Care in the time of COVID-19: impact on the diagnosis and treatment of breast cancer in a large, integrated health care system

Autor: Tang, Annie, Neeman, Elad, Vuong, Brooke, Arasu, Vignesh A., Liu, Raymond, Kuehner, Gillian E., Savitz, Alison C., Lyon, Liisa L., Anshu, Prachi, Seaward, Samantha A., Patel, Milan D., Habel, Laurel A., Kushi, Lawrence H., Mentakis, Margaret, Thomas, Eva S., Kolevska, Tatjana, Chang, Sharon B.
Rok vydání: 2021
Předmět:
Zdroj: Breast Cancer Research and Treatment
ISSN: 1573-7217
Popis: Purposes To delineate operational changes in Kaiser Permanente Northern California breast care and evaluate the impact of these changes during the initial COVID-19 Shelter-in-Place period (SiP, 3/17/20–5/17/20). Methods By extracting data from institutional databases and reviewing electronic medical charts, we compared clinical and treatment characteristics of breast cancer patients diagnosed 3/17/20–5/17/20 to those diagnosed 3/17/19–5/17/2019. Outcomes included time from biopsy to consultation and treatment. Comparisons were made using Chi-square or Wilcoxon rank-sum tests. Results Fewer new breast cancers were diagnosed in 2020 during the SiP period than during a similar period in 2019 (n = 247 vs n = 703). A higher percentage presented with symptomatic disease in 2020 than 2019 (78% vs 37%, p
Databáze: OpenAIRE