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Effects of lower screening activity during the COVID-19 pandemic on breast cancer patient pathways: Evidence from the age cut-off of organized screening

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  • Elek, Péter
  • Fadgyas-Freyler, Petra
  • Váradi, Balázs
  • Mayer, Balázs
  • Zemplényi, Antal
  • Csanádi, Marcell

Abstract

We examined the effects of the COVID-19 pandemic on the screening, diagnosis and treatment of breast cancer in Hungary based on administrative data until June 2021, covering three pandemic waves. After correcting for trend and seasonality, the number of mammography examinations decreased by 68% in 2020q2, was around its usual level in 2020q3 and was reduced by 20–35% throughout 2020q4-2021q2. The reduction was caused by a combination of supply-side (temporary suspensions of screening) and demand-side (lower screening participation during the pandemic waves) factors. The number of new breast cancer diagnoses and mastectomy surgeries responded with a lag, and were below their usual level by 15-30% in all quarters between 2020q2 and 2021q2, apart from 2020q4, when there was no significant difference. Using a regression discontinuity framework, we found that the partial mastectomy rate (indicative of early diagnosis) dropped more substantially in 2020q2 in the 61–65 years old age group that was just below the age cut-off of organized screening than in the 66–70 years old age group, and this difference was partially offset in 2021q1. We suggest that policymakers need to motivate the target population (by providing both information and incentives) to catch up on missed screenings.

Suggested Citation

  • Elek, Péter & Fadgyas-Freyler, Petra & Váradi, Balázs & Mayer, Balázs & Zemplényi, Antal & Csanádi, Marcell, 2022. "Effects of lower screening activity during the COVID-19 pandemic on breast cancer patient pathways: Evidence from the age cut-off of organized screening," Health Policy, Elsevier, vol. 126(8), pages 763-769.
    • Handle: RePEc:eee:hepoli:v:126:y:2022:i:8:p:763-769
    DOI: 10.1016/j.healthpol.2022.05.013
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    References listed on IDEAS

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    1. Kadiyala Srikanth & Strumpf Erin, 2016. "How Effective is Population-Based Cancer Screening? Regression Discontinuity Estimates from the US Guideline Screening Initiation Ages," Forum for Health Economics & Policy, De Gruyter, vol. 19(1), pages 87-139, June.
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    Cited by:

    1. Tamás Hajdu & Judit Krekó & Csaba G. Tóth, 2023. "Inequalities in regional excess mortality and life expectancy during the COVID-19 pandemic in Europe," CERS-IE WORKING PAPERS 2316, Institute of Economics, Centre for Economic and Regional Studies.

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