Article ; Online: COVID-19 Pandemic: Changes in Care for a Community Academic Breast Center and Patient Perception of Those Changes.
2021 Volume 28, Issue 9, Page(s) 5071–5081
Abstract: ... the initial phase of the COVID-19 pandemic. 44% of patients experienced a change in breast cancer care due ... A prospective database captured changes in breast cancer care at a community academic breast center during ... and June 15 at their breast center. Any change in a breast cancer plan due to the pandemic was ...
| Abstract | Background: Philadelphia and its suburbs were an epicenter for the initial COVID-19 outbreak. Accordingly, alterations were made in breast cancer care at a community hospital. Methods: The authors developed a prospective database of all the patients with invasive or in situ breast cancer between March 1 and June 15 at their breast center. Any change in a breast cancer plan due to the pandemic was documented, and the patients were grouped into two cohorts according to whether a change was made (CTX) or no change was made (NC) in their care. The patients were asked a series of questions about their care, including those in the Generalized Anxiety Disorder two-item questionnaire (GAD-2), via telephone. Results: The study enrolled 73 patients: 41 NC patients (56%) and 32 CTX patients (44%). The two cohorts did not differ in terms of age, race, or stage. Changes included delay in therapy (15.1%) and use of neoadjuvant endocrine therapy (NET, 28.8%). The median time to surgery was 24 days (interequartile range [IQR], 16-45 days) for the NC patients and 82 day s (IQR, 52-98 days) for the CTX patients (p ≤ 0.001). The median duration of NET was 78 days. The GAD-2 showed anxiety positivity to be 29.6% for the CTX patients and 32.4% for the NC patients (p = 1.00). More than half (55.6%) of the CTX patients believed COVID-19 affected their treatment outlook compared with 25.7% of the NC patients (p = 0.021). Conclusions: A prospective database captured changes in breast cancer care at a community academic breast center during the initial phase of the COVID-19 pandemic. 44% of patients experienced a change in breast cancer care due to COVID-19. The same level of anxiety and depression was seen in both change in therapy (CTX) and no change (NC). 55.6% of CTX cohort believed COVID-19 affected their treatment outlook. |
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| MeSH term(s) | Anxiety ; COVID-19 ; Humans ; Pandemics ; Perception ; SARS-CoV-2 | |||||
| Language | English | |||||
| Publishing date | 2021-02-05 | |||||
| Publishing country | United States | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 1200469-8 | |||||
| ISSN | 1534-4681 ; 1068-9265 | |||||
| ISSN (online) | 1534-4681 | |||||
| ISSN | 1068-9265 | |||||
| DOI | 10.1245/s10434-020-09583-3 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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