Two recent studies by researchers from Regenstrief Institute and the Indiana University School of Medicine explore the effect of the pandemic on colorectal cancer screening tests and diagnostic colonoscopies in Central Indiana. The findings of temporary disruption to the former and minimal impact on the latter are similar to findings across the U.
Regenstrief InstituteMar 27 2025 S., contributing to the compendium of knowledge on preventive health uptake and subsequent treatment in various populations during the pandemic.
Colorectal cancer develops in the colon or rectum, which are parts of the large intestine. It is the second most common cancer in the U.S. in men and women combined and the second-leading cause of cancer deaths. The American Cancer Society estimates the disease will cause about 52,900 deaths in the U.S. in 2025. Regular colorectal screening is a significant way of preventing or catching colorectal cancer at an early, more curable stage.
Examining data from January 2019 to June 2021 , the researchers highlighted that overall colonoscopy volume declined by about 19 percent in 2020 compared to 2019 but returned to baseline in 2021, with no difference in early versus late-stage cancers detected. These findings were based on 16,939 FIT tests, 2,942 FIT/DNA tests and 38,332 screening colonoscopies.
In addition to highlighting the need for strategies to mitigate the impact of future disruptions -- pandemics or other -- on healthcare services, the authors call for public health campaigns and initiatives that promote the use of non-invasive testing while maintaining adequate access to diagnostic colonoscopy for individuals with positive screening results.
Colorectal Colorectal Cancer Pandemic Blood Colon Colonoscopy Covid-19 Diagnostic DNA Education Electronic Health Record Epidemiology Gastroenterology Geriatrics Health Care Healthcare Hepatology Large Intestine Medicine Public Health Research
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