Summary
The COVID-19 pandemic has significantly impacted cervical cancer screening programs worldwide. According to several studies, there was a major drop in the number of cervical cancer screenings during the initial waves of the COVID-19 pandemic compared to the pre-pandemic period. For example, in Korea, screening rates declined by around 48% for cervical cancer during the first COVID-19 wave in March 2020 compared to the same period in 2019. In Canada, screening Pap tests and colposcopies decreased across the country, especially in private clinics. In England, two scenarios estimating the impact of COVID-19 disruptions on cervical cancer screening found that there could be between 630 to 632 excess cervical cancer cases over one screening cycle. A study in Brazil found that the median number of Pap tests done decreased by 56% in 2020 compared to 2019, with follow-up cytology evaluations also dropping by 44% during the same time period. The reductions in testing coincided with the increases in precancerous cervical lesions detected in 2020 and 2021 compared to 2019, indicating the potential for higher cervical cancer rates. In Germany, a severe decrease in the number of patients receiving cervical cancer screening was observed between 2018-2019 and 2020-2021, suggesting many underdiagnosed precancerous lesions and the possibility of higher future cervical cancer burden. While global health organizations have warned about the negative consequences of drops in cancer screening rates during the COVID-19 pandemic, some studies found limited or no significant changes. For example, a study of rural health clinics in the U.S. found that although cancer screening services declined during the pandemic, the rates of decline were not statistically significant. Another study found that cervical cancer screening rates at one medical center in Mississippi did not significantly change during the COVID-19 pandemic compared to pre-pandemic levels, though HPV testing rates did decrease. In summary, most studies have found that the COVID-19 pandemic has severely disrupted cervical cancer screening programs, with significant drops in screening and follow-up rates coinciding with the initial waves of the pandemic. These consequences could potentially lead to higher rates of undiagnosed precancerous lesions and greater cervical cancer burden. Targeted interventions and catch-up campaigns will likely be needed to restore screening coverage and address these impacts.
excess cervical cancers: 630vs. 632. 41.5 per 100,000 screened. Extra screening capacity will need to be paired with prioritising the screening of overduewomen.
Published By:
A. Castañon - medRxiv
2020
Cited By:
8
Breast and cervical cancer screening rates in Korea decreased in 2020,especially for older women,due to COVID-19 waves but rebounded slightly,though still below 2019 levels. Rates dropped during COVID surges,recovering in between,with similar patterns across ages,areas.
Published By:
Hyeree Park - Cancer Research
2022
Cited By:
0
A survey of 153 rural health clinics found both independent and provider-based clinics experienced declines in cancer prevention and screening services.Both clinics faced pandemic stressors,independent clinics reported greater challenges.
Published By:
W. Zahnd - Journal of Rural Health
2023
Cited By:
1
Community navigators worked with underserved populations in Chicago to promote cancer screenings.From 2019 to 2022, 366 people received screenings, most uninsured Latinx or Black women.
Published By:
L. Carnahan - undefined
2023
Cited By:
0
Significant investment in COVID-19 testing capacity may help address supply shortages facing HPV testing services. Decreasing COVID-19 testing demand could release resources for cervical cancer elimination.
Published By:
M. Poljak - Acta Dermatovenerologica Alpina Pannonica et Adriatica
2021
Cited By:
23
University of Mississippi Medical Center cervical cancer screening rates did not significantly change during COVID-19 pandemic; rates remained consistent year over year.
Published By:
Taylor Patterson - undefined
2022
Cited By:
0
A multi-database search identified a large reduction in breast and cervical cancer screening during COVID-19 restrictions, which partially persisted after easing.
Published By:
Stylianos Elemes - In Vivo
2023
Cited By:
4
Cervical cancer screening fell 56% in 2020 but rose 53% in 2021 compared to pre-pandemic rates in Brazil.
Published By:
T. R. Martins - Acta Cytologica
2023
Cited By:
4
The coronavirus disease 2019 (COVID-19) pandemic has affected healthcare services. We compared cancer screening participation in 2019 and 2020 to address COVID-19's effect.Participation rates decreased in 2020: colorectal (40.5% vs 35.3%), gastric (61.9% vs 54.6%), breast (63.8% vs 55.8%), cervical (57.8% vs 52.2%) cancers.
Published By:
Hyeree Park - Epidemiology and Health
2022
Cited By:
16
Participants cancelled appointments and tests declined across Canada.About 90% adopted telemedicine.
Published By:
M. El-Zein - medRxiv
2022
Cited By:
1