Impact of the COVID-19 Pandemic on diagnosis and treatment of breast cancer in patients assisted at Clinicals Hospital Breast Unit
Abstract
Introduction: the COVID-19 health crisis had a significant impact on the management of various pathologies, including cancer. To reduce the risk of contracting SARS-CoV-2, the number of consultations was reduced, leading to increased morbidity and mortality rates for other pathologies, which has been referred to as the “second pandemic.”
Objective: the aim of this study is to describe the clinical activity of the Breast Unit (BU) during the period March 2020-2022 and compare it with the activity during the period March 2019-2021.
Method: retrospective observational study including patients attending the BU during the period March 2019-2022.
Results: in the year before the pandemic, 30 new patients were assisted. Regarding the time between anatomopathological diagnosis and the initiation of the first treatment: in 73.3% of cases, it was ≤ 2 months, 16.6% > 2 months and ≤ 4 months, and in 10%, it was > 4 months. During the pandemic, 50 new patients were assisted, representing a decrease of approximately 16.6% in the number of new patients attended Regarding the time between anatomopathological diagnosis and the initiation of the first treatment: in 41% of cases, it was ≤ 2 months, 33% > 2 months and ≤ 4 months, and in 25%, it was > 4 months.
Conclusion: although the BU managed to maintain its clinical activity and continuity of most treatments during the COVID pandemic, there was a reduction in the number of patients referred to the service by approximately 16.6% and an increase in the time elapsed between diagnosis and the initiation of the first treatment.
References
2) Comisión Honoraria de Lucha contra el Cáncer. Registro Nacional de Cáncer. Situación epidemiológica del Uruguay en relación al cáncer. Montevideo: CHLCC, mayo 2019. Disponible en: http://www2.comisioncancer.org.uy/uc_513_1.html (Consulta: 24 setiembre 2022).
3) Universidad de la República, Facultad de Medicina, Hospital de Clínicas. Servicio de Oncología Clínica; Camejo N, Castillo C, Delgado L, coords. Recomendaciones acerca del diagnóstico y tratamiento oncológico del Cáncer de Mama en Uruguay durante la pandemia covid-19. Disponible en: https://www.oncologiamedica.hc.edu.uy/publicaciones/recomendaciones-acerca-del-diagnostico-y-tratamiento-oncologico-del-cancer-de-mama-en-uruguay-durante-la-pandemia-covid-19/ (Consulta: 24 setiembre 2022).
4) Castillo C, Camejo N, Amarillo D, Rodriguez F, Vitureira F, Krygier G, et al. Impact of the covid-19 pandemic on health care activities at a Uruguayan mastology unit. J Cancer Res Ther 2021; 17(2):547-50. doi: 10.4103/jcrt.JCRT_1689_20.
5) Maringe C, Spicer J, Morris M, Purushotham A, Nolte E, Sullivan R, et al. The impact of the covid-19 pandemic on cancer deaths due to delays in diagnosis in England, UK: a national, population-based, modelling study. Lancet Oncol 2020; 21(8):1023-34. doi: 10.1016/S1470-2045(20)30388-0.
6) Sud A, Jones ME, Broggio J, Loveday C, Torr B, Garrett A, et al. Collateral damage: the impact on outcomes from cancer surgery of the covid-19 pandemic. Ann Oncol 2020; 31(8):1065-74. doi: 10.1016/j.annonc.2020.05.009.
7) Garau M, Alonso R, Musetti C, Barrios E. Incidencia y mortalidad de cáncer en Uruguay: 2013-2017. Colomb Med 2022; 53(1):e2014966. doi: 10.25100/cm.v53i1.4966.
8) Barrios E, Garau M. Cáncer: magnitud del problema en el mundo y en Uruguay, aspectos epidemiológicos. Anfamed 2017; 4(1):9-46. doi: 10.25184/anfamed2017.4.1.2.
9) Schrag D, Hershman D, Basch E. Oncology practice during the covid-19 pandemic. JAMA 2020; 323(20):2005-6. doi: 10.1001/jama.2020.6236.
10) Liang W, Guan W, Chen R, Weng W, Li J, Xu K, et al. Cancer patients in SARS-CoV-2 infection: a nationwide analysis in China. Lancet Oncol 2020; 21(3):335-7. doi: 10.1016/S1470-2045(20)30096-6.
11) Yu J, Ouyang W, Chua MLK, Xie C. SARS-CoV-2 transmission in patients with cancer at a tertiary care hospital in Wuhan, China. JAMA Oncol 2020; 6(7):1108-10. doi: 10.1001/jamaoncol.2020.0980.
12) Curigliano G, Banerjee S, Cervantes A, Garassino MC, Garrido P, Girard N, et al. Managing cancer patients during the covid-19 pandemic: an ESMO multidisciplinary expert consensus. Ann Oncol 2020; 31(10):1320-35. doi: 10.1016/j.annonc.2020.07.010.
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