The impact of COVID-19 pandemic on breast surgery in Italy: a multi-centric retrospective observational study

被引：0
作者：
R. Sgarzani
G. Macrì
A. Gurrado
A. Curcio
F. De Lorenzi
V. Galimberti
C. Garusi
M. Bocchiotti
M. Roncella
F. Rovera
G. Caputo
A. Sgarella
L. Barone Adesi
D. Terribile
R. Nonnis
P. Frittelli
B. Cagli
S. Tenna
I. Baldelli
A. Cordova
R. Elia
M. Salgarello
机构：
[1] Università Di Bologna,Dipartimento DIMEC
[2] U.O. Chirurgia Plastica,Unit of Academic General Surgery “V. Bonomo”, Department of Biomedical Sciences and Human Oncology
[3] Policlinico Universitario Agostino Gemelli,Unit of Academic Plastic Surgery, Department of Emergency and Organ Transplantation
[4] University of Bari,undefined
[5] “A. Moro”,undefined
[6] Chirurgia Senologica,undefined
[7] AUSL Della Romagna,undefined
[8] Department of Plastic Surgery,undefined
[9] European Institute of Oncology,undefined
[10] U.O. Chirurgia Plastica,undefined
[11] Città Della Salute,undefined
[12] UOC Chirurgia Senologica,undefined
[13] Azienda Ospedaliera Universitaria Pisana,undefined
[14] ASST SetteLaghi Varese,undefined
[15] Università Degli Studi Dell’Insubria,undefined
[16] U.O. Chirurgia Plastica,undefined
[17] ASUFC,undefined
[18] U.O. Chirurgia Generale 1,undefined
[19] IRCCS- Policlinico San Matteo,undefined
[20] Chirurgia Plastica,undefined
[21] AOU Sassari,undefined
[22] U.O. Chirurgia Senologica,undefined
[23] Ospedale San Giovanni Calibita Fatebenefratelli Isola Tiberina,undefined
[24] U.O. Chirurgia Plastica,undefined
[25] Campus Bio-Medico,undefined
[26] U.O. Chirurgia Plastica,undefined
[27] Ospedale San Martino,undefined
[28] U.O. Chirurgia Plastica,undefined
[29] Azienda Ospedaliera Universitaria Paolo Giaccone,undefined
[30] University of Bari,undefined
[31] “A. Moro”,undefined
来源：
Updates in Surgery | 2023年 / 75卷
关键词：
COVID-19; Pandemic; Breast surgery; Mastestomy; DTI reconstruction;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
COVID-19 pandemic had an impact on surgical activities. The aim of this multi-centric, retrospective study was to evaluate the impact of the COVID-19 pandemic on breast surgery. The patients who operated during the pre-pandemic year 2019 were compared to those operated in 2020. Fourteen Breast Care Units provided data on breast surgical procedures performed in 2020 and 2019: total number of breast-conserving surgery (BCS), number of 1st level oncoplastic breast surgery (OBS), number of 2nd level OBS; total number of mastectomies, mastectomies without reconstruction, mastectomies with a tissue expander, mastectomies with direct to implant (DTI) reconstruction, mastectomies with immediate flap reconstruction; total number of delayed reconstructions, number of expanders to implant reconstructions, number of delayed flap reconstructions. Overall 20.684 patients were included: 10.850 (52.5%) operated during 2019, and 9.834 (47.5%) during 2020. The overall number of breast oncologic surgical procedures in all centers in 2020 was 8.509, compared to 9.383 in 2019 (− 9%). BCS decreased by 744 cases (− 13%), the overall number of mastectomies decreased by 130 cases (− 3.5%); mastectomy-BCS ratio was 39–61% in 2019, and 42–58% in 2020. Regarding immediate reconstructive procedures mastectomies with DTI reconstruction increased by 166 cases (+ 15%) and mastectomies with immediate expander reconstruction decreased by 297 cases (− 20%). Breast-delayed reconstructive procedures in all centers in 2020 were 142 less than in 2019 (− 10%). The outburst of the COVID-19 pandemic in 2020 determined an implemented number of mastectomies compared to BCS, an implemented number of immediate breast reconstructions, mainly DTI, and a reduction of expander reconstruction.
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页码：735 / 741
页数：6
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