The trajectory of racial/ethnic disparities in the use of cancer screening before and during the COVID-19 pandemic: A large U.S. academic center analysis

2021 ◽  
Vol 151 ◽  
pp. 106640
Author(s):  
Felippe O. Marcondes ◽  
David Cheng ◽  
Erica T. Warner ◽  
Sophia C. Kamran ◽  
Jennifer S. Haas
2016 ◽  
Vol 51 (4) ◽  
pp. e107-e115 ◽  
Author(s):  
Andrea N. Burnett-Hartman ◽  
Shivan J. Mehta ◽  
Yingye Zheng ◽  
Nirupa R. Ghai ◽  
Dale F. McLerran ◽  
...  

2013 ◽  
Vol 108 ◽  
pp. S632
Author(s):  
Phillip Son ◽  
Diana Kaplan ◽  
Matthew Katz ◽  
Dorothy Lane ◽  
Catherine Messina ◽  
...  

Author(s):  
Rebecca Landy ◽  
Corey D Young ◽  
Martin Skarzynski ◽  
Li C Cheung ◽  
Christine D Berg ◽  
...  

Abstract We examined whether draft 2020 United States Preventive Services Task Force (USPSTF) lung-cancer screening recommendations “partially ameliorate racial disparities in screening eligibility” compared to 2013 guidelines, as claimed. Using data from the 2015 National Health Interview Survey, USPSTF-2020 increased eligibility by similar proportions for minorities (97.1%) and Whites (78.3%). Contrary to the intent of USPSTF-2020, the relative disparity (differences in percentages of model-estimated gainable life-years from National Lung Screening Trial-like screening by eligible Whites vs minorities) actually increased from USPSTF-2013 to USPSTF-2020 (African Americans: 48.3%–33.4%=15.0% to 64.5%–48.5%=16.0%; Asian Americans: 48.3%–35.6%=12.7% to 64.5%–45.2%=19.3%; Hispanic Americans: 48.3%–24.8%=23.5% to 64.5%–37.0%=27.5%). However, augmenting USPSTF-2020 with high-benefit individuals selected by the Life-Years From Screening with Computed Tomography (LYFS-CT) model nearly eliminated disparities for African Americans (76.8%–75.5%=1.2%), and improved screening efficiency for Asian/Hispanic Americans, although disparities were reduced only slightly (Hispanic Americans) or unchanged (Asian Americans). Draft USPSTF-2020 guidelines increased the number of eligible minorities versus USPSTF-2013 but may inadvertently increase racial/ethnic disparities. LYFS-CT could reduce disparities in screening eligibility by identifying ineligible people with high predicted benefit, regardless of race/ethnicity.


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