Evidence map›Paper›PMID 35690079›Full record

ArticleJournal of the American College of Radiology : JACR2022

Impact of the COVID-19 Pandemic on Breast Imaging: An Analysis of the National Mammography Database.

Lars J Grimm, Cindy Lee, Robert D Rosenberg, Judy Burleson, Michael Simanowith, Tom Fruscello, Casey E Pelzl, Sarah M Friedewald, Linda Moy, Margarita L Zuley

Open access · greenAbstract read
In one paragraph

Article in Journal of the American College of Radiology : JACR, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 3% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. 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
    Article
  3. Individual-Level Trends in Mammography Screening over 14 years: Results from an All-Payer Statewide Claims Database.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
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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

10 authors at 6 institutions in 1 country.

Lars J GrimmDepartment of Radiology, Duke University, Durham, North Carolina; Vice Chair, National Mammography Database. Electronic address: lars.grimm@duke.edu.
Cindy LeeNYU Langone Health, New York, New York.
Robert D RosenbergRadiology Associates of Albuquerque, Albuquerque, New Mexico; Chair, National Mammography Database.
Judy BurlesonVice President, Quality Programs, American College of Radiology, Reston, Virginia.
Michael SimanowithDirector, Quality Registries, American College of Radiology, Reston, Virginia.
Tom FruscelloAmerican College of Radiology, Reston, Virginia.
Casey E PelzlAmerican College of Radiology, Harvey L. Neimann Health Institute, Reston, Virginia.
Sarah M FriedewaldVice Chair, Women's Imaging, Chief of Breast Imaging, Northwestern Medicine, Chicago, Illinois.
Linda MoyNYU Langone Health, New York, New York.
Margarita L ZuleyChief of Breast Imaging, Vice Chair of Quality Assurance and Strategic Development, University of Pittsburgh, Pittsburgh, Pennsylvania; Chair, National Radiology Data Registry.
American College of Radiology · USNYU Langone Health · USDuke University · USNorthwestern Medicine · USRadiology Associates of Albuquerque · USUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to quantify the initial decline and subsequent rebound in breast cancer screening metrics throughout the coronavirus disease 2019 (COVID-19) pandemic.

methodsScreening and diagnostic mammographic examinations, biopsies performed, and cancer diagnoses were extracted from the ACR National Mammography Database from March 1, 2019, through May 31, 2021. Patient (race and age) and facility (regional location, community type, and facility type) demographics were collected. Three time periods were used for analysis: pre-COVID-19 (March 1, 2019, to May 31, 2019), peak COVID-19 (March 1, 2020, to May 31, 2020), and COVID-19 recovery (March 1, 2021, to May 31, 2021). Analysis was performed at the facility level and overall between time periods.

resultsIn total, 5,633,783 screening mammographic studies, 1,282,374 diagnostic mammographic studies, 231,390 biopsies, and 69,657 cancer diagnoses were analyzed. All peak COVID-19 metrics were less than pre-COVID-19 volumes: 36.3% of pre-COVID-19 for screening mammography, 57.9% for diagnostic mammography, 47.3% for biopsies, and 48.7% for cancer diagnoses. There was some rebound during COVID-19 recovery as a percentage of pre-COVID-19 volumes: 85.3% of pre-COVID-19 for screening mammography, 97.8% for diagnostic mammography, 91.5% for biopsies, and 92.0% for cancer diagnoses. Across various metrics, there was a disproportionate negative impact on older women, Asian women, facilities in the Northeast, and facilities affiliated with academic medical centers.

conclusionsCOVID-19 had the greatest impact on screening mammography volumes, which have not returned to pre-COVID-19 levels. Cancer diagnoses declined significantly in the acute phase and have not fully rebounded, emphasizing the need to increase outreach efforts directed at specific patient population and facility types.

Indexed as

Breast NeoplasmsCOVID-19AgedEarly Detection of CancerFemaleHumansMammographyMass ScreeningPandemicsbreast biopsiesbreast cancerCOVID-19diagnostic mammographyscreening mammography

Identifiers

PMID35690079
PMCPMC9174535
OpenAlexW4282947274

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.