Evidence map›Paper›PMID 34491417›Full record

ArticleArchives of gynecology and obstetrics2022

Changes in gynecologic and breast cancer diagnoses during the first wave of the COVID-19 pandemic: analysis from a tertiary academic gyneco-oncological center in Germany.

Till Kaltofen, Friederike Hagemann, Nadia Harbeck, Rachel Wuerstlein, Bernd Peter Kost, Alexander Burges, Sven Mahner, Fabian Trillsch

Open access · hybridAbstract read
In one paragraph

Article in Archives of gynecology and obstetrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 pooled it
1.5field-weighted citation impact, top 14% 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, 4 syntheses or guidelines pooled it, 20 citations in OpenAlex.

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  10. Impact of the COVID-19 pandemic on oncological care in Germany: rapid review.Journal of cancer research and clinical oncology · 2023
    Review
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  12. 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
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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

8 authors at 1 institution in 1 country.

Till KaltofenDepartment of Obstetrics and Gynecology, University Hospital and CCC Munich, LMU Munich, Marchioninistrasse 15, 81377, Munich, Germany. Till.Kaltofen@med.uni-muenchen.de.ORCID 0000-0003-1137-211X
Friederike HagemannDepartment of Obstetrics and Gynecology, University Hospital and CCC Munich, LMU Munich, Marchioninistrasse 15, 81377, Munich, Germany.
Nadia HarbeckDepartment of Obstetrics and Gynecology, University Hospital and CCC Munich, LMU Munich, Marchioninistrasse 15, 81377, Munich, Germany.
Rachel WuerstleinDepartment of Obstetrics and Gynecology, University Hospital and CCC Munich, LMU Munich, Marchioninistrasse 15, 81377, Munich, Germany.
Bernd Peter KostDepartment of Obstetrics and Gynecology, University Hospital and CCC Munich, LMU Munich, Marchioninistrasse 15, 81377, Munich, Germany.
Alexander BurgesDepartment of Obstetrics and Gynecology, University Hospital and CCC Munich, LMU Munich, Marchioninistrasse 15, 81377, Munich, Germany.
Sven MahnerDepartment of Obstetrics and Gynecology, University Hospital and CCC Munich, LMU Munich, Marchioninistrasse 15, 81377, Munich, Germany.
Fabian TrillschDepartment of Obstetrics and Gynecology, University Hospital and CCC Munich, LMU Munich, Marchioninistrasse 15, 81377, Munich, Germany.
LMU Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWith the beginning of 2021, the world has been suffering from the COVID-19 pandemic for more than 1 year. More and more, we are able to evaluate side effects of the pandemic in the healthcare sector. A negative impact on cancer diagnoses is one of them. Careful observation of trends in an academic gyneco-oncological context appears important to identify potential negative developments.

methodsWe analyzed the case number of gynecologic and breast cancer diagnoses in the period from January to June 2020 compared to 2019 and during the period of the first general German lockdown (March 22nd until May 5th 2020). Patients were characterized by age, tumor type, FIGO or TNM stage and presence of symptoms at initial hospital presentation.

resultsThe frequency of newly diagnosed gynecologic and breast cancer cases from beginning of January until end of June changed by - 10% and by - 12% during the lockdown in 2020 compared to 2019. In both periods, reduction of breast cancer cases was relatively larger than decrease of gynecologic cancers. Moreover, median patient age decreased. For the first half of 2020, we found a shift towards higher tumor stages (N+/M1 or FIGO III-IV). During the lockdown period, the appearance of tumor-associated symptoms at diagnosis increased by about 12%.

conclusionThis analysis illustrates the anticipated general decrease in diagnoses of primary cancers during the lockdown periods in 2020 due to COVID-19 pandemic for gynecologic and breast cancer cases.

Indexed as

Breast NeoplasmsCOVID-19Communicable Disease ControlFemaleGermanyHumansPandemicsSARS-CoV-2Breast cancerCOVID-19Gynecologic cancerSARS-CoV-2

Identifiers

PMID34491417
PMCPMC8422832
OpenAlexW3198381106

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.