Evidence map›Paper›PMID 32333293›Full record

ArticleBreast cancer research and treatment2020

Recommendations for prioritization, treatment, and triage of breast cancer patients during the COVID-19 pandemic. the COVID-19 pandemic breast cancer consortium.

Jill R Dietz, Meena S Moran, Steven J Isakoff, Scott H Kurtzman, Shawna C Willey, Harold J Burstein, Richard J Bleicher, Janice A Lyons, Terry Sarantou, Paul L Baron and 9 more

Abstract readEditorial
In one paragraph

Article in Breast cancer research and treatment, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 233 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
233citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

233 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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173 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Jill R DietzNational Accreditation Program for Breast Centers, Chicago, IL, USA. Jill.Dietz@UHhospitals.org.
Meena S MoranNational Accreditation Program for Breast Centers, Chicago, IL, USA.
Steven J IsakoffNational Comprehensive Cancer Network, Plymouth Meeting, PA, USA.
Scott H KurtzmanNational Accreditation Program for Breast Centers, Chicago, IL, USA.
Shawna C WilleyAmerican Society of Breast Surgeons, Columbia, MD, USA.
Harold J BursteinNational Comprehensive Cancer Network, Plymouth Meeting, PA, USA.
Richard J BleicherNational Accreditation Program for Breast Centers, Chicago, IL, USA.
Janice A LyonsNational Comprehensive Cancer Network, Plymouth Meeting, PA, USA.
Terry SarantouNational Accreditation Program for Breast Centers, Chicago, IL, USA.
Paul L BaronNational Accreditation Program for Breast Centers, Chicago, IL, USA.
Randy E StevensNational Accreditation Program for Breast Centers, Chicago, IL, USA.
Susan K BoolbolAmerican Society of Breast Surgeons, Columbia, MD, USA.
Benjamin O AndersonNational Comprehensive Cancer Network, Plymouth Meeting, PA, USA.
Lawrence N ShulmanCommission On Cancer, Chicago, IL, USA.
William J GradisharNational Comprehensive Cancer Network, Plymouth Meeting, PA, USA.
Debra L MonticcioloAmerican College of Radiology, Reston, VA, USA.
Donna M PlechaAmerican College of Radiology, Reston, VA, USA.
Heidi NelsonNational Accreditation Program for Breast Centers, Chicago, IL, USA.
Katharine A YaoNational Accreditation Program for Breast Centers, Chicago, IL, USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

The COVID-19 pandemic presents clinicians a unique set of challenges in managing breast cancer (BC) patients. As hospital resources and staff become more limited during the COVID-19 pandemic, it becomes critically important to define which BC patients require more urgent care and which patients can wait for treatment until the pandemic is over. In this Special Communication, we use expert opinion of representatives from multiple cancer care organizations to categorize BC patients into priority levels (A, B, C) for urgency of care across all specialties. Additionally, we provide treatment recommendations for each of these patient scenarios. Priority A patients have conditions that are immediately life threatening or symptomatic requiring urgent treatment. Priority B patients have conditions that do not require immediate treatment but should start treatment before the pandemic is over. Priority C patients have conditions that can be safely deferred until the pandemic is over. The implementation of these recommendations for patient triage, which are based on the highest level available evidence, must be adapted to current availability of hospital resources and severity of the COVID-19 pandemic in each region of the country. Additionally, the risk of disease progression and worse outcomes for patients need to be weighed against the risk of patient and staff exposure to SARS CoV-2 (virus associated with the COVID-19 pandemic). Physicians should use these recommendations to prioritize care for their BC patients and adapt treatment recommendations to the local context at their hospital.

Indexed as

BetacoronavirusBreast NeoplasmsCoronavirus InfectionsCOVID-19FemaleHealth ResourcesHumansNeoplasm InvasivenessPandemicsPneumonia, ViralSARS-CoV-2TelemedicineTriage

Identifiers

PMID32333293
PMCPMC7181102

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.