Disruptions in preventive care: Mammograms during the COVID-19 pandemic.
COVID-19
early detection of cancer
mammography
missed diagnosis
preventive medicine
Journal
Health services research
ISSN: 1475-6773
Titre abrégé: Health Serv Res
Pays: United States
ID NLM: 0053006
Informations de publication
Date de publication:
02 2021
02 2021
Historique:
pubmed:
5
11
2020
medline:
25
2
2021
entrez:
4
11
2020
Statut:
ppublish
Résumé
To measure the extent to which the provision of mammograms was impacted by the COVID-19 pandemic and surrounding guidelines. De-identified summary data derived from medical claims and eligibility files were provided by Independence Blue Cross for women receiving mammograms. We used a difference-in-differences approach to characterize the change in mammograms performed over time and a queueing formula to estimate the time to clear the queue of missed mammograms. We used data from the first 30 weeks of each year from 2018 to 2020. Over the 20 weeks following March 11, 2020, the volume of screening mammograms and diagnostic mammograms fell by 58% and 38% of expected levels, on average. Lowest volumes were observed in week 15 (April 8 to 14), when screening and diagnostic mammograms fell by 99% and 74%, respectively. Volumes began to rebound in week 19 (May), with diagnostic mammograms reaching levels to similar to previous years' and screening mammograms remaining 14% below expectations. We estimate it will take a minimum of 22 weeks to clear the queue of missed mammograms in our study sample. The provision of mammograms has been significantly disrupted due to the COVID-19 pandemic.
Identifiants
pubmed: 33146429
doi: 10.1111/1475-6773.13596
pmc: PMC7839639
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
95-101Subventions
Organisme : NIGMS NIH HHS
ID : T32 GM007170
Pays : United States
Organisme : AHRQ HHS
ID : T32 HS026116
Pays : United States
Informations de copyright
© 2020 Health Research and Educational Trust.
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