{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T18:23:29Z","timestamp":1789064609076,"version":"build-2803163510"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,3,23]],"date-time":"2024-03-23T00:00:00Z","timestamp":1711152000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["P30 CA13696"],"award-info":[{"award-number":["P30 CA13696"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The COVID-19 pandemic caused widespread disruptions in cancer care. We hypothesized that the greatest disruptions in diagnosis occurred in screen-detected cancers. We identified patients (\u226518\u2009years of age) with newly diagnosed cancer from 2019 to 2020 in the US National Cancer Database and calculated the change in proportion of early-stage to late-stage cancers using a weighted linear regression. Disruptions in early-stage diagnosis were greater than in late-stage diagnosis (17% vs 12.5%). Melanoma demonstrated the greatest relative decrease in early-stage vs late-stage diagnosis (22.9% vs 9.2%), whereas the decrease was similar for pancreatic cancer. Compared with breast cancer, cervical, melanoma, prostate, colorectal, and lung cancers showed the greatest disruptions in early-stage diagnosis. Uninsured patients experienced greater disruptions than privately insured patients. Disruptions in cancer diagnosis in 2020 had a larger impact on early-stage disease, particularly screen-detected cancers. Our study supports emerging evidence that primary care visits may play a critical role in early melanoma detection.<\/jats:p>","DOI":"10.1093\/jncics\/pkae022","type":"journal-article","created":{"date-parts":[[2024,3,21]],"date-time":"2024-03-21T15:20:23Z","timestamp":1711034423000},"source":"Crossref","is-referenced-by-count":5,"title":["Site-specific patterns of early-stage cancer diagnosis during the COVID-19 pandemic"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8888-6077","authenticated-orcid":false,"given":"Connor J","family":"Kinslow","sequence":"first","affiliation":[{"name":"Department of Radiation Oncology, Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian , New York, NY, USA"},{"name":"Herbert Irving Comprehensive Cancer Center, Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian , New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M","family":"DeStephano","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian , New York, NY, USA"},{"name":"Herbert Irving Comprehensive Cancer Center, Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian , New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfred I","family":"Neugut","sequence":"additional","affiliation":[{"name":"Herbert Irving Comprehensive Cancer Center, Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian , New York, NY, USA"},{"name":"Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian, and Department of Epidemiology, Mailman School of Public Health, Columbia University , New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kekoa","family":"Taparra","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, Stanford University , Stanford, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David P","family":"Horowitz","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian , New York, NY, USA"},{"name":"Herbert Irving Comprehensive Cancer Center, Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian , New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James B","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian , New York, NY, USA"},{"name":"Herbert Irving Comprehensive Cancer Center, Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian , New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5276-6647","authenticated-orcid":false,"given":"Simon K","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian , New York, NY, USA"},{"name":"Herbert Irving Comprehensive Cancer Center, Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian , New York, NY, USA"},{"name":"Department of Radiation Oncology, James J. 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