COVID-19 and breast cancer at a Regional Breast Centre: our flexible approach during the pandemic

被引:25
|
作者
Cadili, Lina [1 ]
DeGirolamo, Kristin [1 ]
McKevitt, Elaine [1 ,2 ]
Brown, Carl J. [3 ,4 ]
Prabhakar, Christopher [5 ,6 ]
Pao, Jin-Si [1 ,2 ]
Dingee, Carol [1 ,2 ]
Bazzarelli, Amy [1 ,2 ]
Warburton, Rebecca [1 ,2 ]
机构
[1] Univ British Columbia, Div Gen Surg, Vancouver, BC, Canada
[2] Mt St Joseph Hosp, Providence Breast Ctr, 3080 Prince Edward St, Vancouver, BC V5T 3N4, Canada
[3] Surg, 600 10th Ave, Vancouver, BC V5Z 4E6, Canada
[4] St Pauls Hosp, Gen & Colorectal Surg, 1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada
[5] Providence Hlth Care, Reg Anesthesia Div, Dept Anesthesiol, 1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada
[6] Univ British Columbia, Dept Anesthesiol Pharmacol & Therapeut, Vancouver, BC, Canada
关键词
Breast cancer; Health systems; COVID-19; Breast surgery;
D O I
10.1007/s10549-020-06008-3
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose 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. Methods 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. Results 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. Conclusions 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.
引用
收藏
页码:519 / 525
页数:7
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