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- W4220925524 abstract "Background :<br />To assess the effect of the COVID-19 pandemic on performance indicators in the population-based breast cancer screening program of Parc de Salut Mar (PSMAR), Barcelona, Spain.<br /> <br />Methods: <br />We conducted a before-and-after, quasi-experimental study to evaluate participation, recall, false-positives, cancer detection rate, and cancer characteristics in our screening population from March 2020 to March 2021 compared with the four previous rounds (2012-2019). Using independent logistic regression models, we estimated the adjusted odds ratios (aOR) of each of the performance indicators for the COVID-19 period, controlling by type of screening (prevalent or incident), socioeconomic index, family history of breast cancer, and menopausal status. We analyzed 144,779 observations from 47,571 women.<br /> <br />Results <br />During the COVID-19 period, the odds of participation were 11% lower in first-time invitees (aOR=0.89[95%CI=0.84-0.96]) and in those who had previously participated regularly and irregularly (aOR=0.65 [95%CI=0.61-0.69] and aOR=0.93 [95%CI=0.85-1.03], respectively). Participation showed a modest increase in women not attending any of the previous rounds (aOR=1.07 [95%CI=0.99-1.17]). The recall rate slightly decreased in both prevalent and incident screening (aOR=0.89 [95%CI=0.78-1.01] and aOR=0.89 [95%CI=0.79-1.00], respectively). No significant differences were observed in false-positives (prevalent - aOR=1.07 [95%CI=0.92-1.24] and incident screening -aOR=0.94 [95%CI=0.82-1.08]), cancer detection rate (aOR=0.91 [95%CI=0.69-1.18]), or cancer stages.<br /> <br />Conclusions: <br />The COVID-19 pandemic negatively affected screening attendance, especially in previous participants and newcomers. We found no marked differences in recall, false-positives, or cancer detection, indicating the program’s resilience. There is a need for further evaluations of interval cancers and potential diagnostic delays.<br /><br /> Funding: <br />This study has received funding by grants from Instituto de Salud Carlos III FEDER (grant numbers: PI19/00007 and PI21/00058), and by the Health Outcomes-Oriented Cooperative Research Networks (RICORS) ), with reference RD21/0016/0020 co-funded with European Union – NextGenerationEU funds." @default.
- W4220925524 created "2022-04-03" @default.
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- W4220925524 date "2022-03-07" @default.
- W4220925524 modified "2023-10-15" @default.
- W4220925524 title "Impact of the COVID-19 pandemic on breast cancer screening indicators in a Spanish population-based program: a cohort study" @default.
- W4220925524 doi "https://doi.org/10.1101/2022.03.04.22271911" @default.
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