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Effects of the COVID-19 pandemic on breast cancer screening in Taiwan
doi: 10.1016/j.breast.2020.08.014. Epub 2020 Sep 3. Effects of the COVID-19 pandemic on breast cancer screening in Taiwan
Affiliations
Affiliations
- 1 Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan (No.100, Shih-Chuan 1st Road, Sanmin Dist., Kaohsiung City, 80708, Taiwan; Department of Medical Imaging, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
- 2 Cancer Center, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
- 3 Department of Family Medicine, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
- 4 Department of Medical Imaging, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Radiology, Kaohsiung Municipal Siaogang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
- 5 Division of Breast Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Surgery, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Surgery, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address: fchen@kmu.edu.tw.
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Effects of the COVID-19 pandemic on breast cancer screening in Taiwan
Huei-Yi Tsai et al. Breast. 2020 Dec.
doi: 10.1016/j.breast.2020.08.014. Epub 2020 Sep 3. Affiliations
- 1 Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan (No.100, Shih-Chuan 1st Road, Sanmin Dist., Kaohsiung City, 80708, Taiwan; Department of Medical Imaging, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
- 2 Cancer Center, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
- 3 Department of Family Medicine, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
- 4 Department of Medical Imaging, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Radiology, Kaohsiung Municipal Siaogang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
- 5 Division of Breast Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Surgery, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Surgery, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address: fchen@kmu.edu.tw.
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Abstract
The breast cancer screening program has continued in Taiwan during the COVID-19 pandemic. Our nationwide data showed that the total number of screenings decreased by 22.2%, which was more pronounced for in-hospital examinations (-37.2%), while outreach showed a 12.9% decrease. This decline in screening participation happened at all levels of hospitals, more significantly at the highest level. Our report revealed that outreach services could maintain relatively stable breast cancer screening under this kind of public health crisis. Building a flexible, outreach system into the community might need to be considered when policymakers are preparing for future possible pandemics.
Keywords: Breast cancer screening; COVID-19; Mammography; Outreach.
Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.
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Conflict of interest statement
Declaration of competing interest None.
Figures
Fig. 1
Screening data stratification by the…
Fig. 1
Screening data stratification by the hierarchy of hospitals. During the COVID-19 pandemic, the…
Fig. 1
Screening data stratification by the hierarchy of hospitals. During the COVID-19 pandemic, the number of screenings decreased in all the four levels of hospitals, more pronounced in medical centers. The lines show the proportion of outreach service increased in 2020 in the first three levels of hospitals.
Fig. 2
Screening data stratification by age…
Fig. 2
Screening data stratification by age of the participants. During the COVID-19 pandemic, the…
Fig. 2
Screening data stratification by age of the participants. During the COVID-19 pandemic, the number of screening mammographies decreased in all age levels and the proportion of outreach services increased.
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