Abstract:
:The COVID-19 pandemic has affected many healthcare services worldwide. Like many other nations, the Netherlands experienced large numbers of individuals affected by COVID-19 in 2020, leading to increased demands on hospitals and intensive care units. The Dutch Ministry of Health decided to suspend the Dutch biennial fecal immunochemical test (FIT) based colorectal cancer (CRC) screening program from March 16, 2020. FIT invitations were resumed on June 3. In this study, we describe the short-term effects of this suspension on a myriad of relevant screening outcomes. As a result of the suspension, a quarter of the individuals due for screening between March and November 2020 had not received their invitation for FIT screening by November 30, 2020. Furthermore, 57.8% of those who received a consecutive FIT between the restart and November 30, 2020, received it outside the upper limit of the standard screening interval (26 months). Median time between positive FIT and colonoscopy did not change as a result of the pandemic. Participation rates of FIT screening and follow-up colonoscopy in the months just before and during the suspension were significantly lower than expected, but returned to normal levels after the suspension. Based on the anticipated 2020 cohort size, we estimate that the number of individuals with advanced neoplasia currently detected up until November 2020 was 31.2% lower compared to what would have been expected without a pandemic. Future studies should monitor the impact on long-term screening outcomes as a result of the pandemic.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Kortlever TL,de Jonge L,Wisse PHA,Seriese I,Otto-Terlouw P,van Leerdam ME,Spaander MCW,Dekker E,Lansdorp-Vogelaar Idoi
10.1016/j.ypmed.2021.106643keywords:
["COVID-19","Colorectal Cancer","Screening"]subject
Has Abstractpub_date
2021-10-01 00:00:00pages
106643eissn
0091-7435issn
1096-0260pii
S0091-7435(21)00227-9journal_volume
151pub_type
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METHODS
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METHO...
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章
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pub_type: 杂志文章,多中心研究
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更新日期:1999-11-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章
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更新日期:1999-12-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章
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更新日期:1999-12-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:
更新日期:1999-12-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章,评审
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更新日期:1999-12-01 00:00:00
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journal_title:Preventive medicine
pub_type: 杂志文章
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更新日期:2000-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2000-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2000-04-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2000-10-01 00:00:00
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更新日期:2000-10-01 00:00:00
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