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Título : Quantification of impact of COVID-19 pandemic on cancer screening programmes - a case study from Argentina, Bangladesh, Colombia, Morocco, Sri Lanka, and Thailand
Autor : Lucas, Eric 
Murillo, Raúl 
Arrossi, Silvina 
Bárcena, Martín 
Chami, Youssef 
Nessa, Ashrafun 
Perera, Suraj 
Silva, Padmaka 
Sangrajrang, Suleeporn 
Muwonge, Richard 
Basu, Partha 
Palabras clave : Detección Precoz del Cáncer;Cuello de Útero;Neoplasias;Epidemiología;COVID-19;Infecciones por Coronavirus
Fecha de publicación : May-2023
Citación : Lucas E, Murillo R, Arrossi S, Bárcena M, Chami Y, Nessa A, Perera S, Silva P, Sangrajrang S, Muwonge R, Basu P. Quantification of impact of COVID-19 pandemic on cancer screening programmes - a case study from Argentina, Bangladesh, Colombia, Morocco, Sri Lanka, and Thailand. Elife. 2023 May 16;12:e86527. Disponible en:
Resumen : It is quite well documented that the COVID-19 pandemic disrupted cancer screening services in all countries, irrespective of their resources and healthcare settings. While quantitative estimates on reduction in volume of screening tests or diagnostic evaluation are readily available from the high-income countries, very little data are available from the low- and middle-income countries LMICs). From the CanScreen5 global cancer screening data repository we identified six LMICs through purposive sampling based on the availability of cancer screening data at least for the years 2019 and 2020. These countries represented those in high human development index (HDI) categories (Argentina, Colombia, Sri Lanka, and Thailand) and medium HDI categories (Bangladesh and Morocco). No data were available from low HDI countries to perform similar analysis. The reduction in the volume of tests in 2020 compared to the previous year ranged from 14.1% in Bangladesh to 72.9% in Argentina (regional programme) for cervical screening, from 14.2% in Bangladesh to 49.4% in Morocco for breast cancer screening and 30.7% in Thailand for colorectal cancer screening. Number of colposcopies was reduced in 2020 compared to previous year by 88.9% in Argentina, 38.2% in Colombia, 27.4% in Bangladesh, and 52.2% in Morocco. The reduction in detection rates of CIN 2 or worse lesions ranged from 20.7% in Morocco to 45.4% in Argentina. Reduction of breast cancer detection by 19.1% was reported from Morocco. No association of the impact of pandemic could be seen with HDI categories. Quantifying the impact of service disruptions in screening and diagnostic tests will allow the programmes to strategize how to ramp up services to clear the backlogs in screening and more crucially in further evaluation of screen positives. The data can be used to estimate the impact on stage distribution and avoidable mortality from these common cancers.
Descripción : Fil: Lucas, Eric. International Agency for Research on Cancer; Francia.
Fil: Murillo, Raúl. Hospital Universitario San Ignacio; Colombia.
Fil: Arrossi, Silvina. CEDES. Centro de Estudios de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.
Fil: Arrossi, Silvina. Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET); Argentina.
Fil: Bárcena, Martín. Instituto Provincial del Cáncer (Jujuy); Argentina.
Fil: Chami, Youssef. Foundation Lalla Salma Cancer Prevention and Treatment; Marruecos.
Fil: Nessa, Ashrafun. Bangabandhu Sheikh Mujib Medical University; Bangladesh.
Fil: Perera, Suraj. Ministry of Health; Sri Lanka.
Fil: Silva, Padmaka. Ministry of Health; Sri Lanka.
Fil: Sangrajrang, Suleeporn. National Cancer Institute of Thailand; Tailandia.
Fil: Muwonge, Richard. Hospital Universitario San Ignacio; Colombia.
Fil: Basu, Partha. Hospital Universitario San Ignacio; Colombia.
Serie o Congreso: Elife. 2023 May 16;12:e86527.
DOI: 10.7554/eLife.86527
Derechos: info:eu-repo/semantics/openAccess
Appears in Collections:Artículos en publicaciones periódicas

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