Evidence map›Paper›PMID 32556796›Full record

ArticleBreast cancer research and treatment2020

Purposeful surgical delay and the coronavirus pandemic: how will black breast cancer patients fare?

Samilia Obeng-Gyasi, Bridget Oppong, Electra D Paskett, Maryam Lustberg

Open access · bronzeAbstract 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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 13% of its field
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

13 citing papers in PubMed, 23 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Samilia Obeng-GyasiDivision of Surgical Oncology, Department of Surgery, The Ohio State University, Columbus, OH, USA. samilia.obeng-gyasi@osumc.edu.ORCID http://orcid.org/0000-0002-5330-7247
Bridget OppongDivision of Surgical Oncology, Department of Surgery, The Ohio State University, Columbus, OH, USA.
Electra D PaskettComprehensive Cancer Center, The Ohio State University, Columbus, OH, USA.
Maryam LustbergComprehensive Cancer Center, The Ohio State University, Columbus, OH, USA.
The Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · USThe Ohio State University Wexner Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe Coronavirus pandemic has exposed substantial racial and ethnic health and healthcare disparities. Black breast cancer patients face significant disparities in stage of presentation, surgical management, and mortality. The objective of this editorial is to examine the possible implications of the surgical delay imposed by the pandemic on black breast cancer patients.

methodsThe American College of Surgeons, the Society of Surgical Oncology, and the American Society of Breast Surgeons recommendations for surgical delay during the Coronavirus Disease 2019 (COVID-19) were evaluated and discussed.

resultsGuidelines by major surgical organizations on surgical delay for breast cancer patients may inadvertently exacerbate disparities in time to surgery for black breast cancer patients. Our recommendations to better characterize the impact of these guidelines on surgical delay among vulnerable populations include the following: (1) track time from biopsy-proven diagnosis to surgery by race and ethnicity, (2) document patient and institution-related reasons for surgical delay, (3) record patient and disease-related variables/reasons for the selection of breast conservation surgery, mastectomy, and reconstruction by race and ethnicity, and (4) collect data on impactful social determinants of health such as financial reserve, housing conditions, stress, and transportation.

conclusionsThe COVID-19 pandemic may exacerbate delays in time to surgery among black breast cancer patients. Surgeons should incorporate collection of social determinants of health into their clinical practice to better understand the impact of COVID-19 on racial and ethnic disparities in surgical management.

Indexed as

Black or African AmericanMastectomyTime-to-TreatmentBetacoronavirusBreast NeoplasmsCoronavirus InfectionsCOVID-19FemaleHealthcare DisparitiesHumansMammaplastyMastectomy, SegmentalMortalityNeoplasm StagingPandemicsPneumonia, ViralBreast cancerCoronavirus pandemicRacial disparitiesSurgery

Identifiers

PMID32556796
PMCPMC7298443
OpenAlexW3036809603

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.