Breast Cancer and COVID-19: The Effect of Fear on Patients' Decision-making Process.
In Vivo
; 34(3 Suppl): 1651-1659, 2020 Jun.
Article
in English
| MEDLINE | ID: covidwho-543430
ABSTRACT
BACKGROUND/AIM:
Coronavirus-19 (COVID-19) pandemic outbreak is currently having a huge impact on medical resource allocation. Breast Cancer (BC) patients are concerned both with BC treatment and COVID-19. This study aimed to estimate the impact of anxiety among patients, caused by the spreading of COVID-19. PATIENTS ANDMETHODS:
Between the 16th of January and the 20th of March 2020, we retrospectively enrolled 160 patients. Eighty-two patients with a suspected breast lesion (SBL) were divided into two groups PRE-COVID-19-SBL and POST-COVID-19-SBL. Seventy-eight BC patients were divided into PRE-COVID-19-BC and POST-COVID-19-BC. Patient characteristics including age, marital status, SBL/BC diameter, personal and family history of BC, clinical stage and molecular subtype were recorded. Procedure Refusal (PR) and Surgical Refusal (SR) were also recorded with their reason.RESULTS:
BC and SBL analysis showed no difference in pre-treatment characteristics (p>0.05). Both POST-COVID-19-SBL and POST-COVID-19-BC groups showed higher rates of PR and SR (p=0.0208, p=0.0065 respectively). Infection risk represented primary reason for refusal among POST-COVID-19 patients.CONCLUSION:
COVID-19-related anxiety could affect patients' decision-making process.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Anxiety
/
Pneumonia, Viral
/
Breast Neoplasms
/
Treatment Refusal
/
Elective Surgical Procedures
/
Coronavirus Infections
/
Decision Making
/
Fear
/
Biopsy, Large-Core Needle
/
Mastectomy
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Topics:
Long Covid
Limits:
Aged
/
Female
/
Humans
/
Middle aged
Country/Region as subject:
Europa
Language:
English
Journal:
In Vivo
Journal subject:
Neoplasms
Year:
2020
Document Type:
Article
Affiliation country:
Invivo.11957
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