COVID-19 and breast cancer at a Regional Breast Centre: our flexible approach during the pandemic.
COVID-19 and breast cancer at a Regional Breast Centre: our flexible approach during the pandemic.
复制标题
DOI：
10.1007/s10549-020-06008-3
复制
发表时间：
2021-04
影响因子：
3.8
通讯作者：
Warburton R
中科院分区：
文献类型：
--
作者：
Cadili L;DeGirolamo K;McKevitt E;Brown CJ;Prabhakar C;Pao JS;Dingee C;Bazzarelli A;Warburton R
截至 2020 年 6 月 20 日，不列颠哥伦比亚省 (BC) 已确诊 2790 例 COVID-19 病例。该项目的目的是了解 COVID-19 对 BC 乳腺中心患者手术量和手术护理调整的影响。本次审查纳入了2019年3月16日至2019年4月30日以及2020年3月16日至2020年4月30日期间通过普罗维登斯乳腺中心接受手术治疗的所有确诊或疑似乳腺癌病例。 2020 年的日期范围标志着 BC 省 COVID-19 大流行的早期阶段，以及在此期间手术室准入的巨大转变。 2019年，99名确诊乳腺癌患者和30名疑似乳腺癌患者接受了手术。 2020年，162名乳腺癌患者接受了手术，34名疑似乳腺癌患者接受了手术。 2020 年，从核心活检到手术以及手术到肿瘤咨询的等待时间得到了改善，对于大流行期间就诊的患者，从核心活检到手术的时间从 58 天减少到 28 天。与 2019 年相比，区域麻醉和当日出院的使用有所增加，在实施针对大流行的适应措施后，区域麻醉 (41%–89%) 和当日出院 (64%–86%) 有所增加。改善远程医疗的可及性、癌症手术的时机以及应对大流行的更安全的麻醉技术等变化将改变大流行时代之后的乳腺癌手术护理。集中化和基于团队的护理是前进的方向。
In British Columbia (BC), there have been 2790 confirmed COVID-19 cases as of June 20, 2020. The aim of this project is to capture the effect of COVID-19 on the volume of surgery and adaptations to the surgical care of patients at a breast centre in BC. All proven or suspected breast cancer cases treated with surgery between March 16, 2019 and April 30, 2019 and March 16, 2020 and April 30, 2020 through the Providence Breast Centre were included in this review. The date ranges in 2020 mark the early COVID-19 pandemic period in BC and the large shift in operating room access during this time. In 2019, 99 patients underwent surgery for proven breast cancer and 30 patients for suspected breast cancer. In 2020, 162 patients underwent surgery for breast cancer and 34 for suspected breast cancer. Wait times from core biopsy to surgery and surgery to oncology consultation were improved in 2020 with a reduction of core biopsy to surgery time from 58 to 28 days for patients seen during the pandemic. There was an increased use of regional anesthesia and same day discharge compared to 2019 with increases in regional anesthesia (41%–89%) and same day discharge (64%–86%) after adaptations to the pandemic were implemented. Changes such as improved access to telemedicine, timing for cancer surgeries, and safer anesthetic techniques in response to the pandemic will change breast cancer surgical care beyond the pandemic era. Centralization and team-based care is the way forward.
影响因子：
1.8
作者：
Sabesan, Sabe;Larkins, Sarah;Young, Michael
通讯作者：
Young, Michael
影响因子：
3
作者：
Cha, Jieun;McKevitt, Elaine;Warburton, Rebecca
通讯作者：
Warburton, Rebecca