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Breast Cancer Surgery During the COVID-19 Pandemic: An Observational Clinical Study of the Breast Surgery Clinic at Ospedale Policlinico San Martino - Genoa, Italy.
Fregatti, Piero; Gipponi, Marco; Giacchino, Maria; Sparavigna, Marco; Murelli, Federica; Toni, Maria Luisa; Calabrò, Maria Teresa; Orsino, Lina; Friedman, Daniele.
  • Fregatti P; Department Surgical Sciences and Integrated Diagnostic (DISC), School of Medicine, University of Genoa, Genoa, Italy.
  • Gipponi M; Breast Surgery Clinic, Ospedale Policlinico San Martino, Genoa, Italy.
  • Giacchino M; Breast Surgery Clinic, Ospedale Policlinico San Martino, Genoa, Italy marco.gipponi@hsanmartino.it.
  • Sparavigna M; Department Surgical Sciences and Integrated Diagnostic (DISC), School of Medicine, University of Genoa, Genoa, Italy.
  • Murelli F; Department Surgical Sciences and Integrated Diagnostic (DISC), School of Medicine, University of Genoa, Genoa, Italy.
  • Toni ML; Department Surgical Sciences and Integrated Diagnostic (DISC), School of Medicine, University of Genoa, Genoa, Italy.
  • Calabrò MT; Breast Surgery Clinic, Ospedale Policlinico San Martino, Genoa, Italy.
  • Orsino L; Direction Health Professions (DAPS), Ospedale Policlinico San Martino, Genoa, Italy.
  • Friedman D; Direction Health Professions (DAPS), Ospedale Policlinico San Martino, Genoa, Italy.
In Vivo ; 34(3 Suppl): 1667-1673, 2020 Jun.
Article in English | MEDLINE | ID: covidwho-527842
Semantic information from SemMedBD (by NLM)
1. Breast clinic LOCATION_OF Observational Study
Subject
Breast clinic
Predicate
LOCATION_OF
Object
Observational Study
2. Malignant neoplasm of breast PROCESS_OF Patients
Subject
Malignant neoplasm of breast
Predicate
PROCESS_OF
Object
Patients
3. Hospitals LOCATION_OF Screening procedure
Subject
Hospitals
Predicate
LOCATION_OF
Object
Screening procedure
4. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
5. Breast-Conserving Surgery TREATS Invasive Malignant Neoplasm
Subject
Breast-Conserving Surgery
Predicate
TREATS
Object
Invasive Malignant Neoplasm
6. Invasive Malignant Neoplasm PROCESS_OF Patients
Subject
Invasive Malignant Neoplasm
Predicate
PROCESS_OF
Object
Patients
7. Postoperative Complications NEG_PROCESS_OF Health Personnel
Subject
Postoperative Complications
Predicate
NEG_PROCESS_OF
Object
Health Personnel
8. Postoperative Complications NEG_PROCESS_OF Patients
Subject
Postoperative Complications
Predicate
NEG_PROCESS_OF
Object
Patients
9. Breast clinic LOCATION_OF Observational Study
Subject
Breast clinic
Predicate
LOCATION_OF
Object
Observational Study
10. Malignant neoplasm of breast PROCESS_OF Patients
Subject
Malignant neoplasm of breast
Predicate
PROCESS_OF
Object
Patients
11. Hospitals LOCATION_OF Screening procedure
Subject
Hospitals
Predicate
LOCATION_OF
Object
Screening procedure
12. COVID-19 PROCESS_OF Patients
Subject
COVID-19
Predicate
PROCESS_OF
Object
Patients
13. Breast-Conserving Surgery TREATS Invasive Malignant Neoplasm
Subject
Breast-Conserving Surgery
Predicate
TREATS
Object
Invasive Malignant Neoplasm
14. Invasive Malignant Neoplasm PROCESS_OF Patients
Subject
Invasive Malignant Neoplasm
Predicate
PROCESS_OF
Object
Patients
15. Postoperative Complications NEG_PROCESS_OF Health Personnel
Subject
Postoperative Complications
Predicate
NEG_PROCESS_OF
Object
Health Personnel
16. Postoperative Complications NEG_PROCESS_OF Patients
Subject
Postoperative Complications
Predicate
NEG_PROCESS_OF
Object
Patients
ABSTRACT

BACKGROUND:

COVID-19 pandemic required a marked re-allocation of healthcare resources, including at Breast Units. A patient-tailored program was developed to assess its efficacy regarding prevention of COVID-19 infection among patients with breast cancer undergoing surgery and healthcare workers (HCWs). PATIENTS AND

METHODS:

From March 9th to April 9th 2020, 91 patients were selected for elective surgery by means of i) Pre-hospital screening aimed at avoiding hospitalization of symptomatic or suspicious COVID-19 patients, and ii) prioritisation of surgical procedure according to specific disease features.

RESULTS:

Eighty-five patients (93.4%) were fit for surgery, while five patients (5.5%) were temporarily excluded through 'telephone triage'; another two patients were excluded at in-hospital triage. A total of 71 out of 85 patients (83.5%) were diagnosed with invasive cancer, most of whom were undergoing breast-conserving surgery (61 out of 85 patients, 71.8%). The mean in-hospital stay was 2.2 days (SD=0.7 days). After hospital discharge, no patient needed re-admission due to post-operative complications; moreover, no COVID-19 infection among patients or HCWs was detected.

CONCLUSION:

Safe breast cancer surgery was accomplished for both patients and HCWs by means of a careful preoperative selection of patients and in-hospital preventative measures. This screening program can be transferred to high-volume Breast Units and it may be useful in implementing European Community recommendations for prevention of COVID-19 infection.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Breast Neoplasms / Carcinoma / Infection Control / Elective Surgical Procedures / Coronavirus Infections / Patient Selection / Pandemics / Mastectomy Type of study: Diagnostic study / Observational study / Prognostic study Limits: Female / Humans Country/Region as subject: Europa Language: English Journal: In Vivo Journal subject: Neoplasms Year: 2020 Document Type: Article Affiliation country: Invivo.11959

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Breast Neoplasms / Carcinoma / Infection Control / Elective Surgical Procedures / Coronavirus Infections / Patient Selection / Pandemics / Mastectomy Type of study: Diagnostic study / Observational study / Prognostic study Limits: Female / Humans Country/Region as subject: Europa Language: English Journal: In Vivo Journal subject: Neoplasms Year: 2020 Document Type: Article Affiliation country: Invivo.11959