Evidence map›Paper›PMID 32888855›Full record

ArticleClinical breast cancer2020

Effect of the COVID-19 Pandemic on Surgical Breast Cancer Care in the Netherlands: A Multicenter Retrospective Cohort Study.

Mando D Filipe, Désirée van Deukeren, Marijn Kip, Annemiek Doeksen, Apollo Pronk, Paul M Verheijen, Joost T Heikens, Arjen J Witkamp, Milan C Richir

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Clinical breast cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. The impact of the COVID-19 pandemic on clinical staging, pathological staging and surgical management of breast cancer patients.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Breast cancer care amidst a pandemic: a scoping review to understand the impact of coronavirus disease 2019 on health services and health outcomes.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
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

9 authors at 4 institutions in 1 country.

Mando D FilipeDepartment of Surgery, Cancer Centre, University Medical Centre Utrecht, Utrecht, Netherlands. Electronic address: m.d.filipe-2@umcutrecht.nl.
Désirée van DeukerenDepartment of Surgery, St Antonius Hospital, Nieuwegein, Netherlands.
Marijn KipDepartment of Surgery, Diakonessenhuis, Utrecht, Netherlands.
Annemiek DoeksenDepartment of Surgery, St Antonius Hospital, Nieuwegein, Netherlands.
Apollo PronkDepartment of Surgery, Diakonessenhuis, Utrecht, Netherlands.
Paul M VerheijenDepartment of Surgery, Meander Medical Centre, Amersfoort, Netherlands.
Joost T HeikensDepartment of Surgery, St Antonius Hospital, Nieuwegein, Netherlands; Department of Surgery, Rivierenland Hospital, Tiel, Netherlands.
Arjen J WitkampDepartment of Surgery, Cancer Centre, University Medical Centre Utrecht, Utrecht, Netherlands.
Milan C RichirDepartment of Surgery, Cancer Centre, University Medical Centre Utrecht, Utrecht, Netherlands.
St. Antonius Ziekenhuis · NLUniversity Medical Center Utrecht · NLDiakonessenhuis hospital · NLMeander Medisch Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus disease 2019 (COVID-19) has put a strain on regular healthcare worldwide. In the Netherlands, the national screening programs, including for breast cancer, were halted temporarily. This posed a challenge to breast cancer care, because ∼40% of cases are detected through national screening. Therefore, the aim of the present study was to evaluate the effects of the COVID-19 pandemic on the surgical care of patients with breast cancer in the Netherlands. MATERIALS AND

methodsThe present multicenter retrospective cohort study investigated the effects of COVID-19 on patients with breast cancer who had undergone surgery from March 9 to May 17, 2020. The primary endpoints were the number of surgical procedures performed during the study period, tumor characteristics, surgery type, and route of referral. The secondary endpoint was the incidence of postoperative complications during the study period.

resultsA total of 217 consecutive patients with breast cancer requiring surgery were included. We found an overall decrease in the number of patients with breast cancer who were undergoing surgery. The most significant decline was seen in surgery for T1-T2 and N0 tumors. A decline in the number of referrals from both the national screening program and general practitioners was observed. The incidence of postoperative complications remained stable during the study period.

conclusionsThe temporary halt of the national screening program for breast cancer resulted in fewer surgical procedures during the study period and a pronounced decrease in surgery of the lower tumor stages.

Indexed as

SARS-CoV-2AdultAgedBreast NeoplasmsCOVID-19FemaleHumansMiddle AgedNeoplasm StagingPostoperative ComplicationsReferral and ConsultationRetrospective StudiesBreast cancerComplicationsCoronavirus disease 2019PandemicSurgery

Identifiers

PMID32888855
PMCPMC7413119
OpenAlexW3048060754

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.