The stay-at-home orders, cancellations, staff reductions and other changes
in health care have had effects we are just beginning to measure.
In March alone, compared to averages recorded from 2017-19, medical records
data show an alarming drop of more than 90% in routine screenings for
breast,
cervical and
colon cancers.
The declines are certainly connected to public health alerts from trusted
institutions, such as the Centers for Disease Control, which urged delaying
“non-urgent” procedures or screenings.
Understandably, confusion and caution would cause declines in screenings,
but along with delayed screenings comes concern about the greater number
of late-stage diagnoses that may occur.
As many hospitals and health care systems restart elective procedures and
services, how do you know when you should get screened or follow up on
an appointment that may have been delayed or reschedule?
Although a
mammogram may not be urgent for many women, it is most certainly essential for others.
Because guidelines vary as to when to begin mammogram screenings, (some
recommend starting at age 40, others at age 45, and one set of guidelines
suggests starting them at age 50), the only way to be confident about
your breast health is to know your risk factors and work closely with
your doctor.
From age to family history to genetic mutations, your
risk factors for breast cancer matter. Also consider your COVID-19 risk factors, if
you are over age 60 or have underlying health conditions, work closely
with your doctor to determine additional safety precautions to take, or
when it is safer for you to get screened.
If you have no symptoms, waiting one month to delay a breast health screening
should not make a significant clinical difference, but waiting several
months certainly could.
If you have no symptoms and are due for a check, don’t hesitate to
have a regular screening. However, if you notice symptoms — if something
looks or feels different, if you find irregularities in the breast, such
as lumps, redness or discharge — consult with your doctor and make a
diagnostic appointment immediately.
This pandemic is very real, and we must all do our part to slow the spread
and protect ourselves. But breast cancer does not stop in the face of
a pandemic.
Breast cancer is still the second leading cause of cancer deaths in women
and five women in Orange County are diagnosed with breast cancer every day.
Mammograms save lives. They are essential, because they can reveal abnormalities
that are not detectable clinically, and early detection is key in surviving
breast cancer. In fact, the American Cancer Society states that when breast
cancer is detected early and is in the localized stage, the five-year
relative survival rate is 99%.
If you need a mammogram, or notice something “off,” don’t
hesitate to make an appointment today. It is safe to come in for mammography
screenings as medical facilities are adhering to strict health and safety
protocols. In addition to this, appointments may be much easier to schedule
now, as entities are beginning to re-open.
If you are under-insured or uninsured and need help finding care, call
California’s Cancer Detection Program, Every Woman Counts, at (800) 511-2300 to find resources near you.
You can also call the local Komen OC office at (714) 957-9157 for help
navigating local resources.
To all the families and friends who have women you treasure in your life,
hold those wonderful ladies accountable for their health and encourage
them to get breast health screenings. It’s essential.
Visit the
Daily Pilot to view the original article.