Management of benign and suspicious breast lesions during the coronavirus disease pandemic: recommendations for triage and treatment

Purcino, Flávia Abranches Corsetti; Ruíz, Carlos Alberto; Sorpreso, Isabel Cristina Espósito; Costa, Ana Maria; Soares-Júnior, José Maria; Baracat, Edmund Chada; Filassi, José Roberto

doi:10.6061/clinics/2020/e2097

Cited by 4 publications

(1 citation statement)

References 6 publications

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“…Outpatient visits and returns, specifically for women’s health, were recommended on a case-to-case assessment, considering the general and clinical status of women and the access to clinical treatment and resources [ 4 ]. Notwithstanding these recommendations, there was also a reduction in the spontaneous search for health services [ 5 , 6 ], with a general decrease in procedures and diagnostic tests in the initial phase of the pandemic in Brazil and in other countries [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Non-oncological gynecological diagnoses in a women’s health care service during the pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2

et al. 2023

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Objective Analyze clinical factors and non-oncological gynecological diagnoses before and during the initial months of the COVID-19 pandemic. Method Crosssectional study at an Outpatient Gynecology Clinic in Brazil involving medical consultations performed during the pre-pandemic and pandemic periods. The number of visits, prevalence of non-oncological gynecological diagnoses, and clinical-demographic data were analyzed. Parametric continuous variables were evaluated by Student’s t-test and ANOVA tests, non-parametric variables were evaluated by the Mann-Whitney and Wilcoxon tests, and categorical or binary variables were evaluated by chi-square and Fisher’s exact tests. Univariate logistic regression tests were performed, and variables with p ≤ 0.20 were subjected to multivariate logistic regression. Statistical significance was set at p < 0.05. Results There were 1,236 records during the pre-pandemic period and 530 during the pandemic, reflecting a significant reduction (57.88%; p = 0.001) in medical consultations. The outpatient prevalence of women older than 50 y (OR 0.85; 95%CI 0.68–1.05) reduced, and the outpatient prevalence of postmenopausal women with hot flashes (OR 1.34; 95%CI 1.09–1.65; p = 0.005) and alcohol consumption habits (OR 2.76; 95%CI 1.15–6.59; p = 0.023) increased. There was a 6% proportional increase in noninflammatory disorders of the female genital tract (p = 0.030) and a 72.4% decrease in general physical examinations, contraception, and procreation (p = 0.001). Multivariate analysis showed that there was an increased prevalence of abnormal uterine bleeding (OR, 1.7; 95% CI 1.34–2.16; p = 0.001) and endometriosis (OR 1.65; 95% CI 1.13–2.42; p = 0.01). Conclusion Medical consultations for benign gynecological diseases during the pandemic prevented non-inflammatory disorders of the female genital tract, with an emphasis on abnormal uterine bleeding and endometriosis. There was an increased prevalence of women under 50 years of age, women with symptoms of hot flashes, and alcohol consumption habits and a reduction in the prevalence of general physical examinations, contraception, and procreation.

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Section: Introductionmentioning

confidence: 99%

Non-oncological gynecological diagnoses in a women’s health care service during the pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2

et al. 2023

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The impact of COVID-19 in the management of breast radiology units: What we have learned since 2020? A systematic review

Rechichi,

Maino,

Ippolito

et al. 2024

Health Sciences Review

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Impact of the COVID-19 pandemic on breast cancer diagnosis

2020

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Introduction: In 2020, a total of 2,510 new cases of breast cancer were estimated in Ceará State, 14% above the figures of 2019. In the context of the COVID-19 pandemic, postponing screening and assessing the risks and benefits of elective procedures was needed, rescheduled until after their control. Objective: We sought to identify the impact of the COVID-19 pandemic in the care of a Reference Service for Breast Cancer Diagnosis. Methods: Time series study, with analysis of the production of the consultations carried out from March to June of the current year in a service located in Fortaleza City, Ceará State. Results: There was a reduction of up to 84% in the services offered, with emphasis on mammography and ultrasound procedures, with 95 and 100%, respectively. The diagnosis of new cases and the performance of surgeries reduced by up to 60 and 56%, respectively. The months with the greatest impact were April and May, with a progressive resumption in June. Conclusion: The study evaluated a reference service of relevance in the state reality. Considering that many cases are identified during screening, postponing mammograms contributed to a delayed diagnosis. The findings are believed to pose severe consequences, considering the annual increase in the incidence of the disease, the low screening coverage, the high number of cases in advanced staging, the ascending mortality, and the low supply of diagnostic services. Diverting attention exclusively to the pandemic represents a worldwide challenge, but cancer is an important cause of morbidity and mortality, and cannot be neglected. There is concern that delaying screening, diagnosis, and treatment of breast cancer may cost more lives than COVID-19 itself. Post-pandemic requires planning to promote harm reduction resulting from the delay in the diagnosis and treatment of the repressed demand, in a disaggregated and overloaded system.

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Management of benign and suspicious breast lesions during the coronavirus disease pandemic: recommendations for triage and treatment

Cited by 4 publications

References 6 publications

Non-oncological gynecological diagnoses in a women’s health care service during the pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2

Non-oncological gynecological diagnoses in a women’s health care service during the pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2

The impact of COVID-19 in the management of breast radiology units: What we have learned since 2020? A systematic review

Impact of the COVID-19 pandemic on breast cancer diagnosis

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