Evidence map›Paper›PMID 33146785›Full record

ArticleBreast cancer research and treatment2021

COVID-19 and breast cancer at a Regional Breast Centre: our flexible approach during the pandemic.

Lina Cadili, Kristin DeGirolamo, Elaine McKevitt, Carl J Brown, Christopher Prabhakar, Jin-Si Pao, Carol Dingee, Amy Bazzarelli, Rebecca Warburton

Abstract read
In one paragraph

Article in Breast cancer research and treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. 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
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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

9 authors.

Lina CadiliDivision of General Surgery, University of British Columbia, Vancouver, BC, Canada.
Kristin DeGirolamoDivision of General Surgery, University of British Columbia, Vancouver, BC, Canada.
Elaine McKevittDivision of General Surgery, University of British Columbia, Vancouver, BC, Canada.
Carl J BrownProvincial Lead, Surgery, BC Cancer, 600 W 10th Ave, Vancouver, BC, V5Z 4E6, Canada.
Christopher PrabhakarRegional Anesthesia Division, Department of Anesthesiology, Providence Health Care, 1081 Burrard St, Vancouver, BC, V6Z 1Y6 , Canada.
Jin-Si PaoDivision of General Surgery, University of British Columbia, Vancouver, BC, Canada.
Carol DingeeDivision of General Surgery, University of British Columbia, Vancouver, BC, Canada.
Amy BazzarelliDivision of General Surgery, University of British Columbia, Vancouver, BC, Canada.
Rebecca WarburtonDivision of General Surgery, University of British Columbia, Vancouver, BC, Canada. RWarburton@providencehealth.bc.ca.ORCID http://orcid.org/0000-0003-1120-5303

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn British Columbia (BC), there have been 2790 confirmed COVID-19 cases as of June 20, 2020. The aim of this project is to capture the effect of COVID-19 on the volume of surgery and adaptations to the surgical care of patients at a breast centre in BC.

methodsAll proven or suspected breast cancer cases treated with surgery between March 16, 2019 and April 30, 2019 and March 16, 2020 and April 30, 2020 through the Providence Breast Centre were included in this review. The date ranges in 2020 mark the early COVID-19 pandemic period in BC and the large shift in operating room access during this time.

resultsIn 2019, 99 patients underwent surgery for proven breast cancer and 30 patients for suspected breast cancer. In 2020, 162 patients underwent surgery for breast cancer and 34 for suspected breast cancer. Wait times from core biopsy to surgery and surgery to oncology consultation were improved in 2020 with a reduction of core biopsy to surgery time from 58 to 28 days for patients seen during the pandemic. There was an increased use of regional anesthesia and same day discharge compared to 2019 with increases in regional anesthesia (41%-89%) and same day discharge (64%-86%) after adaptations to the pandemic were implemented.

conclusionsChanges such as improved access to telemedicine, timing for cancer surgeries, and safer anesthetic techniques in response to the pandemic will change breast cancer surgical care beyond the pandemic era. Centralization and team-based care is the way forward.

Indexed as

Anesthesia, LocalBreast NeoplasmsBritish ColumbiaCancer Care FacilitiesCOVID-19FemaleHealth Services AccessibilityHumansMiddle AgedPatient DischargeRetrospective StudiesSARS-CoV-2TelemedicineTime-to-TreatmentBreast cancerBreast surgeryCOVID-19Health systems

Identifiers

PMID33146785
PMCPMC7640574

What OpenQuestion holds

Textmetadata
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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.