e22501 Background: The beginning of the COVID-19 pandemic caused a major disturbance in the operation of breast cancer screening programmes worldwide with delays in screening examinations. The 2021 Dutch study Effects of cancer screening restart strategies after COVID-19 disruption describes 4 strategies to reduce the impact of the pandemic on 10-year breast cancer mortality, where a full-catch up strategy with increased screening capacities that allow successful reduction of backlog in 6 months after the restart, was recognized as the most effective. In March 2020, the Slovenian Breast Cancer Screening Programme DORA suspended all screening activities and lost 50 working screening days. When planning the restart of the programme, measures for providing a safe environment with a special protocol were implemented nationwide. The capacity of the programme was increased with measures like working during the summer, additional screening terms and extending working hours. Focus was placed on communication activities to promote a safe screening environment. With centralized planning, invitation letters with prefixed appointment are sent, additionally information about safety measures and a questionnaire were included to enable rescheduling of women with risk factors for COVID-19 infection beforehand. The aim of our study was to compare pre-pandemic and pandemic screening programme quality and activity indicators in order to determine, whether the measures for reducing the impact of the pandemic were effective. Material and Methods: Data for the period 2019–2021 was obtained from the programme's screening registry. Regularly controlled indicators for pre-pandemic and pandemic period were compared. Results: With the full catch-up strategy, screening results in the pandemic period reach the pre-pandemic levels. Conclusions: In Slovenian screening programme it was possible to completely reduce the backlog of screening examinations and achieve indicators’ levels that were observed before the pandemic due to robust screening infrastructure. With the successful implementation of a full catch-up strategy it is expected that the COVID-19 pandemic will not have a significant if any effect on breast cancer mortality in the screening population of Slovenia.[Table: see text]
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