Cargando…

A modelled evaluation of the impact of COVID-19 on breast, bowel, and cervical cancer screening programmes in Australia

Australia introduced COVID-19 infection prevention and control measures in early 2020. To help prepare health services, the Australian Government Department of Health commissioned a modelled evaluation of the impact of disruptions to population breast, bowel, and cervical cancer screening programmes...

Descripción completa

Detalles Bibliográficos
Autores principales: Nickson, Carolyn, Smith, Megan A, Feletto, Eleonora, Velentzis, Louiza S, Broun, Kate, Deij, Sabine, Grogan, Paul, Hall, Michaela, He, Emily, St John, D James, Lew, Jie-Bin, Procopio, Pietro, Simms, Kate T, Worthington, Joachim, Mann, G Bruce, Canfell, Karen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: eLife Sciences Publications, Ltd 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10079286/
https://www.ncbi.nlm.nih.gov/pubmed/37022767
http://dx.doi.org/10.7554/eLife.82818
_version_ 1785020696167972864
author Nickson, Carolyn
Smith, Megan A
Feletto, Eleonora
Velentzis, Louiza S
Broun, Kate
Deij, Sabine
Grogan, Paul
Hall, Michaela
He, Emily
St John, D James
Lew, Jie-Bin
Procopio, Pietro
Simms, Kate T
Worthington, Joachim
Mann, G Bruce
Canfell, Karen
author_facet Nickson, Carolyn
Smith, Megan A
Feletto, Eleonora
Velentzis, Louiza S
Broun, Kate
Deij, Sabine
Grogan, Paul
Hall, Michaela
He, Emily
St John, D James
Lew, Jie-Bin
Procopio, Pietro
Simms, Kate T
Worthington, Joachim
Mann, G Bruce
Canfell, Karen
author_sort Nickson, Carolyn
collection PubMed
description Australia introduced COVID-19 infection prevention and control measures in early 2020. To help prepare health services, the Australian Government Department of Health commissioned a modelled evaluation of the impact of disruptions to population breast, bowel, and cervical cancer screening programmes on cancer outcomes and cancer services. We used the Policy1 modelling platforms to predict outcomes for potential disruptions to cancer screening participation, covering periods of 3, 6, 9, and 12 mo. We estimated missed screens, clinical outcomes (cancer incidence, tumour staging), and various diagnostic service impacts. We found that a 12-mo screening disruption would reduce breast cancer diagnoses (9.3% population-level reduction over 2020–2021) and colorectal cancer (up to 12.1% reduction over 2020–21), and increase cervical cancer diagnoses (up to 3.6% over 2020–2022), with upstaging expected for these cancer types (2, 1.4, and 6.8% for breast, cervical, and colorectal cancers, respectively). Findings for 6–12-mo disruption scenarios illustrate that maintaining screening participation is critical to preventing an increase in the burden of cancer at a population level. We provide programme-specific insights into which outcomes are expected to change, when changes are likely to become apparent, and likely downstream impacts. This evaluation provided evidence to guide decision-making for screening programmes and emphasises the ongoing benefits of maintaining screening in the face of potential future disruptions.
format Online
Article
Text
id pubmed-10079286
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher eLife Sciences Publications, Ltd
record_format MEDLINE/PubMed
spelling pubmed-100792862023-04-07 A modelled evaluation of the impact of COVID-19 on breast, bowel, and cervical cancer screening programmes in Australia Nickson, Carolyn Smith, Megan A Feletto, Eleonora Velentzis, Louiza S Broun, Kate Deij, Sabine Grogan, Paul Hall, Michaela He, Emily St John, D James Lew, Jie-Bin Procopio, Pietro Simms, Kate T Worthington, Joachim Mann, G Bruce Canfell, Karen eLife Epidemiology and Global Health Australia introduced COVID-19 infection prevention and control measures in early 2020. To help prepare health services, the Australian Government Department of Health commissioned a modelled evaluation of the impact of disruptions to population breast, bowel, and cervical cancer screening programmes on cancer outcomes and cancer services. We used the Policy1 modelling platforms to predict outcomes for potential disruptions to cancer screening participation, covering periods of 3, 6, 9, and 12 mo. We estimated missed screens, clinical outcomes (cancer incidence, tumour staging), and various diagnostic service impacts. We found that a 12-mo screening disruption would reduce breast cancer diagnoses (9.3% population-level reduction over 2020–2021) and colorectal cancer (up to 12.1% reduction over 2020–21), and increase cervical cancer diagnoses (up to 3.6% over 2020–2022), with upstaging expected for these cancer types (2, 1.4, and 6.8% for breast, cervical, and colorectal cancers, respectively). Findings for 6–12-mo disruption scenarios illustrate that maintaining screening participation is critical to preventing an increase in the burden of cancer at a population level. We provide programme-specific insights into which outcomes are expected to change, when changes are likely to become apparent, and likely downstream impacts. This evaluation provided evidence to guide decision-making for screening programmes and emphasises the ongoing benefits of maintaining screening in the face of potential future disruptions. eLife Sciences Publications, Ltd 2023-04-06 /pmc/articles/PMC10079286/ /pubmed/37022767 http://dx.doi.org/10.7554/eLife.82818 Text en © 2023, Nickson et al https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use and redistribution provided that the original author and source are credited.
spellingShingle Epidemiology and Global Health
Nickson, Carolyn
Smith, Megan A
Feletto, Eleonora
Velentzis, Louiza S
Broun, Kate
Deij, Sabine
Grogan, Paul
Hall, Michaela
He, Emily
St John, D James
Lew, Jie-Bin
Procopio, Pietro
Simms, Kate T
Worthington, Joachim
Mann, G Bruce
Canfell, Karen
A modelled evaluation of the impact of COVID-19 on breast, bowel, and cervical cancer screening programmes in Australia
title A modelled evaluation of the impact of COVID-19 on breast, bowel, and cervical cancer screening programmes in Australia
title_full A modelled evaluation of the impact of COVID-19 on breast, bowel, and cervical cancer screening programmes in Australia
title_fullStr A modelled evaluation of the impact of COVID-19 on breast, bowel, and cervical cancer screening programmes in Australia
title_full_unstemmed A modelled evaluation of the impact of COVID-19 on breast, bowel, and cervical cancer screening programmes in Australia
title_short A modelled evaluation of the impact of COVID-19 on breast, bowel, and cervical cancer screening programmes in Australia
title_sort modelled evaluation of the impact of covid-19 on breast, bowel, and cervical cancer screening programmes in australia
topic Epidemiology and Global Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10079286/
https://www.ncbi.nlm.nih.gov/pubmed/37022767
http://dx.doi.org/10.7554/eLife.82818
work_keys_str_mv AT nicksoncarolyn amodelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT smithmegana amodelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT felettoeleonora amodelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT velentzislouizas amodelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT brounkate amodelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT deijsabine amodelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT groganpaul amodelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT hallmichaela amodelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT heemily amodelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT stjohndjames amodelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT lewjiebin amodelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT procopiopietro amodelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT simmskatet amodelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT worthingtonjoachim amodelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT manngbruce amodelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT canfellkaren amodelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT nicksoncarolyn modelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT smithmegana modelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT felettoeleonora modelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT velentzislouizas modelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT brounkate modelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT deijsabine modelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT groganpaul modelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT hallmichaela modelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT heemily modelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT stjohndjames modelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT lewjiebin modelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT procopiopietro modelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT simmskatet modelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT worthingtonjoachim modelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT manngbruce modelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia
AT canfellkaren modelledevaluationoftheimpactofcovid19onbreastbowelandcervicalcancerscreeningprogrammesinaustralia