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Showing content from https://pubmed.ncbi.nlm.nih.gov/32888855/ below:

Effect of the COVID-19 Pandemic on Surgical Breast Cancer Care in the Netherlands: A Multicenter Retrospective Cohort Study

Multicenter Study

Affiliations

• ¹ Department of Surgery, Cancer Centre, University Medical Centre Utrecht, Utrecht, Netherlands. Electronic address: m.d.filipe-2@umcutrecht.nl.
• ² Department of Surgery, St Antonius Hospital, Nieuwegein, Netherlands.
• ³ Department of Surgery, Diakonessenhuis, Utrecht, Netherlands.
• ⁴ Department of Surgery, Meander Medical Centre, Amersfoort, Netherlands.
• ⁵ Department of Surgery, St Antonius Hospital, Nieuwegein, Netherlands; Department of Surgery, Rivierenland Hospital, Tiel, Netherlands.
• ⁶ Department of Surgery, Cancer Centre, University Medical Centre Utrecht, Utrecht, Netherlands.

• PMID: 32888855
• PMCID: PMC7413119
• DOI: 10.1016/j.clbc.2020.08.002

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Multicenter Study

Mando D Filipe et al. Clin Breast Cancer. 2020 Dec.

• ¹ Department of Surgery, Cancer Centre, University Medical Centre Utrecht, Utrecht, Netherlands. Electronic address: m.d.filipe-2@umcutrecht.nl.
• ² Department of Surgery, St Antonius Hospital, Nieuwegein, Netherlands.
• ³ Department of Surgery, Diakonessenhuis, Utrecht, Netherlands.
• ⁴ Department of Surgery, Meander Medical Centre, Amersfoort, Netherlands.
• ⁵ Department of Surgery, St Antonius Hospital, Nieuwegein, Netherlands; Department of Surgery, Rivierenland Hospital, Tiel, Netherlands.
• ⁶ Department of Surgery, Cancer Centre, University Medical Centre Utrecht, Utrecht, Netherlands.

• PMID: 32888855
• PMCID: PMC7413119
• DOI: 10.1016/j.clbc.2020.08.002

Item in Clipboard

Background: Coronavirus disease 2019 (COVID-19) has put a strain on regular healthcare worldwide. In the Netherlands, the national screening programs, including for breast cancer, were halted temporarily. This posed a challenge to breast cancer care, because ∼40% of cases are detected through national screening. Therefore, the aim of the present study was to evaluate the effects of the COVID-19 pandemic on the surgical care of patients with breast cancer in the Netherlands.

Materials and methods: The present multicenter retrospective cohort study investigated the effects of COVID-19 on patients with breast cancer who had undergone surgery from March 9 to May 17, 2020. The primary endpoints were the number of surgical procedures performed during the study period, tumor characteristics, surgery type, and route of referral. The secondary endpoint was the incidence of postoperative complications during the study period.

Results: A total of 217 consecutive patients with breast cancer requiring surgery were included. We found an overall decrease in the number of patients with breast cancer who were undergoing surgery. The most significant decline was seen in surgery for T1-T2 and N0 tumors. A decline in the number of referrals from both the national screening program and general practitioners was observed. The incidence of postoperative complications remained stable during the study period.

Conclusions: The temporary halt of the national screening program for breast cancer resulted in fewer surgical procedures during the study period and a pronounced decrease in surgery of the lower tumor stages.

Keywords: Breast cancer; Complications; Coronavirus disease 2019; Pandemic; Surgery.

Copyright © 2020 The Author(s). Published by Elsevier Inc. All rights reserved.

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Number of Breast Cancer Surgeries Presented by Type of Surgical Procedure Abbreviation: BCT = breast-conserving therapy.

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Number and Percentage of Patients With Breast Cancer Who Had Undergone Surgery From March 9 to May 17, 2020 With Referral From National Screening Program or General Practitioner

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