WEBVTT 00:00:01.020 --> 00:00:03.540 Can you say screening is crucial to identify early signs and malignancy. 00:00:03.570 --> 00:00:03.900 However, 00:00:03.900 --> 00:00:06.540 with the start of the COVID-19 pandemic and due to the stay at home order issued 00:00:06.540 --> 00:00:09.330 in March, 2020 cancer screening began to be delayed. 00:00:09.330 --> 00:00:11.100 As in-person clinic visits were restricted ended. 00:00:11.100 --> 00:00:15.150 The patient's fear of contracting COVID-19 considering the necessity of routine 00:00:15.150 --> 00:00:17.280 cancer screenings for early detection and treatment. 00:00:17.340 --> 00:00:20.070 This research will serve a purpose of comparing the efficacy of tele-health 00:00:20.070 --> 00:00:23.160 based services during the COVID-19 pandemic versus in-person clinic, 00:00:23.160 --> 00:00:26.370 before COVID-19 to quantify the difference in screening rates in general, 00:00:26.370 --> 00:00:27.510 and also through a social lens, 00:00:27.540 --> 00:00:31.680 examining the difference among different races and socioeconomic classes to 00:00:31.680 --> 00:00:32.430 conduct this research, 00:00:32.430 --> 00:00:35.430 the words COVID-19 and cancer screening rates research in both pub med and the 00:00:35.430 --> 00:00:37.770 web of science, which generated hunted hundreds of results. 00:00:38.100 --> 00:00:41.220 These results were examined by both investigators to see if they met the 00:00:41.220 --> 00:00:42.210 following inclusion criteria, 00:00:42.210 --> 00:00:46.440 which included being published in 2021 and conducted in United States. Also, 00:00:46.440 --> 00:00:49.110 the articles could not include co-morbidities of cancer and COVID-19, 00:00:49.110 --> 00:00:52.410 or have patients with a history of cancer because that would affect the rates of 00:00:52.410 --> 00:00:55.320 adherence cancer screenings. Overall 36 articles were, 00:00:55.500 --> 00:00:58.680 were fully reviewed and of the 36 8 remain in our study. 00:00:59.520 --> 00:01:00.060 Overall, 00:01:00.060 --> 00:01:03.810 the findings of all six studies concerning breast cancer screening showed a 00:01:03.810 --> 00:01:07.410 statistically significant overall decrease in breast cancer screening rates 00:01:07.650 --> 00:01:12.390 within 95% confidence interval of the five studies that cover colorectal cancer 00:01:12.390 --> 00:01:12.870 screenings, 00:01:12.870 --> 00:01:17.490 four of them found a statistically significant decrease in colorectal cancer 00:01:17.490 --> 00:01:21.660 screening rates during the COVID-19 outbreak with a 95% confidence interval, 00:01:22.020 --> 00:01:25.380 both studies regarding cervical cancer screening showed a statistically 00:01:25.380 --> 00:01:28.020 significant decrease in cervical cancer screening. 00:01:28.020 --> 00:01:32.790 During the peak of COVID-19 with a 95% confidence interval factors such 00:01:32.790 --> 00:01:37.290 as race or ethnicity were independently associated with a higher risk of 00:01:37.290 --> 00:01:40.890 screening mammogram cancellation for breast cancer. 00:01:40.890 --> 00:01:45.300 After reopening from lockdown, during COVID-19 during the study, 00:01:45.300 --> 00:01:48.960 it was shown that there was a higher rate of cancellation amongst whites versus 00:01:48.960 --> 00:01:49.800 white patients. 00:01:50.100 --> 00:01:54.240 This could be due to the fact that minorities face significantly elevated rates 00:01:54.240 --> 00:01:57.090 of comorbidity when compared with whites, 00:01:57.360 --> 00:01:59.760 therefore making them more susceptible to disease. 00:02:00.450 --> 00:02:04.530 One limitation of the site is that it lacks raw data and only reports. 00:02:04.530 --> 00:02:08.010 The analyzed data with many of the sources citing their results in different 00:02:08.010 --> 00:02:08.843 formats. 00:02:09.000 --> 00:02:12.720 This did not allow for a pooled result of the overall decrease in cancer 00:02:12.720 --> 00:02:15.000 screening rates. And in conclusion, 00:02:15.030 --> 00:02:19.440 our hypothesis was supported and that the COVID-19 pandemic contributed to a 00:02:19.440 --> 00:02:23.580 decrease in fulfillment of the amount of breast colorectal and cervical cancer 00:02:23.580 --> 00:02:28.440 screenings ordered or performed in patients in comparison to cancer screenings 00:02:28.470 --> 00:02:30.090 pre COVID in the United States.