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What Are the Predictors of Screening Colorectal Cancer and the Effects of COVID-19?

Record Type:	Electronic resources : Monograph/item
Title/Author:	What Are the Predictors of Screening Colorectal Cancer and the Effects of COVID-19?/
Author:	Fernandes, Elizabeth.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2022,
Description:	27 p.
Notes:	Source: Masters Abstracts International, Volume: 83-12.
Contained By:	Masters Abstracts International83-12.
Subject:	Biostatistics. -
ISBN:	9798438771463

What Are the Predictors of Screening Colorectal Cancer and the Effects of COVID-19?
Fernandes, Elizabeth.

What Are the Predictors of Screening Colorectal Cancer and the Effects of COVID-19? - Ann Arbor : ProQuest Dissertations & Theses, 2022 - 27 p.

Source: Masters Abstracts International, Volume: 83-12.

Thesis (M.S.)--Icahn School of Medicine at Mount Sinai, 2022.

This item must not be sold to any third party vendors.

Introduction: National shutdowns at the beginning of the COVID-19 pandemic contributed to decreases in breast, colorectal, and cervical cancer screenings between 86% and 94% compared to three-year averages. Although screening rates recovered somewhat after the initial shutdowns, they remain approximately 25% below baseline levels. Studies have found those who delayed a colonoscopy by more than 12 months after an abnormal stool-based screening test result were at an increased risk of being diagnosed with colorectal cancer. The odds of being diagnosed with late-stage colon cancer increased at 16 months by approximately 33%. "Many colon cancers are asymptomatic and can be growing without the patient even knowing".Primary aim: To investigate the impact of COVID-19 on the screening completion rate for colorectal cancer.Secondary aim: To evaluate the predictors of screening completion for colorectal cancer during the COVID-19 pandemic and pre-pandemic period.Patients and Methods: This is a retrospective study designed to compare the colonoscopy screening completion rates for the March of 2019, 2020, and 2021. The study will help to determine the impact of the COVID-19 pandemic on screening CRC. A sample of 450 patients scheduled for colonoscopy screening was included in the study, which was collected retrospectively including every 3rd patient from a large data pulled for the scheduled appointments from EPIC for March of 2019, 2020, and 2021. Of the 450 randomized samples, 423 were used for final analysis through chi. sq. and t-test.Results: To examine the completion rate for colonoscopies recommended in the time period of pre-pandemic with post-pandemic, there were significantly more colonoscopies completed in the pre-pandemic period than in the post-pandemic period (p = 0.0016, α = 0.05). However, there was no significance seen in predictors of screening of colorectal cancer except by year in the pandemic period.Conclusion: The COVID-19 pandemic has significantly impacted colorectal cancer screening rates, resulting in a decrease in the rate of screening tests for the diagnosis of colorectal cancer, leading to a vast backlog of early detection and diagnosis of colorectal cancer. In the future, there should be a provision and necessary tools available to avoid such incidences as it would adversely affect the detection and timely cure of the disease.

ISBN: 9798438771463Subjects--Topical Terms:

1002712
Biostatistics.
Subjects--Index Terms:

Colorectal cancer screening

What Are the Predictors of Screening Colorectal Cancer and the Effects of COVID-19?
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520 $a Introduction: National shutdowns at the beginning of the COVID-19 pandemic contributed to decreases in breast, colorectal, and cervical cancer screenings between 86% and 94% compared to three-year averages. Although screening rates recovered somewhat after the initial shutdowns, they remain approximately 25% below baseline levels. Studies have found those who delayed a colonoscopy by more than 12 months after an abnormal stool-based screening test result were at an increased risk of being diagnosed with colorectal cancer. The odds of being diagnosed with late-stage colon cancer increased at 16 months by approximately 33%. "Many colon cancers are asymptomatic and can be growing without the patient even knowing".Primary aim: To investigate the impact of COVID-19 on the screening completion rate for colorectal cancer.Secondary aim: To evaluate the predictors of screening completion for colorectal cancer during the COVID-19 pandemic and pre-pandemic period.Patients and Methods: This is a retrospective study designed to compare the colonoscopy screening completion rates for the March of 2019, 2020, and 2021. The study will help to determine the impact of the COVID-19 pandemic on screening CRC. A sample of 450 patients scheduled for colonoscopy screening was included in the study, which was collected retrospectively including every 3rd patient from a large data pulled for the scheduled appointments from EPIC for March of 2019, 2020, and 2021. Of the 450 randomized samples, 423 were used for final analysis through chi. sq. and t-test.Results: To examine the completion rate for colonoscopies recommended in the time period of pre-pandemic with post-pandemic, there were significantly more colonoscopies completed in the pre-pandemic period than in the post-pandemic period (p = 0.0016, α = 0.05). However, there was no significance seen in predictors of screening of colorectal cancer except by year in the pandemic period.Conclusion: The COVID-19 pandemic has significantly impacted colorectal cancer screening rates, resulting in a decrease in the rate of screening tests for the diagnosis of colorectal cancer, leading to a vast backlog of early detection and diagnosis of colorectal cancer. In the future, there should be a provision and necessary tools available to avoid such incidences as it would adversely affect the detection and timely cure of the disease.
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