4.6 Review

Has COVID-19 Affected Cancer Screening Programs? A Systematic Review

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Summary: Cytological examination can be safely conducted in patients at high oncological risk even during the COVID-19 outbreak, without the need for postponement. The study found that during the emergency, there was an increase in the percentage of cytology samples reported as malignant, particularly in breast and lymph node FNAs, effusions, and urine, while thyroid FNAs and Pap smears decreased.

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Summary: During the COVID-19 pandemic, the number of patients receiving colorectal cancer screening colonoscopies decreased, but more cases of colorectal cancer and high-risk adenomas were found during the lockdown period. Multiple regression analysis identified relevant symptoms, family history, and lockdown period as independent predictors of high-risk lesions. No COVID-19 infections were reported among staff and patients.

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Summary: An audit was conducted to evaluate the impact of COVID-19 pandemic-related delays in cancer diagnosis at a Pathology Unit in Italy. The study found a significant decrease in cancer diagnoses in 2020, with prostate cancer, bladder cancer, and colorectal cancer showing the greatest declines. The findings highlight the importance of implementing corrective measures for timely cancer diagnosis during pandemics.

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The COVID-19 pandemic and impact on breast cancer diagnoses: what happened in England in the first half of 2020

Toral Gathani et al.

Summary: Delays in cancer diagnosis and treatment due to the COVID-19 pandemic are a widespread concern, with the impact varying across different tumor sites. Analysis of NHS data showed a decrease in referrals and treatments for suspected breast cancer in the first half of 2020 compared to 2019, but the actual number of breast cancers diagnosed was not as low as feared. Further research is needed to examine the specific impact of COVID-19 management measures on breast cancer outcomes.

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Impact of COVID-19 pandemic on fecal immunochemical test screening uptake and compliance to diagnostic colonoscopy

Shao-Yi Cheng et al.

Summary: During the COVID-19 pandemic, Taiwan's colorectal cancer screening participation and colonoscopy rates were significantly affected. Screening organizers need to consider various approaches to ensure timely diagnosis of colorectal cancer in the COVID-19 era.

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The impact of episodic screening interruption: COVID-19 and population-based cancer screening in Canada

Jean H. E. Yong et al.

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Impact of the COVID-19 Pandemic on Lung Cancer Screening Program and Subsequent Lung Cancer

Robert M. Van Haren et al.

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Hummy Song et al.

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Internet Hospitals Help Prevent and Control the Epidemic of COVID-19 in China: Multicenter User Profiling Study

Kai Gong et al.

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Fewer cancer diagnoses during the COVID-19 epidemic in the Netherlands Comment

Avinash G. Dinmohamed et al.

LANCET ONCOLOGY (2020)

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The impact of COVID-19 pandemic in the colorectal cancer prevention

Giovanna Del Vecchio Blanco et al.

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Role of chest radiographs in early lung cancer detection

Junghyun Kim et al.

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Impact of SARS-CoV-2 pandemic on colorectal cancer screening delay: effect on stage shift and increased mortality

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Decrease in gynecological cancer diagnoses during the COVID-19 pandemic: an Austrian perspective

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Gynecological cancers and the global COVID-19 pandemic

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Tumor circulome in the liquid biopsies for cancer diagnosis and prognosis

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Communicative and ethical aspects of physician-patient relationship in extreme situations

Ibrahim Alkatout

WIENER MEDIZINISCHE WOCHENSCHRIFT (2015)