A prospective cohort study of the safety of breast cancer surgery during COVID-19 pandemic in the West of Scotland

In order to minimise the risk of breast cancer patients for COVID-19 infection related morbidity and mortality prioritisation of care has utmost importance since the onset of the pandemic. However, COVID-19 related risk in patients undergoing breast cancer surgery has not been studied yet. We evalua...

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Bibliographic Details
Published in:Breast (Edinburgh) 2021-02, Vol.55, p.1-6
Main Authors: Romics, Laszlo, Doughty, Julie, Stallard, Sheila, Mansell, James, Blackhall, Vivienne, Lannigan, Alison, Elgammal, Suzanne, Reid, Judith, McGuigan, Marie-Claire, Savioli, Francesca, Tovey, Sian, Murphy, Dermott, Reid, Iona, Malyon, Andy, McIlhenny, Jennifer, Wilson, Christopher
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Breast cancer
Breast Carcinoma In Situ - pathology
Breast Carcinoma In Situ - surgery
Breast conservation therapy
Breast Neoplasms - pathology
Breast Neoplasms - surgery
Breast surgery
Carcinoma, Ductal, Breast - pathology
Carcinoma, Ductal, Breast - surgery
Carcinoma, Intraductal, Noninfiltrating - pathology
Carcinoma, Intraductal, Noninfiltrating - surgery
Carcinoma, Lobular - pathology
Carcinoma, Lobular - surgery
Cohort Studies
COVID-19
COVID-19 - epidemiology
Cross Infection - epidemiology
Female
Humans
Male
Mammaplasty
Mastectomy - methods
Mastectomy - statistics & numerical data
Mastectomy, Segmental - methods
Mastectomy, Segmental - statistics & numerical data
Middle Aged
Neoplasm Staging
Original
Pandemics
Postoperative Complications - epidemiology
Prospective Studies
SARS-CoV-2
Scotland - epidemiology
State Medicine
Tumor Burden
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Summary:In order to minimise the risk of breast cancer patients for COVID-19 infection related morbidity and mortality prioritisation of care has utmost importance since the onset of the pandemic. However, COVID-19 related risk in patients undergoing breast cancer surgery has not been studied yet. We evaluated the safety of breast cancer surgery during COVID-19 pandemic in the West of Scotland region. A prospective cohort study of patients having breast cancer surgery was carried out in a geographical region during the first eight weeks of the hospital lockdown and outcomes were compared to the regional cancer registry data of pre-COVID-19 patients of the same units (n = 1415). 188 operations were carried out in 179 patients. Tumour size was significantly larger in patients undergoing surgery during hospital lockdown than before (cT3-4: 16.8% vs. 7.4%; p 
ISSN:0960-9776
1532-3080
1532-3080
DOI:10.1016/j.breast.2020.11.015