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February 11, 2026Clinical and Translational GastroenterologyOpen Access

The lingering impact of the COVID-19 pandemic on colorectal cancer screening modalities and staging by neighborhood-level deprivation

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Authors

JRJamie L. RomeiserKPKristin PatersonNANicholas Allis

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Overview

Analysis of colorectal cancer screening trends in neighborhoods demonstrates growing disparities post-pandemic, suggesting needed interventions.

Key Points

  • Assess how the COVID-19 pandemic affected colorectal cancer screening rates and cancer staging relative to neighborhood deprivation levels.
  • Evaluated electronic medical records for CRC screenings from March 2018 to February 2023.
  • Identified screening types: colonoscopy, FIT, FOBT, and sigmoidoscopy.
  • Aggregated data by neighborhood social deprivation index across four time periods.
  • Utilized ANOVA for comparing screening volumes and chi-square tests for staging differences.
  • Initial drop in CRC screenings during March-May 2020, but stabilization afterwards with no significant average differences across periods (p=0.52).
  • Increased FIT screening, while colonoscopy rates declined over time.
  • Proportion of patients from high-SDI areas decreased significantly from 32.2% pre-pandemic to 28.9% post-pandemic year 2 (p=0.002).
  • Later-stage diagnoses rose during pandemic and post-pandemic year 1, reverting to baseline by year 2.

Cite This Study

Romeiser et al. (2026) studied this question.

synapsesocial.com/papers/698c1c33267fb587c655e691https://doi.org/10.14309/ctg.0000000000000991
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