Evidence map›Paper›PMID 36821800›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2023

Cancer Screening in the United States During the Second Year of the COVID-19 Pandemic.

Jessica Star, Priti Bandi, Rebecca L Siegel, Xuesong Han, Adair Minihan, Robert A Smith, Ahmedin Jemal

Open access · hybridAbstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed
20.0field-weighted citation impact, top 1% 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

63 citing papers in PubMed, 87 citations in OpenAlex.

  1. A Mail-Based HPV Self-Collection Program to Increase Cervical Cancer Screening in Appalachia: Results of a Group Randomized Trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
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  16. Use of Cancer Screening Tests, United States, 2023.Preventing chronic disease · 2025
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3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Jessica StarSurveillance & Health Equity Science Research Program, American Cancer Society, Atlanta, GA.ORCID 0000-0003-3522-9609
Priti BandiSurveillance & Health Equity Science Research Program, American Cancer Society, Atlanta, GA.ORCID 0000-0003-1169-4231
Rebecca L SiegelSurveillance & Health Equity Science Research Program, American Cancer Society, Atlanta, GA.ORCID 0000-0001-5247-8522
Xuesong HanSurveillance & Health Equity Science Research Program, American Cancer Society, Atlanta, GA.ORCID 0000-0001-7159-7949
Adair MinihanSurveillance & Health Equity Science Research Program, American Cancer Society, Atlanta, GA.ORCID 0000-0001-6110-6309
Robert A SmithEarly Cancer Detection Science Research Program, American Cancer Society, Atlanta, GA.ORCID 0000-0003-3344-2238
Ahmedin JemalSurveillance & Health Equity Science Research Program, American Cancer Society, Atlanta, GA.ORCID 0000-0002-0000-4111
American Cancer Society · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo examine whether cancer screening prevalence in the United States during 2021 has returned to prepandemic levels using nationally representative data.

methodsInformation on receipt of age-eligible screening for breast (women age 50-74 years), cervical (women without a hysterectomy age 21-65 years), prostate (men age 55-69 years), and colorectal cancer (men and women age 50-75 years) according to the US Preventive Services Task Force recommendations was obtained from the 2019 and 2021 National Health Interview Survey. Past-year screening prevalence in 2019 and 2021 and adjusted prevalence ratios (aPRs), 2021 versus 2019, with their 95% CIs were calculated using complex survey logistic regression models.

resultsBetween 2019 and 2021, past-year screening in the United States decreased from 59.9% to 57.1% (aPR, 0.94; 95% CI, 0.91 to 0.97) for breast cancer, from 45.3% to 39.0% (aPR, 0.85; 95% CI, 0.82 to 0.89) for cervical cancer, and from 39.5% to 36.3% (aPR, 0.9; 95% CI, 0.84 to 0.97) for prostate cancer. Declines were most notable for non-Hispanic Asian persons. Colorectal cancer screening prevalence remained unchanged because an increase in past-year stool testing (from 7.0% to 10.3%; aPR, 1.44; 95% CI, 1.31 to 1.58) offset a decline in colonoscopy (from 15.5% to 13.8%; aPR, 0.88; 95% CI, 0.83 to 0.95). The increase in stool testing was most pronounced in non-Hispanic Black and Hispanic populations and in persons with low socioeconomic status.

conclusionPast-year screening prevalence for breast, cervical, and prostate cancer among age-eligible adults in the United States continued to be lower than prepandemic levels in the second year of the COVID-19 pandemic, reinforcing the importance of return to screening health system outreach and media campaigns. The large increase in stool testing emphasizes the role of home-based screening during health care system disruptions. [Media: see text].

Indexed as

COVID-19Prostatic NeoplasmsAdultAgedEarly Detection of CancerHumansMaleMass ScreeningMiddle AgedPandemicsSurveys and QuestionnairesUnited StatesYoung Adult

Identifiers

PMID36821800
PMCPMC10911528
OpenAlexW4321606666

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.