ArticleCancer2021
Changes in breast cancer screening rates among 32 community health centers during the COVID-19 pandemic.
Article in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Pooled it
- A systematic review of the impact of the COVID-19 pandemic on breast cancer screening and diagnosis.Breast (Edinburgh, Scotland) · 2023Pooled it
- The Impact of the COVID-19 Pandemic on Breast and Cervical Cancer Screening: A Systematic Review.In vivo (Athens, Greece)Pooled it
- Comparative Analysis of Breast and Cervical Screening Adaptability at a Federally Qualified Health Center.Cancer prevention research (Philadelphia, Pa.) · 2026Article
- Provider and Organizational Factors Impacting Routine Cancer Screening Among Older Medicaid Enrollees.Health services research · 2026Article
- Retrospective Analysis of Long-term Impact of COVID-19 Pandemic on Mammographic Breast Cancer Screening.Mayo Clinic proceedings. Innovations, quality & outcomes · 2026Article
- Breast Cancer Detection Patterns in Year 2 of the COVID-19 Pandemic Highlight Gains and Gaps in Breast Cancer Surveillance.Cancer medicine · 2025Article
- Article
- Breast cancer and cervical cancer: a comparison of the period before and during the COVID-19 pandemic.BMC women's health · 2024Article
- Checkup Visits in Adult Federally Qualified Health Center Patients: a Retrospective Cohort Study.Journal of general internal medicine · 2024Article
- Association of COVID-19 Pandemic with Colorectal Cancer Screening: Impact of Race/Ethnicity and Social Vulnerability.Annals of surgical oncology · 2024Article
- Impact of COVID-19 pandemic on breast cancer screening in a large midwestern United States academic medical center.PloS one · 2024Article
- Rates of newly diagnosed breast cancer at commission on cancer facilities during the early phase of the COVID-19 pandemic.Cancer medicine · 2024Article
- Temporal Evolution and Associated Factors of Adherence to Mammography Screening among Women in Spain: Results from Two National Health Surveys (2017-2020).Healthcare (Basel, Switzerland) · 2023Article
- Impact of age, race, and family history on COVID-19-related changes in breast cancer screening among the Boston mammography cohort study.Breast cancer research and treatment · 2023Article
- Factors associated with non-participation in breast cancer screening: analysis of the 2016 and 2019 comprehensive survey of living conditions in Japan.Breast cancer (Tokyo, Japan) · 2023Article
- Article
- Assessing patterns in cancer screening use by race and ethnicity during the coronavirus pandemic using electronic health record data.Cancer medicine · 2023Article
- 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 · 2023Article
- Impact of COVID-19 on health care and quality of life in women with breast cancer.JNCI cancer spectrum · 2023Article
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6 authors at 1 institution in 1 country.
Funding
Abstract
backgroundBreast cancer screening utilization steeply dropped at the start of the coronavirus disease 2019 (COVID-19) pandemic. However, the effects on breast cancer screening in lower income populations are unknown. This study examined changes in breast cancer screening rates (BCSRs) during the pandemic among 32 community health centers (CHCs) that provided health care to lower income populations.
methodsSecondary data from 32 CHCs participating in an American Cancer Society grant program to increase breast cancer screening services were used. BCSRs were defined as the percentage of women aged 50 to 74 years who had a medical visit in the past 12 months (142,207 in 2018, 142,003 in 2019, and 150,630 in 2020) and received a screening mammogram within the last 27 months. BCSRs in July 2020, July 2019, and June 2018 were compared with screening rate ratios (SRRs) and corresponding 95% confidence intervals (CIs).
resultsBCSRs significantly rose by 18% between 2018 and 2019 (from 45.8% to 53.9%; SRR, 1.18; 95% CI, 1.17-1.18) and then declined by 8% between 2019 and 2020 (from 53.9% to 49.6%; SRR, 0.92; 95% CI, 0.92-0.93). If the 2018-2019 BCSR trends had continued through 2020, 63.3% of women would have been screened in 2020 in contrast to the 49.6% who were; this potentially translated into 47,517 fewer mammograms and 242 missed breast cancer diagnoses in this population.
conclusionsIn this study of 32 CHCs, BCSRs declined by 8% from July 2019 to 2020, and this reversed an 18% improvement between July 2018 and 2019. Declining BCSRs among CHCs during the COVID-19 pandemic call for policies to support and resources to identify women in need of screening.
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