Impact of the first lockdown for coronavirus 19 on breast cancer management in France: A multicentre survey

Abstract

Objective This study examined the impact of lockdown for SARS-CoV-2 on breast cancer management via an online survey in a French multicentre setting Material and methods This is a multicentre retrospective study, over the strict lockdown period from March 16 th to May 11 th , 2020 in metropolitan France. 20 centres were solicited, of which 12 responded to the survey Results 50% of the centres increased their surgical activity, 33% decreased it and 17% did not change it during containment.Some centres had to cancel (17%) or postpone (33%) patient-requested interventions due to fear of SARS-CoV-2. Four and 6 centres (33% and 50%) respectively cancelled and postponed interventions for medical reasons. In the usual period, 83% of the centres perform their conservative surgeries on an outpatient basis, otherwise the length of hospital stay was 24 to 48 hours. All the centres except one performed conservative surgery on an outpatient basis during the lockdown period, for which. 8% performed mastectomies on an outpatient basis during the usual period. During lockdown, 50% of the centres reduced their hospitalization duration (25% outpatient /25% early discharge on Day 1). Conclusion This study explored possibilities for management during the first pandemic lockdown. The COVID-19 pandemic required a total reorganization of the healthcare system, including the care pathways for cancer patients.

Impact of the COVID-19 Pandemic on Clinical Pathways for Non-SARS-CoV-2 Related Diseases in the Lazio Region, Italy

“…Oncologic and diabetic patients included in a CP and also infected by SARS-CoV-2 were admitted to the COVID ward of the same hospital, ensuring a partial continuity of care, as well as already reported for oncological care in other experiences and where specific CPs for COVID-19 were ensured [ 5 , 32 ]. Whereas, regarding the continuity of care for patients affected by both DSA and SARS-CoV-2, the number of cases was small, and it was not necessary to create separate pathways and/or wards.…”

“…In regard to the multidisciplinary meetings for the discussion of cases using teleconferencing, this new system was used both by our respondents and in other settings [ 12 , 29 , 32 ]. Some studies report additional information, for example, the study by Fersia et al [ 29 ] was also focused on extra benefits ensured to patients’ care, as the teleconference systems allowed the involvement of other colleagues from different hospitals [ 29 ].…”

The impact of the COVID pandemic on primary care diabetes services in the UK: A cross-sectional national survey of views of health professionals delivering diabetes care

“…Several studies have assessed and reported the extent to which consultation rates of patients and healthcare services have been impacted during the COVID-19 pandemic compared to pre-pandemic times. These have included patient delays in seeking medical care, declines in hospitalisations for acute medical conditions such as strokes and myocardial infarctions (with reductions ranging from 20.2 to 73.0%), impact on routine cancer care, less utilisation of in-hospital procedures such as coronary angiographies, postponing or cancellation of surgical procedures, and shorter length of hospital stays [ 9 , 10 , [18] , [19] , [20] ]. Several studies have also reported on the impact of the COVID-19 pandemic on primary care services.…”

“…In a qualitative interview study of GPs in the Flemish part of Belgium to gain insights into the consequences of the COVID-19 outbreak on the core functions of primary care, there was a major switch towards telephone triage and consult, there was a feeling that acute care was compromised, chronic care was mostly postponed and there was a worry about continuity of regular care [ 17 ]. Though there is some data on healthcare professional views on the impact of the COVID-19 pandemic on healthcare services such as cancer care management, arthroplasty services, and routine care for chronic diseases [ 11 , 15 , 18 , 19 ], there is limited data for primary care diabetes services specifically. Our study provides a previously unreported comprehensive assessment of the perspectives of healthcare professionals regarding the impact of the COVID-19 pandemic on the delivery of primary care for diabetes in UK primary care.…”

Acceptance of Psycho-Oncological Counseling Formats in a Cancer Counseling Center during the COVID-19 Pandemic: An Exploratory Care Study

“…The containment measures of the COVID-19 pandemic in 2020 resulted in massive social changes worldwide. This was also the case in the health sector and, in particular, in cancer counseling [1][2][3][4][5][6][7]. The changes caused by the pandemic made it necessary to restructure counseling-specific concepts in order to ensure continuity of support.…”