Management of benign and suspicious breast lesions during the coronavirus disease pandemic: recommendations for triage and treatment

Purcino, Flávia Abranches Corsetti; Ruíz, Carlos Alberto; Sorpreso, Isabel Cristina Espósito; Costa, Ana Maria; Soares-Júnior, José Maria; Baracat, Edmund Chada; Filassi, José Roberto

doi:10.6061/clinics/2020/e2097

Cited by 5 publications

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References 6 publications

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“…Outpatient visits and returns, specifically for women’s health, were recommended on a case-to-case assessment, considering the general and clinical status of women and the access to clinical treatment and resources [ 4 ]. Notwithstanding these recommendations, there was also a reduction in the spontaneous search for health services [ 5 , 6 ], with a general decrease in procedures and diagnostic tests in the initial phase of the pandemic in Brazil and in other countries [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Non-oncological gynecological diagnoses in a women’s health care service during the pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2

et al. 2023

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Objective Analyze clinical factors and non-oncological gynecological diagnoses before and during the initial months of the COVID-19 pandemic. Method Crosssectional study at an Outpatient Gynecology Clinic in Brazil involving medical consultations performed during the pre-pandemic and pandemic periods. The number of visits, prevalence of non-oncological gynecological diagnoses, and clinical-demographic data were analyzed. Parametric continuous variables were evaluated by Student’s t-test and ANOVA tests, non-parametric variables were evaluated by the Mann-Whitney and Wilcoxon tests, and categorical or binary variables were evaluated by chi-square and Fisher’s exact tests. Univariate logistic regression tests were performed, and variables with p ≤ 0.20 were subjected to multivariate logistic regression. Statistical significance was set at p < 0.05. Results There were 1,236 records during the pre-pandemic period and 530 during the pandemic, reflecting a significant reduction (57.88%; p = 0.001) in medical consultations. The outpatient prevalence of women older than 50 y (OR 0.85; 95%CI 0.68–1.05) reduced, and the outpatient prevalence of postmenopausal women with hot flashes (OR 1.34; 95%CI 1.09–1.65; p = 0.005) and alcohol consumption habits (OR 2.76; 95%CI 1.15–6.59; p = 0.023) increased. There was a 6% proportional increase in noninflammatory disorders of the female genital tract (p = 0.030) and a 72.4% decrease in general physical examinations, contraception, and procreation (p = 0.001). Multivariate analysis showed that there was an increased prevalence of abnormal uterine bleeding (OR, 1.7; 95% CI 1.34–2.16; p = 0.001) and endometriosis (OR 1.65; 95% CI 1.13–2.42; p = 0.01). Conclusion Medical consultations for benign gynecological diseases during the pandemic prevented non-inflammatory disorders of the female genital tract, with an emphasis on abnormal uterine bleeding and endometriosis. There was an increased prevalence of women under 50 years of age, women with symptoms of hot flashes, and alcohol consumption habits and a reduction in the prevalence of general physical examinations, contraception, and procreation.

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Section: Introductionmentioning

confidence: 99%

Non-oncological gynecological diagnoses in a women’s health care service during the pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2

et al. 2023

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“…Todas essas barreiras provavelmente foram exacerbadas pela pandemia COVID-19, vivida recentemente, quando o rastreamento do câncer foi suspenso, o trabalho de diagnóstico de rotina adiado, apenas casos sintomáticos urgentes priorizados para intervenção diagnóstica e fluxo de tratamento oportunamente reavaliados 42 .…”

Section: Barreiras Por Pesquisa E Inovaçãounclassified

Identificação e análise de barreiras de acesso ao diagnóstico e tratamento do câncer de mama, vivenciadas por mulheres jovens, assistidas em hospital terciário de referência oncológica: estudo qualitativo na cidade de São Paulo

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The impact of COVID-19 in the management of breast radiology units: What we have learned since 2020? A systematic review

Rechichi,

Maino,

Ippolito

et al. 2024

Health Sciences Review

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Management of benign and suspicious breast lesions during the coronavirus disease pandemic: recommendations for triage and treatment

Cited by 5 publications

References 6 publications

Non-oncological gynecological diagnoses in a women’s health care service during the pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2

Non-oncological gynecological diagnoses in a women’s health care service during the pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2

Identificação e análise de barreiras de acesso ao diagnóstico e tratamento do câncer de mama, vivenciadas por mulheres jovens, assistidas em hospital terciário de referência oncológica: estudo qualitativo na cidade de São Paulo

The impact of COVID-19 in the management of breast radiology units: What we have learned since 2020? A systematic review

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