COVID 19 pandemic: Effect on management of patients with breast cancer; single center retrospective cohort study.

Breast cancer Breast conservation treatment COVID-19 Modified radical mastectomy

Journal

International journal of surgery open
ISSN: 2405-8572
Titre abrégé: Int J Surg Open
Pays: England
ID NLM: 101729980

Informations de publication

Date de publication:
Sep 2021
Historique:
received: 15 07 2021
revised: 04 08 2021
accepted: 05 08 2021
entrez: 27 9 2021
pubmed: 28 9 2021
medline: 28 9 2021
Statut: ppublish

Résumé

(SARS-COV-2) infection, led to a pandemic affecting many countries, resulting in hospitals diverting most of their resources to fight the pandemic. Breast cancer, already a healthcare dilemma, is also affected in this scenario. Our aim was to find out the impact of COVID-19 on presentation of breast cancer stage and its effects on overall onco-surgical management. This cohort single-centered retrospective review was carried out at our hospital, over a period of 18 months. Females with known breast cancer were included in the study. Data was collected on performas by a single researcher. Effect of COVID pandemic on presentation stage and its impact on overall management was studied. SPSS 23.0 used for data analysis. A 95% CI was used. Descriptive statistics were presented as range/means. Categorical data was analyzed by Fisher exact test, Out of 87 patients presenting with suspicious lump, 69 who had malignancy on histo-pathology were included in study. Twelve out of 69 were COVID positive. Sixty patients presented with advanced stage (≥stage 2b) out of which 21 underwent upstaging of disease due to delay in presentation/management. We found that 9 out of 12 (majority) Covid positive patients had disease upstaging. Overall main reason for delay in presentation was found to be unawareness of disease. We concluded that COVID-19 pandemic had no impact on presentation delay, breast cancer management/treatment and disease upstaging as compared to figures available for our population before the pandemic. However, our study showed significant correlation between disease upstaging and COVID status. This led us to reconsider our preformed protocols for COVID positive breast cancer patients. Our results can be used by future researchers to investigate if COVID itself can contributes in patho-physiology of upstaging in breast cancer or not.

Sections du résumé

BACKGROUND BACKGROUND
(SARS-COV-2) infection, led to a pandemic affecting many countries, resulting in hospitals diverting most of their resources to fight the pandemic. Breast cancer, already a healthcare dilemma, is also affected in this scenario. Our aim was to find out the impact of COVID-19 on presentation of breast cancer stage and its effects on overall onco-surgical management.
METHODS METHODS
This cohort single-centered retrospective review was carried out at our hospital, over a period of 18 months. Females with known breast cancer were included in the study. Data was collected on performas by a single researcher. Effect of COVID pandemic on presentation stage and its impact on overall management was studied. SPSS 23.0 used for data analysis. A 95% CI was used. Descriptive statistics were presented as range/means. Categorical data was analyzed by Fisher exact test,
RESULTS RESULTS
Out of 87 patients presenting with suspicious lump, 69 who had malignancy on histo-pathology were included in study. Twelve out of 69 were COVID positive. Sixty patients presented with advanced stage (≥stage 2b) out of which 21 underwent upstaging of disease due to delay in presentation/management. We found that 9 out of 12 (majority) Covid positive patients had disease upstaging. Overall main reason for delay in presentation was found to be unawareness of disease.
CONCLUSION CONCLUSIONS
We concluded that COVID-19 pandemic had no impact on presentation delay, breast cancer management/treatment and disease upstaging as compared to figures available for our population before the pandemic. However, our study showed significant correlation between disease upstaging and COVID status. This led us to reconsider our preformed protocols for COVID positive breast cancer patients. Our results can be used by future researchers to investigate if COVID itself can contributes in patho-physiology of upstaging in breast cancer or not.

Identifiants

pubmed: 34568622
doi: 10.1016/j.ijso.2021.100386
pii: S2405-8572(21)00077-2
pmc: PMC8359567
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100386

Informations de copyright

© 2021 The Author(s).

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Auteurs

Mehwish Mooghal (M)

Department of Surgery, PNS Shifa Hospital, Karachi, Pakistan.
Department of Surgery, Bahria University Medical and Dental College, Karachi, Pakistan.

Rana Hassan Javaid (RH)

Department of Surgery, PNS Shifa Hospital, Karachi, Pakistan.
Department of Surgery, Bahria University Medical and Dental College, Karachi, Pakistan.

Wajiha Khan (W)

Dow University of Health and Sciences, Karachi, Pakistan.

Muhammad Muneeb (M)

Dow University of Health and Sciences, Karachi, Pakistan.

Waseem Ahmad Khan (WA)

Department of Surgery, PNS Shifa Hospital, Karachi, Pakistan.
Department of Surgery, Bahria University Medical and Dental College, Karachi, Pakistan.

Asrar Ahmad (A)

Department of Surgery, PNS Shifa Hospital, Karachi, Pakistan.
Department of Surgery, Bahria University Medical and Dental College, Karachi, Pakistan.

Lal Bux Barohi (LB)

Department of Surgery, PNS Shifa Hospital, Karachi, Pakistan.
Department of Surgery, Bahria University Medical and Dental College, Karachi, Pakistan.

Kamran Rahim (K)

Department of Surgery, PNS Shifa Hospital, Karachi, Pakistan.
Department of Surgery, Bahria University Medical and Dental College, Karachi, Pakistan.

Hina Tahseen (H)

Department of Surgery, Bahria University Medical and Dental College, Karachi, Pakistan.

Amna Gul (A)

Department of Surgery, Bahria University Medical and Dental College, Karachi, Pakistan.

Classifications MeSH