Evidence map›Paper›PMID 33635541›Full record

ArticleCancer2021

Population-level impact of coronavirus disease 2019 on breast cancer screening and diagnostic procedures.

Sarah J Nyante, Thad S Benefield, Cherie M Kuzmiak, Kathryn Earnhardt, Michael Pritchard, Louise M Henderson

Open access · hybridAbstract read
In one paragraph

Article in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 3 pooled it
7.5field-weighted citation impact, top 2% of its field
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

58 citing papers in PubMed, 3 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Article
  5. 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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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

6 authors at 1 institution in 1 country.

Sarah J NyanteDepartment of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID 0000-0002-1770-5993
Thad S BenefieldDepartment of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Cherie M KuzmiakDepartment of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Kathryn EarnhardtDepartment of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Michael PritchardDepartment of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Louise M HendersonDepartment of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID 0000-0001-8356-9267
University of North Carolina at Chapel Hill · US

Funding

Risk-based Imaging Strategies to Improve Breast Cancer Surveillance OutcomesP01CA154292 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Diana L Miglioretti · 2011 to 2026
$52.9M
NCI NIH HHS P01 CA154292NIH HHS P01-CA154292-06
6 · The paper itself

Abstract

backgroundTo understand how health care delays may affect breast cancer detection, the authors quantified changes in breast-related preventive and diagnostic care during the coronavirus disease 2019 (COVID-19) pandemic.

methodsEligible women (N = 39,444) were aged ≥18 years and received a screening mammogram, diagnostic mammogram, or breast biopsy between January 1, 2019 and September 30, 2020, at 7 academic and community breast imaging facilities in North Carolina. Changes in the number of mammography or breast biopsy examinations after March 3, 2020 (the first COVID-19 diagnosis in North Carolina) were evaluated and compared with the expected numbers based on trends between January 1, 2019 and March 2, 2020. Changes in the predicted mean monthly number of examinations were estimated using interrupted time series models. Differences in patient characteristics were tested using least squares means regression.

resultsFewer examinations than expected were received after the pandemic's onset. Maximum reductions occurred in March 2020 for screening mammography (-85.1%; 95% CI, -100.0%, -70.0%) and diagnostic mammography (-48.9%; 95% CI, -71.7%, -26.2%) and in May 2020 for biopsies (-40.9%; 95% CI, -57.6%, -24.3%). The deficit decreased gradually, with no significant difference between observed and expected numbers by July 2020 (diagnostic mammography) and August 2020 (screening mammography and biopsy). Several months after the pandemic's onset, women who were receiving care had higher predicted breast cancer risk (screening mammography, P < .001) and more commonly lacked insurance (diagnostic mammography, P < .001; biopsy, P < .001) compared with the prepandemic population.

conclusionsPandemic-associated deficits in the number of breast examinations decreased over time. Utilization differed by breast cancer risk and insurance status, but not by age or race/ethnicity. Long-term studies are needed to clarify the contribution of these trends to breast cancer disparities.

Indexed as

SARS-CoV-2AdolescentAdultAgedAged, 80 and overBiopsyBreastBreast NeoplasmsCOVID-19Early Detection of CancerFemaleHumansMammographyMiddle AgedYoung Adultbiopsycoronavirus disease 2019 (COVID-19)interrupted time series analysismammographyscreening

Identifiers

PMID33635541
PMCPMC8013451
OpenAlexW3131092814

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.