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The impact of the SARS-COV-2 pandemic on the quality of breast cancer care in EUSOMA-certified breast centres

van Dam, Peter; Tomatis, Mariano; Ponti, Antonio; Marotti, Lorenza; Aristei, Cynthia; Biganzoli, Laura; Cardoso, Maria Joao; Cheung, Kwok L.; Curigliano, Giuseppe; De Vries, Jakob; Santini, Donatella; Sardanelli, Francesco; Rubio, Isabel Teresa; Baldini, Valentina; Ballardini, Bettina; Berger, Johannes; Berlière, Martine; Bonetti, Andrea; Bortul, Marina; Bussels, Barbara; Cagossi, Katia; Epifanio Castiglione, Gaetano Antonio; Cedolini, Carla; Esgueva Colmenarejo, Antonio J.; Corsi, Fabio; Cretella, Elisabetta; Fogazzi, Gianluca; Fortunato, Lucio; Fougo, José Luis; Generali, Daniele; Gouveia, Pedro F.; Grossi, Simona; Huscher, Alessandra; Kaelides, Michalis; Kuhn, Elisabetta; Levy, Christelle; Massarut, Samuele; Meani, Francesco; Montemezzi, Stefania; Musolino, Antonio; Negreiros, Ida; Bagge, Roger Olofsson; Pagani, Gianmatteo; Peterko, Ana Car; Prové, Annemie; Roelstraete, Heidi; Roncella, Manuella; Saguatti, Gianni; Sarlos, Dimitri; Sgarella, Adele; Staelens, Gracienne; Taffurelli, Ma...

Authors

Peter van Dam

Mariano Tomatis

Antonio Ponti

Lorenza Marotti

Cynthia Aristei

Laura Biganzoli

Maria Joao Cardoso

Giuseppe Curigliano

Jakob De Vries

Donatella Santini

Francesco Sardanelli

Isabel Teresa Rubio

Valentina Baldini

Bettina Ballardini

Johannes Berger

Martine Berlière

Andrea Bonetti

Marina Bortul

Barbara Bussels

Katia Cagossi

Gaetano Antonio Epifanio Castiglione

Carla Cedolini

Antonio J. Esgueva Colmenarejo

Fabio Corsi

Elisabetta Cretella

Gianluca Fogazzi

Lucio Fortunato

José Luis Fougo

Daniele Generali

Pedro F. Gouveia

Simona Grossi

Alessandra Huscher

Michalis Kaelides

Elisabetta Kuhn

Christelle Levy

Samuele Massarut

Francesco Meani

Stefania Montemezzi

Antonio Musolino

Ida Negreiros

Roger Olofsson Bagge

Gianmatteo Pagani

Ana Car Peterko

Annemie Prové

Heidi Roelstraete

Manuella Roncella

Gianni Saguatti

Dimitri Sarlos

Adele Sgarella

Gracienne Staelens

Mario Taffurelli

Giovanni Tazzioli

Corrado Tinterri

Maud Vassilieff

Didier Verhoeven



Abstract

Aims: We analysed the impact of the SARS-CoV-2 pandemic (COVID-19) on the quality of breast cancer care in certified EUSOMA (European Society of Breast Cancer Specialists) breast centres. Materials and methods: The results of the EUSOMA quality indicators were compared, based on pseudonymised individual records, for the periods 1 March 2020 till 30 June 2020 (first COVID-19 peak in most countries in Europe) and 1 March 2019 till 30 June 2019. In addition, a questionnaire was sent to the participating Centres for investigating the impact of the COVID-19 pandemic on the organisation and the quality of breast cancer care. Results: Forty-five centres provided data and 31 (67%) responded to the questionnaire. The total number of new cases dropped by 19% and there was a small significant higher tumour (p = 0.003) and lymph node (p = 0.011) stage at presentation. Comparing quality indicators (12,736 patients) by multivariable analysis showed mostly non-significant differences. Surgery could be performed in a COVID-free zone in 94% of the centres, COVID testing was performed before surgery in 96% of the centres, and surgical case load was reduced in 55% of the centres. Modifications of the indications for neoadjuvant endocrine therapy, chemotherapy, and targeted therapy were necessary in 23%, 23%, and 10% of the centres; changes in indications for adjuvant endocrine, chemo-, targeted, immune, and radiotherapy in 3%, 19%, 3%, 6%, and 10%, respectively. Conclusion: Quality of breast cancer care was well maintained in EUSOMA breast centres during the first wave of the COVID-19 pandemic. A small but significantly higher tumour and lymph node stage at presentation was observed.

Journal Article Type Article
Acceptance Date Sep 22, 2022
Online Publication Date Nov 1, 2022
Publication Date Dec 1, 2022
Deposit Date Nov 10, 2022
Publicly Available Date Nov 2, 2023
Journal European Journal of Cancer
Print ISSN 0959-8049
Electronic ISSN 1879-0852
Publisher Elsevier BV
Peer Reviewed Peer Reviewed
Volume 177
Pages 72-79
DOI https://doi.org/10.1016/j.ejca.2022.09.027
Keywords Cancer Research; Oncology
Public URL https://nottingham-repository.worktribe.com/output/12329797
Publisher URL https://www.ejcancer.com/article/S0959-8049(22)00767-5/fulltext

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