ABSTRACT
COVID-19 pandemic had an impact on surgical activities. The aim of this multi-centric, retrospective study was to evaluate the impact of the COVID-19 pandemic on breast surgery. The patients who operated during the pre-pandemic year 2019 were compared to those operated in 2020. Fourteen Breast Care Units provided data on breast surgical procedures performed in 2020 and 2019: total number of breast-conserving surgery (BCS), number of 1st level oncoplastic breast surgery (OBS), number of 2nd level OBS; total number of mastectomies, mastectomies without reconstruction, mastectomies with a tissue expander, mastectomies with direct to implant (DTI) reconstruction, mastectomies with immediate flap reconstruction; total number of delayed reconstructions, number of expanders to implant reconstructions, number of delayed flap reconstructions. Overall 20.684 patients were included: 10.850 (52.5%) operated during 2019, and 9.834 (47.5%) during 2020. The overall number of breast oncologic surgical procedures in all centers in 2020 was 8.509, compared to 9.383 in 2019 (- 9%). BCS decreased by 744 cases (- 13%), the overall number of mastectomies decreased by 130 cases (- 3.5%); mastectomy-BCS ratio was 39-61% in 2019, and 42-58% in 2020. Regarding immediate reconstructive procedures mastectomies with DTI reconstruction increased by 166 cases (+ 15%) and mastectomies with immediate expander reconstruction decreased by 297 cases (- 20%). Breast-delayed reconstructive procedures in all centers in 2020 were 142 less than in 2019 (- 10%). The outburst of the COVID-19 pandemic in 2020 determined an implemented number of mastectomies compared to BCS, an implemented number of immediate breast reconstructions, mainly DTI, and a reduction of expander reconstruction.
Subject(s)
Breast Neoplasms , COVID-19 , Mammaplasty , Humans , Female , Mastectomy , Retrospective Studies , Pandemics , Breast Neoplasms/surgery , Mammaplasty/methodsABSTRACT
This paper presents the results of one of the first surveys carried out in Italy on the living and working conditions of public administration employees who were engaged in compulsory telework during the first stages of the COVID-19 pandemic (March–May 2020). Although this study examines a small sample of public workers in Campania region, interesting results emerge in a modelling implementation. In fact, by means of a heteroskedastic Ordered Probit model, some findings are presented with job satisfaction being the response variable. Considering the workers’ need to adjust to a completely novel situation, our results reveal a significant role played by a potential lack of concentration and by the satisfaction of using their own home as a workplace as well as by the differences experienced in work efforts. The presence of children in the household turns out to be slightly significant, whereas childcare duties do seem to exert some impacts on job satisfaction, implying relevant effects on work-life balance. Workers’ concern regarding a possible lack of recognition of their job by supervisors or managers is also highlighted. © 2022, ASA Associazione per la Statistica Applicata. All rights reserved.