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Implications for health system resilience: Quantifying the impact of the COVID-19-related stay at home orders on cancer screenings and diagnoses in southeastern North Carolina, USA.
Carroll, Rachel; Duea, Stephanie R; Prentice, Christopher R.
Afiliación
  • Carroll R; Department of Mathematics and Statistics, University of North Carolina Wilmington, 601 S College Rd., Wilmington, NC, United States of America. Electronic address: rcarroll@air.org.
  • Duea SR; School of Nursing, University of North Carolina Wilmington, 601 S College Rd., Wilmington, NC, United States of America.
  • Prentice CR; Department of Public and International Affairs, University of North Carolina Wilmington, 601 S College Rd., Wilmington, NC, United States of America.
Prev Med ; 158: 107010, 2022 05.
Article en En | MEDLINE | ID: mdl-35305996
COVID-19 impacted hospital systems across the globe. Focus shifted to responding to increased healthcare demand while mitigating COVID-19 spread on their campuses. Mitigation efforts limited medical professional-patient interactions, including patient access to preventive cancer screenings. Data were gleaned from a health information exchange containing records on over 2 million patients in southeastern North Carolina, USA. This study tested five hypotheses: H1: Weekly cancer screenings significantly decreased during North Carolina's (NC) Stay-At-Home (SAH) orders; H2: Weekly cancer diagnoses significantly decreased during NC's SAH orders; H3: Weekly cancer screenings significantly increased after the end of NC's SAH orders; H4: Weekly cancer diagnoses significantly increased after the end of NC's SAH orders; and H5: Weekly advanced cancer diagnoses significantly increased after the end of NC's SAH orders. Time series regression analysis was employed to quantify trends. Results suggested strong support of H1 and H3, moderate support of H4, mixed support of H5, and no support of H2. For example, compared to before the SAH orders, we estimated 662.3 fewer weekly breast cancer screenings during the SAH orders (H1). After the SAH orders (H3), we estimated 232.5 more breast cancer screenings and 10.6 more breast cancer diagnoses. This work quantifies the impact of COVID-19 associated SAH orders on cancer screenings and diagnoses and suggests the potential for delayed or missed cancer diagnoses. This evident disruption in providing routine medical care also highlights the importance of strengthening health systems (or organizations) and improving resilience to natural disasters and infectious disease outbreaks.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Mama / COVID-19 Tipo de estudio: Diagnostic_studies / Screening_studies Límite: Female / Humans País/Región como asunto: America do norte Idioma: En Revista: Prev Med Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias de la Mama / COVID-19 Tipo de estudio: Diagnostic_studies / Screening_studies Límite: Female / Humans País/Región como asunto: America do norte Idioma: En Revista: Prev Med Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos