Puricelli Perin Douglas M, Christensen Tess, Burón Andrea, Haas Jennifer S, Kamineni Aruna, Pashayan Nora, Rabeneck Linda, Smith Robert, Elfström Miriam, Broeders Mireille J M
Clinical Monitoring Research Program Directorate, Frederick National Laboratory for Cancer Research, Frederick, Maryland, USA.
Radboud university medical center, Radboud Institute for Health Sciences, Nijmegen, the Netherlands.
Prev Med Rep. 2021 Sep;23:101399. doi: 10.1016/j.pmedr.2021.101399. Epub 2021 May 17.
To review the scientific literature seeking lessons for the COVID-19 era that could be learned from previous health services interruptions that affected the delivery of cancer screening services.
A systematic search was conducted up to April 17, 2020, with no restrictions on language or dates and resulted in 385 articles. Two researchers independently assessed the list and discussed any disagreements. Once a consensus was achieved for each paper, those selected were included in the review.
Eleven articles were included. Three studies were based in Japan, two in the United States, one in South Korea, one in Denmark, and the remaining four offered a global perspective on interruptions in health services due to natural or human-caused disasters. No articles covered an interruption due to a pandemic. The main themes identified in the reviewed studies were coordination, communication, resource availability and patient follow-up.
Lessons learned applied to the context of COVID-19 are that coordination involving partners across the health sector is essential to optimize resources and resume services, making them more resilient while preparing for future interruptions. Communication with the general population about how COVID-19 has affected cancer screening, measures taken to mitigate it and safely re-establish screening services is recommended. Use of mobile health systems to reach patients who are not accessing services and the application of resource-stratified guidelines are important considerations. More research is needed to explore best strategies for suspending, resuming and sustaining cancer screening programs, and preparedness for future disruptions, adapted to diverse health care systems.
回顾科学文献，寻找可从以往影响癌症筛查服务提供的卫生服务中断事件中汲取的经验教训，以应用于新冠疫情时代。
截至2020年4月17日进行了系统检索，对语言和日期无限制，共检索到385篇文章。两名研究人员独立评估列表并讨论任何分歧。每篇论文达成共识后，将入选的论文纳入综述。
纳入11篇文章。三项研究来自日本，两项来自美国，一项来自韩国，一项来自丹麦，其余四项从全球视角探讨了自然或人为灾害导致的卫生服务中断情况。没有文章涉及大流行导致的中断情况。综述研究中确定的主要主题是协调、沟通、资源可用性和患者随访。
在新冠疫情背景下吸取的经验教训是，卫生部门各合作伙伴之间的协调对于优化资源和恢复服务至关重要，可使服务更具弹性，同时为未来的中断情况做好准备。建议与普通民众就新冠疫情如何影响癌症筛查、为减轻影响所采取的措施以及安全恢复筛查服务进行沟通。利用移动健康系统联系未接受服务的患者以及应用资源分层指南是重要的考虑因素。需要开展更多研究，以探索暂停、恢复和维持癌症筛查项目的最佳策略，以及适应不同卫生保健系统的应对未来干扰的准备措施。
