Evidence map›Paper›PMID 33439546›Full record

ArticleCancer reports (Hoboken, N.J.)2021

A multidisciplinary approach to triage patients with breast disease during the COVID-19 pandemic: Experience from a tertiary care center in the developing world.

Abida K Sattar, Hania Shahzad, Adnan Abdul Jabbar, Azmina T ValiMohammed, Sadaf Khan, Yasmin Vellani, Romana Idrees, Nasir Ali, Imrana Masroor, Humera Saeed and 7 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Cancer reports (Hoboken, N.J.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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  5. Review
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

17 authors at 2 institutions in 1 country.

Abida K SattarDepartment of Surgery, Aga Khan University, Karachi, Pakistan.ORCID 0000-0002-9836-7825
Hania ShahzadAga Khan University, Karachi, Pakistan.ORCID 0000-0002-1643-0828
Adnan Abdul JabbarDepartment of Oncology, Aga Khan University, Karachi, Pakistan.
Azmina T ValiMohammedDepartment of Oncology, Aga Khan University, Karachi, Pakistan.
Sadaf KhanDepartment of Surgery, Aga Khan University, Karachi, Pakistan.
Yasmin VellaniDepartment of Nursing Services, Aga Khan University Hospital, Karachi, Pakistan.
Romana IdreesDepartment of Pathology, Aga Khan University, Karachi, Pakistan.
Nasir AliDepartment of Radiation Oncology, Aga Khan University, Karachi, Pakistan.
Imrana MasroorDepartment of Radiology, Aga Khan University, Karachi, Pakistan.
Humera SaeedDepartment of Psychiatry, Aga Khan University, Karachi, Pakistan.
Gulzar LakhaniDepartment of Surgery, Aga Khan University, Karachi, Pakistan.
Nadia AyoubDepartment of Oncology, Aga Khan University, Karachi, Pakistan.
Atif WaqarDepartment of Oncology, Aga Khan University, Karachi, Pakistan.
Muhammad Zia-Ul IslamDepartment of Surgery, Aga Khan University, Karachi, Pakistan.
Salman KirmaniDepartment of Pediatrics and Child Health/Section of Medical Genetics, Aga Khan University, Karachi, Pakistan.
Asad LatifDepartment of Anesthesiology, Aga Khan University, Karachi, Pakistan.
Syed Ather EnamDepartment of Surgery, Aga Khan University, Karachi, Pakistan.
Aga Khan University · PKAga Khan University Hospital · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has created a need to prioritize care because of limitation of resources. Owing to the heterogeneity and high prevalence of breast cancers, the need to prioritize care in this vulnerable population is essential. While various medical societies have published recommendations to manage breast disease during the COVID-19 pandemic, most are focused on the Western world and do not necessarily address the challenges of a resource-limited setting.

aimIn this article, we describe our institutional approach for prioritizing care for patients presenting with breast disease. METHODS AND

resultsThe breast disease management guidelines were developed and approved with the expertise of the Multidisciplinary Breast Program Leadership Committee (BPLC) of the Aga Khan University, Karachi, Pakistan. These guidelines were inspired, adapted, and modified keeping in view the needs of our resource-limited healthcare system. These recommendations are also congruent with the ethical guidelines developed by the Center of Biomedical Ethics and Culture (CBEC) at the Sindh Institute of Urology and Transplantation (SIUT), Karachi. Our institutional recommendations outline a framework to triage patients based on the urgency of care, scheduling conflicts, and tumor board recommendations, optimizing healthcare workers' schedules, operating room reallocation, and protocols. We also describe the "Virtual Blended Clinics", a resource-friendly means of conducting virtual clinics and a comprehensive plan for transitioning back into the post-COVID routine.

conclusionOur institutional experience may be considered as a guide during the COVID-19 pandemic, particularly for triaging care in a resource-limited setting; however, these are not meant to be universally applicable, and individual cases must be tailored based on physicians' clinical judgment to provide the best quality care.

Indexed as

Interdisciplinary CommunicationBreast DiseasesCOVID-19Developing CountriesFemaleHumansPhysiciansPractice Guidelines as TopicSARS-CoV-2Tertiary Care CentersTriagebreast cancerclinical outcomesurgical oncology

Identifiers

PMID33439546
PMCPMC7941551
OpenAlexW3119241107

What OpenQuestion holds

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Registered trials

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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.