Academic Journal
The impact of COVID-19 pandemic on breast surgery in Italy: a multi-centric retrospective observational study
| العنوان: | The impact of COVID-19 pandemic on breast surgery in Italy: a multi-centric retrospective observational study |
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| المؤلفون: | Sgarzani R., Macrì G., Gurrado A., Curcio A., De Lorenzi F., Galimberti V., Garusi C., Bocchiotti M., Roncella M., Rovera F., Caputo G., Sgarella A., Adesi L. B., Terribile D., Nonnis R., Frittelli P., Cagli B., Tenna S., Baldelli I., Cordova A., Elia R., Salgarello M. |
| المساهمون: | Sgarzani, R., Macrì, G., Gurrado, A., Curcio, A., De Lorenzi, F., Galimberti, V., Garusi, C., Bocchiotti, M., Roncella, M., Rovera, F., Caputo, G., Sgarella, A., Adesi, L. B., Terribile, D., Nonnis, R., Frittelli, P., Cagli, B., Tenna, S., Baldelli, I., Cordova, A., Elia, R., Salgarello, M. |
| سنة النشر: | 2023 |
| المجموعة: | IRInSubria - Institutional Repository Insubria (Università degli Studi dell’Insubria) |
| مصطلحات موضوعية: | Breast surgery, COVID-19, DTI reconstruction, Mastestomy, Pandemic |
| الوصف: | 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 1stlevel oncoplastic breast surgery (OBS), number of 2ndlevel 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. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | ELETTRONICO |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/36877431; info:eu-repo/semantics/altIdentifier/wos/WOS:000943948900001; volume:6; firstpage:1; lastpage:7; numberofpages:7; journal:UPDATES IN SURGERY; https://hdl.handle.net/11383/2149493; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85149361556 |
| DOI: | 10.1007/s13304-023-01474-y |
| الاتاحة: | https://hdl.handle.net/11383/2149493 https://doi.org/10.1007/s13304-023-01474-y |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.1BDFE08 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1007/s13304-023-01474-y |
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