Impact of the COVID-19 Pandemic on the Diagnosis and Surgery of Breast Cancer: A Multi-Institutional Study

강영준; 백종민; 김용석; 전예원; 유태경; 유지영; 신창현; 조시진; 최훈; 오세정

doi:10.4048/jbc.2021.24.e55

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자료유형: 학술저널

저자정보: 강영준 (Department of Surgery Incheon St. Mary’s Hospital College of Medicine The Catholic University of Ko) 백종민 (Department of Surgery Yeouido St. Mary's Hospital College of Medicine The Catholic University of Ko) 김용석 (Department of Surgery Uijeongbu St. Mary’s Hospital College of Medicine The Catholic University of) 전예원 (Department of Surgery St. Vincent’s Hospital College of Medicine The Catholic University of Korea S) 유태경 (Department of Surgery Seoul St. Mary’s Hospital College of Medicine The Catholic University of Kore) 유지영 (Department of Surgery Bucheon St. Mary’s Hospital College of Medicine The Catholic University of Ko) 신창현 (Department of Surgery Incheon St. Mary’s Hospital College of Medicine The Catholic University of) 조시진 (Department of Surgery Incheon St. Mary’s Hospital College of Medicine The Catholic University of) 최훈 (Department of Surgery Incheon St. Mary’s Hospital College of Medicine The Catholic University of) 오세정 (가톨릭대학교)

저널정보: 한국유방암학회 Journal of Breast Cancer Journal of Breast Cancer Vol.24 No.6

발행연도: 2021.12

수록면: 491 - 503 (13page)

DOI: 10.4048/jbc.2021.24.e55

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Purpose: The coronavirus disease 2019 (COVID-19) pandemic has significantly impacted the rates of screening, case identification, and referral for cancer diagnosis. We investigated the diagnosis and surgery status of breast cancer before and after the COVID-19 pandemic at a multi-institutional level. Methods: We collected breast cancer data from the clinical data warehouse which contained the medical records of patients from six academic institutions in South Korea. Patients were divided into two groups: February to April (period A) and May to July (period B). The data from the two groups were then compared against the same periods in 2019 and 2020. The primary objective was to investigate the differences in breast cancer stages before and after the COVID-19 pandemic. Results: Among 3,038 patients, there was a 9.9% reduction in the number of diagnoses in 2020. This decrease was more significant during period A than period B. The breast cancer stage was not statistically different in period A (p = 0.115), but it was in period B (p = 0.001). In the subset analysis according to age, there was a statistical difference between 2019 and 2020 in period B for patients under the age of 65 years (p = 0.002), but no difference was observed in the other groups. Conclusion: The number of breast cancer cases declined during the pandemic, and the staging distribution has changed after the pandemic peak.

#Breast Neoplasms #Carcinoma #COVID-19 #Early Detection of Cancer #SARS-CoV-2

참고문헌 (30)

참고문헌 신청

London JW / 2020 / Effects of the COVID-19 pandemic on cancer-related patient encounters / JCO Clin Cancer Inform 4:657~665

Kaufman HW / 2020 / Changes in the number of US patients with newly identified cancer before and during the coronavirus disease 2019(COVID-19)pandemic / JAMA Netw Open 3:e2017267

Bakouny Z / 2021 / Cancer screening tests and cancer diagnoses during the COVID-19 pandemic / JAMA Oncol 7:458~460

National Comprehensive Cancer Network (NCCN) / NCCN coronavirus disease 2019 (COVID-19) resources for the cancer care community

European Society of Medical Oncology (ESMO) / ESMO management and treatment adapted recommendations in the COVID-19 era: breast cancer

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