Evidence map›Paper›PMID 33146429›Full record

ArticleHealth services research2021

Disruptions in preventive care: Mammograms during the COVID-19 pandemic.

Hummy Song, Alon Bergman, Angela T Chen, Dan Ellis, Guy David, Ari B Friedman, Amelia M Bond, Julie M Bailey, Ronald Brooks, Aaron Smith-McLallen

Abstract read
In one paragraph

Article in Health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Impacts of a Public Health Emergency on Cancer Testing Rates, Follow-up, and Cancer Diagnosis: An Evaluation of the COVID-19 Pandemic.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
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  15. Cancer Screening in the United States During the Second Year of the COVID-19 Pandemic.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Article
  16. Article
  17. Breast cancer care amidst a pandemic: a scoping review to understand the impact of coronavirus disease 2019 on health services and health outcomes.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2023
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  19. Review
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8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Hummy SongOperations, Information and Decisions Department, The Wharton School, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-1335-9314
Alon BergmanLeonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-4228-8543
Angela T ChenLeonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Dan EllisIndependence Blue Cross, Philadelphia, Pennsylvania, USA.
Guy DavidLeonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-9191-741X
Ari B FriedmanLeonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Amelia M BondLeonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Julie M BaileyIndependence Blue Cross, Philadelphia, Pennsylvania, USA.
Ronald BrooksIndependence Blue Cross, Philadelphia, Pennsylvania, USA.
Aaron Smith-McLallenIndependence Blue Cross, Philadelphia, Pennsylvania, USA.

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007170 · NIGMS · UNIVERSITY OF PENNSYLVANIA · PI BRASS, LAWRENCE F · 1985 to 2022
$54.0M
Postdoctoral Training in Health Services ResearchT32HS026116 · AHRQ · UNIVERSITY OF PENNSYLVANIA · PI GROENEVELD, PETER W., WERNER, RACHEL M · 2018 to 2024
$3.8M
Training in Healthcare Financing, Organization and Delivery for Aging PopulationsT32AG051090 · NIA · UNIVERSITY OF PENNSYLVANIA · PI PAULY, MARK, WERNER, RACHEL M · 2015 to 2019
$652k
AHRQ HHS T32 HS026116NIA NIH HHS T32 AG051090NIGMS NIH HHS T32 GM007170
6 · The paper itself

Abstract

objectiveTo measure the extent to which the provision of mammograms was impacted by the COVID-19 pandemic and surrounding guidelines. DATA SOURCES: De-identified summary data derived from medical claims and eligibility files were provided by Independence Blue Cross for women receiving mammograms. STUDY

designWe used a difference-in-differences approach to characterize the change in mammograms performed over time and a queueing formula to estimate the time to clear the queue of missed mammograms. DATA COLLECTION: We used data from the first 30 weeks of each year from 2018 to 2020. PRINCIPAL

findingsOver the 20 weeks following March 11, 2020, the volume of screening mammograms and diagnostic mammograms fell by 58% and 38% of expected levels, on average. Lowest volumes were observed in week 15 (April 8 to 14), when screening and diagnostic mammograms fell by 99% and 74%, respectively. Volumes began to rebound in week 19 (May), with diagnostic mammograms reaching levels to similar to previous years' and screening mammograms remaining 14% below expectations. We estimate it will take a minimum of 22 weeks to clear the queue of missed mammograms in our study sample.

conclusionsThe provision of mammograms has been significantly disrupted due to the COVID-19 pandemic.

Indexed as

Health Services AccessibilityAdultAgedBreast NeoplasmsCOVID-19Early Detection of CancerFemaleHumansMammographyMass ScreeningMiddle AgedPandemicsSARS-CoV-2United StatesCOVID-19early detection of cancermammographymissed diagnosispreventive medicine

Identifiers

PMID33146429
PMCPMC7839639

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.