internet
access
digital
literacy
among
English-speaking
survivors,
technical
challenges
confidentiality
concerns
care.
use
facilitated
by
strategies
ensure
individuals
who
receive
services.
Evidence
access,
equity,
harms
outcomes.
Conclusions.
Limited
suggests
that
result
equivalent
clinical
patient-reported
as
in-person
Uncertainty
remains
regarding
most
effective
approaches
delivering
these
services,
how
best
mobilize
women
facing
barriers
healthcare.
medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2022,
Volume and Issue:
unknown
Published: Dec. 26, 2022
Abstract
The
aftermath
of
the
initial
phase
COVID-19
pandemic
may
contribute
to
widening
disparities
in
access
colorectal
cancer
(CRC)
screening
due
differential
disruptions
CRC
screening.
This
comparative
microsimulation
analysis
uses
two
CISNET
models
simulate
impact
ongoing
induced
by
on
long-term
outcomes.
We
evaluate
three
channels
through
which
was
disrupted:
delays
screening,
regimen
switching,
and
discontinuation.
these
outcomes
measured
number
Life-years
lost
compared
a
scenario
without
any
disruptions.
While
short-term
3-18
months
are
predicted
result
minor
life-years
loss,
discontinuing
could
much
more
significant
reductions
expected
benefits
These
results
demonstrate
that
unequal
recovery
following
can
widen
emphasize
importance
ensuring
equitable
pandemic.
