Back in May, the Epic Health Research Network published a study showing that preventive cancer screenings in the United States abruptly dropped 86% (colon) and 94% (breast and cervical) following the declaration of the COVID-19 national emergency. Thankfully, the number of cancer screenings has recently begun to rise, but has not yet reached previously expected levels. As a nation, we’re still about 63% behind with breast cancer screenings (mammograms) and 67% for cervical screenings (Pap smears and HPV testing). Due to delayed or missed screening, some cancer cases could be diagnosed at a later stage with a poorer prognosis.
As an organization, the Wisconsin Women’s Health Foundation has been making efforts to remind women in Wisconsin about the importance of preventive cancer screenings still, and has recently led webinars specifically on breast cancer and gynecologic cancer prevention/detection through its GrapeVine Program. We know that understanding risk factors, identifying warning signs of cancer, and living a healthy lifestyle are all important actions to take (and for the most part, are ones that we can continue to do from the safety of our homes during COVID-19).
But how do we go about cancer screenings right now? We want to protect our health, but we also want to be safe!
As states and other authorities re-open businesses and ease restrictions, many healthcare facilities are starting to offer elective procedures again, including cancer screening. Restarting cancer screening requires careful consideration of the risks and benefits of screening, along with ensuring safety for both patients and healthcare personnel. The factors considered may not be the same for every person, and will likely vary by community while the pandemic continues. [American Cancer Society]
In other words, it’s possible that you are able to schedule your regular mammogram or Pap smear again. Talk to your healthcare provider about scheduling an appointment. He or she will help you weigh the risks and benefits of being screened now versus postponing for a later date. Factors to consider:
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Personal risk for breast cancer or cervical cancer (a higher risk usually means more frequent or aggressive screening)
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Timing and results of your last screening (women with an average risk of breast cancer can wait up to 2 years between normal mammograms; women with an average risk of cervical cancer can wait up to 3 years between normal Pap tests or 5 years if an HPV test was also used)
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Risk factors that may put you at “high risk” for contracting COVID-19
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The facility’s safety measures (social distancing, mask-wearing, etc.) in place for you and staff during appointments
NOTE: Keep in mind that there is a difference between screening and when you suspect something’s wrong. Screenings look for cancer in people who don’t have symptoms. If you have signs or symptoms that might be from cancer, it’s urgent, and you should definitely discuss with your provider to be checked out right away. Healthcare facilities are not postponing follow up tests for people with signs or symptoms of cancer.
For more information:
Breast Cancer Screening Guidance from Susan G. Komen
Cancer Screening During COVID-19 Pandemic
How to Safely Go to Your Doctor During Coronavirus