The Impact of COVID-19 Pandemic on Nationwide Colorectal Cancer Screening Rates in Israel, an Observational Study.

Publication date: Jul 07, 2025

IntroductionThe COVID-19 pandemic caused marked disruptions in healthcare services, including cancelation or deferral of routine and non-emergent procedures. We used the database of the largest health maintenance organization (HMO) in Israel, Clalit Health Services (CHS), to collect data of all members between the ages 50-74 years who were eligible for colorectal cancer screening. MethodsThree timeframes were defined: pre-COVID-19; 1st year, and 2nd year of the pandemic. We evaluated the frequencies of subjects who underwent CRC screening and described any trends along each demographic. ResultsThe pre-pandemic, 1st year and 2nd year cohorts included 926,852, 937,403, and 941,704 subjects, respectively. Compared to the baseline year, the screening rates overall were 2. 1% and 2. 7% lower in the 1st and 2nd year, respectively. Steeper declines in screening were observed among Arab and Orthodox Jewish populations. There was no statistically significant difference in the number of patients who completed a colonoscopy following a positive FIT, and no difference found between various ages, genders, and other population groups. ConclusionOur findings could have implications for early detection and treatment of CRC within these two specific demographic groups.

Concepts Keywords
Healthcare Aged
Jewish cancer prevention
Nationwide cancer screening
Pandemic Colonoscopy
colonoscopy
colorectal cancer
Colorectal Neoplasms
COVID-19
COVID-19
Female
healthcare policy
Humans
Israel
Male
Mass Screening
Middle Aged
Pandemics
SARS-CoV-2

Semantics

Type Source Name
disease MESH COVID-19 Pandemic
disease MESH Colorectal Cancer
pathway KEGG Colorectal cancer
disease MESH cancer

Original Article

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