{"id":"https://openalex.org/W4393092283","doi":"https://doi.org/10.1158/1538-7445.am2024-4797","title":"Abstract 4797: Impact of COVID-19 pandemic on breast cancer screening and diagnosis stage in a large midwestern United States academic medical center","display_name":"Abstract 4797: Impact of COVID-19 pandemic on breast cancer screening and diagnosis stage in a large midwestern United States academic medical center","publication_year":2024,"publication_date":"2024-03-22","ids":{"openalex":"https://openalex.org/W4393092283","doi":"https://doi.org/10.1158/1538-7445.am2024-4797"},"language":"en","primary_location":{"id":"doi:10.1158/1538-7445.am2024-4797","doi":"https://doi.org/10.1158/1538-7445.am2024-4797","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1158/1538-7445.am2024-4797","pdf_url":null,"source":{"id":"https://openalex.org/S168522863","display_name":"Cancer Research","issn_l":"0008-5472","issn":["0008-5472","1538-7445"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320273","host_organization_name":"American Association for Cancer Research","host_organization_lineage":["https://openalex.org/P4310320273"],"host_organization_lineage_names":["American Association for Cancer Research"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cancer Research","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5081080746","display_name":"Kimberly J. Johnson","orcid":"https://orcid.org/0000-0002-8152-7319","observed_orcids":["https://orcid.org/0000-0002-8152-7319"]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kimberly J. Johnson","raw_affiliation_strings":["1Washington University in St. Louis, St. Louis, MO"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1Washington University in St. Louis, St. Louis, MO","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063216263","display_name":"R. J. Waken","orcid":"https://orcid.org/0000-0001-6678-7764","observed_orcids":["https://orcid.org/0000-0001-6678-7764"]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"RJ Waken","raw_affiliation_strings":["1Washington University in St. Louis, St. Louis, MO"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1Washington University in St. Louis, St. Louis, MO","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011795996","display_name":"Caitlin P. O\u2019Connell","orcid":"https://orcid.org/0000-0003-1068-4584","observed_orcids":["https://orcid.org/0000-0003-1068-4584"]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Caitlin P. O'Connell","raw_affiliation_strings":["1Washington University in St. Louis, St. Louis, MO"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1Washington University in St. Louis, St. Louis, MO","institution_ids":["https://openalex.org/I204465549"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5058833619","display_name":"Derek S. Brown","orcid":"https://orcid.org/0000-0001-9908-9882","observed_orcids":["https://orcid.org/0000-0001-9908-9882"]},"institutions":[{"id":"https://openalex.org/I204465549","display_name":"Washington University in St. Louis","ror":"https://ror.org/01yc7t268","country_code":"US","type":"education","lineage":["https://openalex.org/I204465549"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Derek Brown","raw_affiliation_strings":["1Washington University in St. Louis, St. Louis, MO"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1Washington University in St. Louis, St. Louis, MO","institution_ids":["https://openalex.org/I204465549"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I204465549"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"84","issue":"6_Supplement","first_page":"4797","last_page":"4797"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11296","display_name":"COVID-19 and healthcare impacts","score":0.9589999914169312,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11296","display_name":"COVID-19 and healthcare impacts","score":0.9589999914169312,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.03709999844431877,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11361","display_name":"Digital Radiography and Breast Imaging","score":0.001500000013038516,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/covid-19","display_name":"COVID-19 pandemic","score":0.9929999709129333},{"id":"https://openalex.org/keywords/breast-cancer-screening","display_name":"breast cancer screening","score":0.996999979019165},{"id":"https://openalex.org/keywords/mammography","display_name":"mammography","score":0.7739999890327454},{"id":"https://openalex.org/keywords/racial-and-ethnic-disparities","display_name":"racial and ethnic disparities","score":0.6940000057220459},{"id":"https://openalex.org/keywords/bayesian-state-space-model","display_name":"Bayesian state-space model","score":0.6380000114440918},{"id":"https://openalex.org/keywords/pandemic-planning","display_name":"pandemic planning","score":0.5910000205039978},{"id":"https://openalex.org/keywords/academic-medical-centers","display_name":"academic medical centers","score":0.6370000243186951},{"id":"https://openalex.org/keywords/midwest-united-states","display_name":"Midwestern United States","score":0.7749999761581421},{"id":"https://openalex.org/keywords/age-group","display_name":"age groups","score":0.38199999928474426},{"id":"https://openalex.org/keywords/telemedicine","display_name":"telemedicine","score":0.3109999895095825},{"id":"https://openalex.org/keywords/telemedicine-adoption","display_name":"telehealth adoption","score":0.33000001311302185}],"concepts":[{"id":"https://openalex.org/C3008058167","wikidata":"https://www.wikidata.org/wiki/Q84263196","display_name":"Coronavirus disease 2019 (COVID-19)","level":4,"score":0.7509808540344238},{"id":"https://openalex.org/C89623803","wikidata":"https://www.wikidata.org/wiki/Q12184","display_name":"Pandemic","level":5,"score":0.7245156168937683},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.675806999206543},{"id":"https://openalex.org/C146357865","wikidata":"https://www.wikidata.org/wiki/Q1123245","display_name":"Stage (stratigraphy)","level":2,"score":0.6145670413970947},{"id":"https://openalex.org/C3007834351","wikidata":"https://www.wikidata.org/wiki/Q82069695","display_name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)","level":5,"score":0.5289490222930908},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.5214157104492188},{"id":"https://openalex.org/C3006700255","wikidata":"https://www.wikidata.org/wiki/Q81068910","display_name":"2019-20 coronavirus outbreak","level":3,"score":0.5114218592643738},{"id":"https://openalex.org/C2779463800","wikidata":"https://www.wikidata.org/wiki/Q5062222","display_name":"Center (category theory)","level":2,"score":0.4958558976650238},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.46254631876945496},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3854745030403137},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.370466023683548},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.18864795565605164},{"id":"https://openalex.org/C159047783","wikidata":"https://www.wikidata.org/wiki/Q7215","display_name":"Virology","level":1,"score":0.1600187122821808},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.11129045486450195},{"id":"https://openalex.org/C524204448","wikidata":"https://www.wikidata.org/wiki/Q788926","display_name":"Infectious disease (medical specialty)","level":3,"score":0.09045219421386719},{"id":"https://openalex.org/C116675565","wikidata":"https://www.wikidata.org/wiki/Q3241045","display_name":"Outbreak","level":2,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C8010536","wikidata":"https://www.wikidata.org/wiki/Q160398","display_name":"Crystallography","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1158/1538-7445.am2024-4797","doi":"https://doi.org/10.1158/1538-7445.am2024-4797","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1158/1538-7445.am2024-4797","pdf_url":null,"source":{"id":"https://openalex.org/S168522863","display_name":"Cancer Research","issn_l":"0008-5472","issn":["0008-5472","1538-7445"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320273","host_organization_name":"American Association for Cancer Research","host_organization_lineage":["https://openalex.org/P4310320273"],"host_organization_lineage_names":["American Association for Cancer Research"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cancer Research","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.4000000059604645,"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4398144651","https://openalex.org/W7162512226","https://openalex.org/W4221077014","https://openalex.org/W4286298438","https://openalex.org/W3172602811","https://openalex.org/W4385851164","https://openalex.org/W4411290434","https://openalex.org/W4404597171","https://openalex.org/W4404002812","https://openalex.org/W4285082576"],"abstract_inverted_index":{"Abstract":[0],"Background:":[1],"Access":[2],"to":[3,30,95,111,119,159,171,195,202,287,290,294,298,301,305,309,312,316,320,323,327,331,334,338,342,345,349,353,356,360],"breast":[4,24,229,379],"cancer":[5,25,134,230,380],"screening":[6,48,87,98,130,187,212,263,381],"mammogram":[7,37,47,68,99,131,213],"services":[8],"decreased":[9],"in":[10,22,63,106,150,211,237,268,385],"association":[11],"with":[12],"the":[13,33,40,86,115,128,141,151,169,173,238,247,251,398],"COVID-19":[14,376],"pandemic.":[15,174],"There":[16],"is":[17,271],"also":[18],"evidence":[19,59],"for":[20,60,79,85,243,266,401],"increases":[21,267],"late-stage":[23,161,241,269],"diagnoses.":[26],"Our":[27],"objectives":[28],"were":[29,75,148,184],"determine:":[31],"1)":[32],"COVID-19-affected":[34],"period":[35,245,249],"on":[36,262,378],"screening,":[38],"2)":[39],"proportion":[41],"of":[42,178,240,375,397],"pandemic-associated":[43,61],"missed":[44],"or":[45,205,221],"delayed":[46],"visits":[49],"overall":[50],"and":[51,54,57,73,107,127,146,199,382],"by":[52,190,219],"race/ethnicity":[53,220],"age":[55,222],"group,":[56],"3)":[58],"shifts":[62],"diagnosis":[64,162,383],"stage.":[65],"Methods:":[66],"Screening":[67],"encounter":[69],"data":[70,256],"between":[71,122,144,197],"1-1-2019":[72],"12-31-2022":[74],"extracted":[76],"from":[77,109,140],"EPIC":[78],"females":[80],"\u2265":[81,137],"40":[82],"years":[83,139],"old":[84],"analysis.":[88,153],"We":[89,113,154],"used":[90,114,155],"Bayesian":[91],"state":[92],"space":[93],"models":[94,158],"describe":[96],"weekly":[97],"counts,":[100],"modeling":[101],"an":[102],"interruption":[103],"that":[104],"phased":[105],"out":[108],"3-1-2020":[110],"9-1-2020.":[112],"posterior":[116],"predictive":[117],"distribution":[118],"simulate":[120],"differences":[121,236],"a":[123,258,386],"predicted,":[124],"uninterrupted":[125],"process":[126],"observed":[129],"counts.":[132],"Breast":[133],"diagnoses":[135,242,270],"at":[136],"21":[138],"tumor":[142],"registry":[143],"12-1-2018":[145],"11-30-2021":[147],"included":[149],"stage":[152,384],"logistic":[156],"regression":[157],"estimate":[160],"odds":[163,239],"comparing":[164],"matched":[165],"three-month":[166],"periods":[167],"during":[168],"pandemic":[170,252,260,278,377],"before":[172,250],"Results:":[175],"A":[176],"total":[177],"319,492":[179],"encounters":[180,214],"among":[181],"146,644":[182],"women":[183],"included.":[185],"Model-estimated":[186],"mammograms":[188],"dropped":[189],"98.8%":[191],"(95%":[192,281],"CI":[193],"95.1":[194],"100)":[196],"3-15-2020":[198],"5-24-2020,":[200],"returning":[201],"pre-pandemic":[203],"levels":[204],"higher":[206],"after":[207],"this":[208],"period.":[209],"Drops":[210],"did":[215],"not":[216],"vary":[217],"significantly":[218],"group":[223],"(p":[224],">":[225],".75).":[226],"Among":[227],"4,669":[228],"diagnoses,":[231],"we":[232],"found":[233],"no":[234],"significant":[235],"any":[244],"vs.":[246,292,303,314,325,336,347,358],"same":[248],"(Table).":[253],"Conclusions:":[254],"These":[255,273],"suggest":[257],"short-term":[259],"effect":[261],"mammograms.":[264],"Evidence":[265],"limited.":[272],"results":[274],"may":[275],"inform":[276],"future":[277],"planning.":[279],"OR":[280],"CI)":[282],"Period":[283],"comparison":[284],"1.19":[285],"(0.74":[286],"1.91)":[288],"3/2020":[289],"5/2020":[291],"3/2019":[293,337],"5/2019":[295,339],"1.05":[296],"(0.69":[297],"1.60)":[299],"6/2020":[300],"8/2020":[302],"6/2019":[304,348],"8/2019":[306,350],"1.14":[307],"(0.73":[308],"1.78)":[310],"9/2020":[311],"11/2020":[313],"9/2019":[315,359],"11/2019":[317,361],"0.92":[318],"(0.60":[319],"1.41)":[321],"12/2020":[322],"2/2021":[324],"12/2019":[326],"2/2020":[328],"1.08":[329],"(0.71":[330],"1.65)":[332],"3/2021":[333],"5/2021":[335],"0.89":[340],"(0.59":[341],"1.33)":[343],"6/2021":[344],"8/2021":[346],"1.31":[351],"(0.84":[352],"2.04)":[354],"9/2021":[355],"11/2021":[357],"Citation":[362],"Format:":[363],"Kimberly":[364],"J.":[365],"Johnson,":[366],"RJ":[367],"Waken,":[368],"Caitlin":[369],"P.":[370],"O'Connell,":[371],"Derek":[372],"Brown.":[373],"Impact":[374],"large":[387],"midwestern":[388],"United":[389],"States":[390],"academic":[391],"medical":[392],"center":[393],"[abstract].":[394],"In:":[395],"Proceedings":[396],"American":[399],"Association":[400],"Cancer":[402,420],"Research":[403],"Annual":[404],"Meeting":[405],"2024;":[406],"Part":[407],"1":[408],"(Regular":[409],"Abstracts);":[410],"2024":[411],"Apr":[412],"5-10;":[413],"San":[414],"Diego,":[415],"CA.":[416],"Philadelphia":[417],"(PA):":[418],"AACR;":[419],"Res":[421],"2024;84(6_Suppl):Abstract":[422],"nr":[423],"4797.":[424]},"counts_by_year":[],"updated_date":"2026-09-22T06:50:58.402377","created_date":"2024-03-23T00:00:00"}