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10.21873/invivo.11959

http://scihub22266oqcxt.onion/10.21873/invivo.11959
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32503827!8378036!32503827
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suck abstract from ncbi


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pmid32503827      In+Vivo 2020 ; 34 (3 Suppl): 1667-1673
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  • Breast Cancer Surgery During the COVID-19 Pandemic: An Observational Clinical Study of the Breast Surgery Clinic at Ospedale Policlinico San Martino - Genoa, Italy #MMPMID32503827
  • Fregatti P; Gipponi M; Giacchino M; Sparavigna M; Murelli F; Toni ML; Calabro MT; Orsino L; Friedman D
  • In Vivo 2020[Jun]; 34 (3 Suppl): 1667-1673 PMID32503827show ga
  • BACKGROUND: COVID-19 pandemic required a marked re-allocation of healthcare resources, including at Breast Units. A patient-tailored program was developed to assess its efficacy regarding prevention of COVID-19 infection among patients with breast cancer undergoing surgery and healthcare workers (HCWs). PATIENTS AND METHODS: From March 9th to April 9th 2020, 91 patients were selected for elective surgery by means of: i) Pre-hospital screening aimed at avoiding hospitalization of symptomatic or suspicious COVID-19 patients, and ii) prioritisation of surgical procedure according to specific disease features. RESULTS: Eighty-five patients (93.4%) were fit for surgery, while five patients (5.5%) were temporarily excluded through 'telephone triage'; another two patients were excluded at in-hospital triage. A total of 71 out of 85 patients (83.5%) were diagnosed with invasive cancer, most of whom were undergoing breast-conserving surgery (61 out of 85 patients, 71.8%). The mean in-hospital stay was 2.2 days (SD=0.7 days). After hospital discharge, no patient needed re-admission due to post-operative complications; moreover, no COVID-19 infection among patients or HCWs was detected. CONCLUSION: Safe breast cancer surgery was accomplished for both patients and HCWs by means of a careful preoperative selection of patients and in-hospital preventative measures. This screening program can be transferred to high-volume Breast Units and it may be useful in implementing European Community recommendations for prevention of COVID-19 infection.
  • |*Patient Selection[MESH]
  • |Antineoplastic Combined Chemotherapy Protocols/therapeutic use[MESH]
  • |Breast Neoplasms/drug therapy/epidemiology/nursing/*surgery[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |Carcinoma/drug therapy/epidemiology/nursing/*surgery[MESH]
  • |Clinical Laboratory Techniques[MESH]
  • |Combined Modality Therapy[MESH]
  • |Coronavirus Infections/diagnosis/*prevention & control[MESH]
  • |Elective Surgical Procedures/*statistics & numerical data[MESH]
  • |Female[MESH]
  • |Hospital Units/organization & administration[MESH]
  • |Humans[MESH]
  • |Infection Control/*methods[MESH]
  • |Italy/epidemiology[MESH]
  • |Length of Stay/statistics & numerical data[MESH]
  • |Lymphatic Metastasis/diagnostic imaging[MESH]
  • |Lymphoscintigraphy[MESH]
  • |Mastectomy, Segmental/statistics & numerical data[MESH]
  • |Mastectomy/*statistics & numerical data[MESH]
  • |Neoadjuvant Therapy[MESH]
  • |Pandemics/*prevention & control[MESH]
  • |Patient Discharge[MESH]
  • |Pneumonia, Viral/*prevention & control[MESH]
  • |Protective Devices[MESH]
  • |Sentinel Lymph Node Biopsy[MESH]
  • |Symptom Assessment[MESH]
  • |Telemedicine[MESH]


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