Evidence map›Paper›PMID 35690504›Full record

ArticleHealth policy (Amsterdam, Netherlands)2022

Effects of lower screening activity during the COVID-19 pandemic on breast cancer patient pathways: Evidence from the age cut-off of organized screening.

Péter Elek, Petra Fadgyas-Freyler, Balázs Váradi, Balázs Mayer, Antal Zemplényi, Marcell Csanádi

Abstract read
In one paragraph

Article in Health policy (Amsterdam, Netherlands), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Review
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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.

Péter ElekCentre for Economic and Regional Studies, Tóth Kálmán u. 4, Budapest H-1097, Hungary; Corvinus University of Budapest, Hungary. Electronic address: elek.peter@krtk.hu.
Petra Fadgyas-FreylerCorvinus University of Budapest, Hungary.
Balázs VáradiBudapest Institute for Policy Analysis, Hungary; Eötvös Loránd University, Hungary.
Balázs MayerCentre for Economic and Regional Studies, Tóth Kálmán u. 4, Budapest H-1097, Hungary.
Antal ZemplényiUniversity of Pécs, Hungary.
Marcell CsanádiSyreon Research Institute, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We examined the effects of the COVID-19 pandemic on the screening, diagnosis and treatment of breast cancer in Hungary based on administrative data until June 2021, covering three pandemic waves. After correcting for trend and seasonality, the number of mammography examinations decreased by 68% in 2020q2, was around its usual level in 2020q3 and was reduced by 20-35% throughout 2020q4-2021q2. The reduction was caused by a combination of supply-side (temporary suspensions of screening) and demand-side (lower screening participation during the pandemic waves) factors. The number of new breast cancer diagnoses and mastectomy surgeries responded with a lag, and were below their usual level by 15-30% in all quarters between 2020q2 and 2021q2, apart from 2020q4, when there was no significant difference. Using a regression discontinuity framework, we found that the partial mastectomy rate (indicative of early diagnosis) dropped more substantially in 2020q2 in the 61-65 years old age group that was just below the age cut-off of organized screening than in the 66-70 years old age group, and this difference was partially offset in 2021q1. We suggest that policymakers need to motivate the target population (by providing both information and incentives) to catch up on missed screenings.

Indexed as

Breast NeoplasmsCOVID-19AgedEarly Detection of CancerFemaleHumansMammographyMass ScreeningMastectomyMiddle AgedPandemicsBreast cancer incidenceBreast cancer screeningCOVID-19Partial mastectomyRegression discontinuity

Identifiers

PMID35690504
PMCPMC9130317

What OpenQuestion holds

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Registered trials

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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.