Evidence map›Paper›PMID 35981776›Full record

ArticleBMJ open2022

Heterogeneous impact of the COVID-19 pandemic on lung, colorectal and breast cancer incidence in Hungary: results from time series and panel data models.

Peter Elek, Marcell Csanádi, Petra Fadgyas-Freyler, Nóra Gervai, Rita Oross-Bécsi, Balázs Szécsényi-Nagy, Manna Tatár, Balázs Váradi, Antal Zemplényi

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

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  7. The impact of the COVID-19 pandemic on incidence gap in screen-detectable cancers: a cohort study in Greater Poland, Poland.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2024
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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

9 authors at 7 institutions in 4 countries.

Peter ElekInstitute of Economics, Centre for Economic and Regional Studies, Budapest, Hungary elek.peter@krtk.hu.ORCID 0000-0001-6196-0767
Marcell CsanádiSyreon Research Institute, Budapest, Hungary.ORCID 0000-0002-5724-639X
Petra Fadgyas-FreylerDepartment of Health Economics, Corvinus University of Budapest, Budapest, Hungary.
Nóra Gervaiindependent scholar, Budapest, Hungary.
Rita Oross-BécsiMediconcept, Budapest, Hungary.
Balázs Szécsényi-NagyHealth Services Management Training Centre, Semmelweis University, Budapest, Hungary.
Manna TatárCentre for Health Technology Assessment, Semmelweis University, Budapest, Hungary.
Balázs VáradiBudapest Institute for Policy Analysis, Budapest, Hungary.
Antal ZemplényiCentre for Health Technology Assessment and Pharmacoeconomic Research, Pécsi Tudományegyetem, Pécs, Hungary.
Corvinus University of Budapest · HUSemmelweis University · HUEötvös Loránd University · HUFilm Independent · USMedicon · CZSyreon Research Institute (Hungary) · HUUniversity of Pecs · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDuring the COVID-19 pandemic, health system resources were reallocated to provide care for patients with COVID-19, limiting access for others. Patients themselves also constrained their visits to healthcare providers. In this study, we analysed the heterogeneous effects of the pandemic on the new diagnoses of lung, colorectal and breast cancer in Hungary.

designTime series and panel models of quarterly administrative data, disaggregated by gender, age group and district of residence.

participantsData for the whole population of Hungary between the first quarter of 2017 and the second quarter of 2021.

main outcome measuresNumber of patients newly diagnosed with lung, colorectal and breast cancer, defined as those who were hospitalised with the appropriate primary International Classification of Diseases Tenth Revision diagnosis code but had not had hospital encounters with such a code within the previous 5 years.

resultsThe incidence of lung, colorectal and breast cancer decreased by 14.4% (95% CI 10.8% to 17.8%), 19.9% (95% CI 12.2% to 26.9%) and 15.5% (95% CI 2.5% to 27.0%), respectively, during the examined period of the pandemic, with different time patterns across cancer types. The incidence decreased more among people at least 65 years old than among the younger (p<0.05 for lung cancer and p<0.1 for colorectal cancer). At the district level, both the previously negative income gap in lung cancer incidence and the previously positive income gap in breast cancer incidence significantly narrowed during the pandemic (p<0.05).

conclusionsThe decline in new cancer diagnoses, caused by a combination of supply-side and demand-side factors, suggests that some cancer cases have remained hidden. It calls for action by policy makers to engage individuals with high risk of cancer more in accessing healthcare services, to diagnose the disease early and to prepare for effective management of patient pathways from diagnosis to survival or end-of-life care.

Indexed as

Breast NeoplasmsColorectal NeoplasmsCOVID-19Lung NeoplasmsAgedFemaleHumansHungaryIncidenceLungPandemicsTime FactorsCOVID-19EPIDEMIOLOGYHealth policyONCOLOGY

Identifiers

PMID35981776
PMCPMC9393855
OpenAlexW4292240953

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.