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Breast Cancer Surgery in the COVID-19 Pandemic: Validation of a Preventive Program for Patients and Health Care Workers.
Fregatti, Piero; Gipponi, Marco; Giacchino, Maria; Sparavigna, Marco; Diaz, Raquel; Fioravanti, Emanuela; Cornacchia, Chiara; Conte, Benedetta; Lambertini, Matteo; Zoppoli, Gabriele; Murelli, Federica; Toni, Maria Luisa; Calabro, Maria Teresa; Orsino, Lina; Friedman, Daniele.
  • Fregatti P; Department of Surgical Sciences and Integrated Diagnostic (DISC), School of Medicine, University of Genoa, Genoa, Italy.
  • Gipponi M; Breast Surgery Clinic, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
  • Giacchino M; Breast Surgery Clinic, IRCCS Ospedale Policlinico San Martino, Genoa, Italy; marco.gipponi@hsanmartino.it.
  • Sparavigna M; Department of Surgical Sciences and Integrated Diagnostic (DISC), School of Medicine, University of Genoa, Genoa, Italy.
  • Diaz R; Department of Surgical Sciences and Integrated Diagnostic (DISC), School of Medicine, University of Genoa, Genoa, Italy.
  • Fioravanti E; Breast Surgery Clinic, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
  • Cornacchia C; Department of Surgical Sciences and Integrated Diagnostic (DISC), School of Medicine, University of Genoa, Genoa, Italy.
  • Conte B; Department of Surgical Sciences and Integrated Diagnostic (DISC), School of Medicine, University of Genoa, Genoa, Italy.
  • Lambertini M; Department of Internal Medicine and Medical Specialties (DiMI), School of Medicine, University of Genoa, Genoa, Italy.
  • Zoppoli G; Department of Medical Oncology, U.O.C Clinica di Oncologia Medica, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
  • Murelli F; Department of Internal Medicine and Medical Specialties (DiMI), School of Medicine, University of Genoa, Genoa, Italy.
  • Toni ML; Department of Medical Oncology, U.O.C Clinica di Oncologia Medica, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
  • Calabro MT; Department of Internal Medicine and Medical Specialties (DiMI), School of Medicine, University of Genoa, Genoa, Italy.
  • Orsino L; Internal Medicine and Oncology Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
  • Friedman D; Department of Surgical Sciences and Integrated Diagnostic (DISC), School of Medicine, University of Genoa, Genoa, Italy.
In Vivo ; 35(1): 635-639, 2021.
Article in English | MEDLINE | ID: covidwho-1011856
Semantic information from SemMedBD (by NLM)
1. Operation on breast TREATS COVID-19
Subject
Operation on breast
Predicate
TREATS
Object
COVID-19
2. Preventive Health Programs TREATS Health Personnel
Subject
Preventive Health Programs
Predicate
TREATS
Object
Health Personnel
3. Preventive Health Programs TREATS Patients
Subject
Preventive Health Programs
Predicate
TREATS
Object
Patients
4. Operation on breast TREATS Patients
Subject
Operation on breast
Predicate
TREATS
Object
Patients
5. Operative Surgical Procedures TREATS Patients
Subject
Operative Surgical Procedures
Predicate
TREATS
Object
Patients
6. Operation on breast TREATS COVID-19
Subject
Operation on breast
Predicate
TREATS
Object
COVID-19
7. Preventive Health Programs TREATS Health Personnel
Subject
Preventive Health Programs
Predicate
TREATS
Object
Health Personnel
8. Preventive Health Programs TREATS Patients
Subject
Preventive Health Programs
Predicate
TREATS
Object
Patients
9. Operation on breast TREATS Patients
Subject
Operation on breast
Predicate
TREATS
Object
Patients
10. Operative Surgical Procedures TREATS Patients
Subject
Operative Surgical Procedures
Predicate
TREATS
Object
Patients
ABSTRACT
BACKGROUND/

AIM:

The perspective validation of a selective approach in patients undergoing breast cancer surgery was performed in order to assess whether patients as well as Health Care Workers (HCWs) were exposed to any undue risk of COVD-19 infection. PATIENTS AND

METHODS:

From March 9th to June 9th 2020, 207 patients were phone-triaged by a dedicated Breast Care Nurse; a patient-tailored program was adopted with the aim of avoiding hospitalization of SARS-CoV-2 symptomatic patients, with a careful prioritization of surgical procedures according to specific disease features.

RESULTS:

Two hundred and three out of 207 patients underwent operation; seven patients were temporarily excluded because they tested positive at phone triage (n=3), or in-hospital triage (n=3); another asymptomatic patient with negative NP swab tested IgM Ab-positive so that surgery was re-scheduled two weeks later. Four patients had no surgery; one of them was reconsidered for neoadjuvant chemotherapy (NAC) after testing positive at phone triage; three patients were excluded because they were already hospitalized for COVID-19. Overall, mean in-hospital stay was 2.2 days (±SD, 0.7) and, after hospital discharge, no patient required readmission.

CONCLUSION:

This preventive program avoided any COVID-19 infection among patients and HCWs, so that an elective breast cancer surgical procedure can be safely and timely pursued without affecting the oncologic outcome.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Preventive Health Services / Breast Neoplasms / Health Personnel / SARS-CoV-2 / COVID-19 / Mastectomy Limits: Adult / Female / Humans / Middle aged Language: English Journal: In Vivo Journal subject: Neoplasms Year: 2021 Document Type: Article Affiliation country: Invivo.12302

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Preventive Health Services / Breast Neoplasms / Health Personnel / SARS-CoV-2 / COVID-19 / Mastectomy Limits: Adult / Female / Humans / Middle aged Language: English Journal: In Vivo Journal subject: Neoplasms Year: 2021 Document Type: Article Affiliation country: Invivo.12302