Analysing the trends in breast surgery practice during COVID-19 pandemic: A comparative study with the Pre-COVID era

Vohra, Lubna Mushtaque; Jabeen, Dua; Khan, Naseer Abbas; Nizar, Azmeena; Jamil, Anum; Siddiqui, Tariq

doi:10.1016/j.amsu.2022.103342

Cited by 4 publications

(6 citation statements)

References 14 publications

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“…All patients recovered well, with chemotherapy re-commenced once virus-free. 89 Mooghal et al found that most COVID-19-positive breast cancer patients in their study had disease upstaging due to a lack of awareness of their disease and lockdown measures. 41 …”

Section: Resultsmentioning

confidence: 90%

“… 88 There was also a 35.5% reduction in breast cancer surgeries in Pakistan during the early stages of the pandemic. 89 Breast cancer patients were typically divided in Pakistan into those that require urgent surgery, those where surgery can be altered or delayed for 4–8 weeks, and those where surgery can be postponed until the end of the pandemic combined with other management approaches. 69 , 90 Sattar et al also documented that surgical patients in Pakistan were prioritized into 3 groups, with surgical procedures divided into elective, semi-elective, orange emergency, and red emergency groups depending on their priority and whether surgery can wait replaced by other treatment approaches.…”

Section: Resultsmentioning

confidence: 99%

“… The institutional workflow can act as a guideline for triaging surgical patients. Vohra et al, Pakistan 89 The retrospective comparative cohort study 1 Mar 2019–31 Mar 2021 380 (51 years) Impact of COVID-19 pandemic on breast cancer surgery 35.5% reduction in breast cancer surgeries during the pandemic compared to the pre-pandemic period. The decline in breast cancer surgeries is probably caused due to the fear of nosocomial SARS-CoV-2 infection, which lead to decreased breast cancer screening and diagnosis.…”

Section: Resultsmentioning

confidence: 99%

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Breast Cancer Management in the Era of Covid-19; Key Issues, Contemporary Strategies, and Future Implications

Prodhan

Islam

Khandker

et al. 2023

BCTT

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During the COVID-19 pandemic, several priority diseases were not getting sufficient attention. Whilst breast cancer is a fatal disease affecting millions worldwide, identification and management of these patients did not initially attract critical attention to minimize the impact of lockdown, post-lockdown, and other measures. Breast cancer patients’ conditions may not remain stable without proper care, worsening their prognosis. Proper care includes the timely instigation of surgery, systemic therapy, and psychological support. This includes low-and middle-income countries where there are already concerns with available personnel and medicines to adequately identify and treat these patients. Consequently, there was a need to summarize the current scenario regarding managing breast cancer care during COVID-19 across all countries, including any guidelines developed. We systematically searched three scientific databases and found 76 eligible articles covering the medical strategies of high-income countries versus LMICs. Typically, diagnostic facilities in hospitals were affected at the beginning of the pandemic following the lockdown and other measures. This resulted in more advanced-stage cancers being detected at initial presentation across countries, negatively impacting patient outcomes. Other than increased telemedicine, instigating neo-adjuvant endocrine therapy more often, reducing non-essential visits, and increasing the application of neo-adjuvant chemotherapy to meet the challenges, encouragingly, there was no other significant difference among patients in high-income versus LMICs. Numerous guidelines regarding patient management evolved during the pandemic to address the challenges posed by lockdowns and other measures, which were subsequently adopted by various high-income countries and LMICs to improve patient care. The psychological impact of COVID-19 and associated lockdown measures, especially during the peak of COVID-19 waves, and the subsequent effect on the patient’s mental health must also be considered in this high-priority group. We will continue to monitor the situation to provide direction in future pandemics.

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Section: Resultsmentioning

confidence: 90%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Breast Cancer Management in the Era of Covid-19; Key Issues, Contemporary Strategies, and Future Implications

Prodhan

Islam

Khandker

et al. 2023

BCTT

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“…The impact of the coronavirus disease 2019 (COVID‐19) pandemic on health care systems globally illustrates how external stressors can overwhelm overburdened medical and surgical systems in both low and high resource settings. Few studies have yet to demonstrate the impact of the COVID‐19 pandemic on surgical operations in low‐resource settings, much less on cancer surgery specifically 14,71–73 . A study conducted in Pakistan showed that breast cancer patients who underwent surgery further into the COVID‐19 pandemic presented with more advanced disease that often necessitated more aggressive treatment, perhaps due to fear of contracting COVID‐19 and reduced operational capacity during this time 73 …”

Section: Resultsmentioning

confidence: 99%

Global cancer surgery in low‐resource settings: A strengths, weaknesses, opportunities, and threats analysis

Sadler

Torio

Golby

2023

Cancer

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Global cancer surgery is an essential and complex component of oncologic care. This study aims to describe global cancer surgery literature since the 2015 Lancet Commission on Global Surgery and Cancer Surgery and perform a strengths, weaknesses, opportunities, and threats (SWOT) analysis. A systematic search was performed in PubMed of global cancer surgery articles. Themes were extracted from the included studies based on the following criteria: (1) performed in low‐ or low‐middle–income countries, (2) published during or after 2015, (3) published in peer‐reviewed journals, (4) written in the English language, and (5) accessible to the authors. Themes were further grouped into strengths, weaknesses, opportunities, and threats (SWOT analysis). The search strategy identified 154 articles published from 1992 to 2022. Forty‐six articles were included in the qualitative synthesis and SWOT analysis. Recurring themes included local epidemiologic studies, local innovations and feasibility studies, prioritizing quality of life outcomes, multidisciplinary team approaches, limited resources, health system gaps, lack of economic analyses, diverse cancer management strategies and priorities, inter‐setting collaboration, research expansion, the coronavirus disease 2019 pandemic, and unchecked technological advancements. These strengths, weaknesses, opportunities, and threats were described and related to the themes of research, surgical systems strengthening, economics and financing, and political framing of the 2015 Lancet Commission on Global Cancer Surgery. SWOT analyses of global cancer surgery may be helpful in suggesting future strategies for this expanding field. Plain language summary Cancer surgery is a resource‐intensive yet essential component of cancer care. In the face of projected growth of cancer burden, the present gap in cancer surgery care in low‐resource settings with stressed health care and surgical infrastructure risks further exacerbation. We present a strengths, weaknesses, opportunities, and threats analysis of recent global cancer surgery literature pertaining to low‐resource settings.

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“…Both surveys successfully acquired a high number of respondents. Previously, several comparative studies are concentrating on the COVID-19 pandemic, but the majority do not compare two distinct stages of COVID-19 in the same country ( Alanezi et al, 2021 , Hoffman et al, 2021 , Islm et al, 2021 , Novak et al, 2021 ; van den Berg et al, 2022; Vohra et al, 2022 , Wang and Mao, 2021 ). There is a relationship between human mobility and the transmission of contagious diseases since respondents who reported close contact with COVID-19 patients increased during the second survey period.…”

Section: Discussionmentioning

confidence: 99%

Travel behaviour changes and risk perception during COVID-19: A case study of Malaysia

Airak

Conceptualisation

Rahman

2023

Transportation Research Interdisciplinary Perspectives

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Analysing the trends in breast surgery practice during COVID-19 pandemic: A comparative study with the Pre-COVID era

Cited by 4 publications

References 14 publications

Breast Cancer Management in the Era of Covid-19; Key Issues, Contemporary Strategies, and Future Implications

Breast Cancer Management in the Era of Covid-19; Key Issues, Contemporary Strategies, and Future Implications

Global cancer surgery in low‐resource settings: A strengths, weaknesses, opportunities, and threats analysis

Travel behaviour changes and risk perception during COVID-19: A case study of Malaysia

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