Prioritizing breast imaging services during the COVID pandemic: A survey of breast imaging facilities within the Breast Cancer Surveillance Consortium

Autor: Janie M. Lee, Nila Alsheik, Louise M. Henderson, Diana S. M. Buist, Tracy Onega, Anna N.A. Tosteson, Teresita Macarol, Christoph I. Lee, Karla Kerlikowske, Ellen S. O'Meara, Hannah Perry, Diana L. Miglioretti, Brian L. Sprague
Jazyk: angličtina
Rok vydání: 2021
Předmět:
MRI
Magnetic resonance imaging
Epidemiology
Breast cancer screening
Breast cancer
Neoplasms
Mass Screening
Breast imaging
Early Detection of Cancer
Cancer
medicine.diagnostic_test
Health services research
Health Services
Public Health and Health Services
Screening
Biomedical Imaging
Diagnostic imaging
Female
Public Health
Radiology
Mammography
medicine.medical_specialty
Breast Cancer Surveillance Consortium
Breast Neoplasms
Healthcare delivery
Article
Clinical Research
BCSC
Breast Cancer Surveillance Consortium
medicine
Medical imaging
Humans
Pandemics
Mass screening
Preventive services
business.industry
CI
Confidence interval
SARS-CoV-2
Prevention
Public Health
Environmental and Occupational Health
COVID-19
Human Movement and Sports Sciences
medicine.disease
United States
Good Health and Well Being
Emergency medicine
business
Zdroj: Preventive Medicine
ISSN: 1096-0260
0091-7435
Popis: The COVID-19 pandemic disrupted breast cancer screening and diagnostic imaging in the United States. We sought to evaluate how medical facilities prioritized breast imaging services during periods of reduced capacity or upon re-opening after closures. In fall 2020, we surveyed 77 breast imaging facilities within the Breast Cancer Surveillance Consortium in the United States. The survey ascertained the pandemic's impact on clinical practices during March-September 2020. Nearly all facilities (97%) reported closing or operating at reduced capacity at some point during this period. All facilities were open by August 2020, though 14% were still operating at reduced capacity in September 2020. During periods of re-opening or reduced capacity, 93% of facilities reported prioritizing diagnostic breast imaging over breast cancer screening. For diagnostic imaging, facilities prioritized based on rescheduling canceled appointments (89%), specific indication for diagnostic imaging (89%), patient demand (84%), individual characteristics and risk factors (77%), and time since last imaging examination (72%). For screening mammography, facilities prioritized based on rescheduled cancelations (96%), patient demand (83%), individual characteristics and risk factors (73%), and time since last mammogram (71%). For biopsy services, more than 90% of facilities reported prioritization based on rescheduling of canceled exams, patient demand, patient characteristics and risk factors and level of suspicion on imaging. The observed patterns from this large and geographically diverse sample of facilities in the United States indicate that multiple factors were commonly used to prioritize breast imaging services during periods of reduced capacity.
Databáze: OpenAIRE
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