FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4385327051> ?p ?o ?g. }

• W4385327051 endingPage "51" @default.
• W4385327051 startingPage "50" @default.
• W4385327051 abstract "PURPOSE: Screening, detection, and treatment for cancer faced numerous challenges and delays across the United States and world during the coronavirus disease-19 (COVID-19) pandemic. The effects of this are presumed to extend far beyond the initial peaks of the pandemic, as predictive modeling has suggested that delays in breast cancer screening, diagnosis, and treatment will lead to increases in subsequent breast cancer mortality over the ensuing decade. In our state, there was a strict month-long moratorium on elective consultations, imaging, procedures, and surgeries to preserve healthcare resources and divert personnel and attention to caring for patients with COVID-19 in April 2020. It is important to understand how screening delays created by the COVID-19 pandemic may affect both short-term and long-term oncologic outcomes for patients with breast cancer. Furthermore, it is important to characterize how these delays affected breast reconstruction in these patients. The objective of this study was to quantify the effect of the COVID-19 pandemic on breast cancer screening, primary oncologic breast operations, and subsequent breast reconstruction practices at a single institution situated within the epicenter of the pandemic. METHOD: A retrospective review of a single academic institution was performed to identify all mammograms, lumpectomies, mastectomies, and breast reconstruction operations performed from January 2019 through June 2021. Data was extracted from a combination of institutional databases in conjunction with direct electronic health record review. Only index breast reconstructions were included, and by such, revisions or secondary procedures were not included. Wilcoxon signed-rank tests were used to compare the number of total number of mammograms, oncologic, and reconstruction cases between calendar quarters using SPSS Version 25 (IBM Corp., Armonk, N.Y.). Predetermined level of significance was p<0.05. RESULTS: Mammography volume declined by 11% in March-May of 2020. Oncologic breast surgeries and reconstructive surgeries similarly declined by 6.8% and 11%, respectively, in 2020 compared to 2019, reaching their lowest levels in April 2020. The volume of all procedures increased during the summer of 2020. Mammography volume in June and July 2020 were found to be at pre-COVID-19 levels, and in October-December 2020 were 15% higher than in 2019. Oncologic breast surgeries saw a similar rebound in May 2020, with 24.6% more cases performed compared to May 2019. Breast reconstruction volumes increased, though changes in the types of reconstruction were noted. Oncoplastic closures were more common during the pandemic, while two-stage implant reconstruction and immediate autologous reconstruction decreased by 27% and 43%, respectively. Volume in 2021 will supersede 2020 levels in all categories. CONCLUSION: The COVID-19 pandemic acutely reduced the volume of breast cancer surveillance, surgical treatment and reconstruction procedures. Despite mask mandates and required COVID-19 preoperative testing, diligent efforts were made to mitigate the decline in volume related to the COVID-19 pandemic. Volume increased beyond baseline levels to make up for the backlog created by the COVID-19 pandemic. The plastic surgery community can learn from these experiences in order to mitigate the impact of future disrupting events." @default.
• W4385327051 created "2023-07-28" @default.
• W4385327051 creator A5019811619 @default.
• W4385327051 creator A5034741505 @default.
• W4385327051 creator A5039645179 @default.
• W4385327051 creator A5047291265 @default.
• W4385327051 creator A5060690886 @default.
• W4385327051 creator A5062582654 @default.
• W4385327051 creator A5076803691 @default.
• W4385327051 creator A5091032071 @default.
• W4385327051 creator A5091513935 @default.
• W4385327051 date "2022-10-01" @default.
• W4385327051 modified "2023-09-23" @default.
• W4385327051 title "Sustaining Breast Reconstruction during a Pandemic: Institutional Review from the United States COVID-19 Epicenter" @default.
• W4385327051 doi "https://doi.org/10.1097/01.gox.0000898572.28212.26" @default.
• W4385327051 hasPublicationYear "2022" @default.
• W4385327051 type Work @default.
• W4385327051 citedByCount "0" @default.
• W4385327051 crossrefType "journal-article" @default.
• W4385327051 hasAuthorship W4385327051A5019811619 @default.
• W4385327051 hasAuthorship W4385327051A5034741505 @default.
• W4385327051 hasAuthorship W4385327051A5039645179 @default.
• W4385327051 hasAuthorship W4385327051A5047291265 @default.
• W4385327051 hasAuthorship W4385327051A5060690886 @default.
• W4385327051 hasAuthorship W4385327051A5062582654 @default.
• W4385327051 hasAuthorship W4385327051A5076803691 @default.
• W4385327051 hasAuthorship W4385327051A5091032071 @default.
• W4385327051 hasAuthorship W4385327051A5091513935 @default.
• W4385327051 hasBestOaLocation W43853270511 @default.
• W4385327051 hasConcept C121608353 @default.
• W4385327051 hasConcept C126322002 @default.
• W4385327051 hasConcept C141071460 @default.
• W4385327051 hasConcept C167135981 @default.
• W4385327051 hasConcept C177713679 @default.
• W4385327051 hasConcept C2779134260 @default.
• W4385327051 hasConcept C2780472235 @default.
• W4385327051 hasConcept C3008058167 @default.
• W4385327051 hasConcept C524204448 @default.
• W4385327051 hasConcept C530470458 @default.
• W4385327051 hasConcept C71924100 @default.
• W4385327051 hasConcept C89623803 @default.
• W4385327051 hasConceptScore W4385327051C121608353 @default.
• W4385327051 hasConceptScore W4385327051C126322002 @default.
• W4385327051 hasConceptScore W4385327051C141071460 @default.
• W4385327051 hasConceptScore W4385327051C167135981 @default.
• W4385327051 hasConceptScore W4385327051C177713679 @default.
• W4385327051 hasConceptScore W4385327051C2779134260 @default.
• W4385327051 hasConceptScore W4385327051C2780472235 @default.
• W4385327051 hasConceptScore W4385327051C3008058167 @default.
• W4385327051 hasConceptScore W4385327051C524204448 @default.
• W4385327051 hasConceptScore W4385327051C530470458 @default.
• W4385327051 hasConceptScore W4385327051C71924100 @default.
• W4385327051 hasConceptScore W4385327051C89623803 @default.
• W4385327051 hasIssue "10S" @default.
• W4385327051 hasLocation W43853270511 @default.
• W4385327051 hasOpenAccess W4385327051 @default.
• W4385327051 hasPrimaryLocation W43853270511 @default.
• W4385327051 hasRelatedWork W3103289217 @default.
• W4385327051 hasRelatedWork W3106370311 @default.
• W4385327051 hasRelatedWork W3108360120 @default.
• W4385327051 hasRelatedWork W3119540162 @default.
• W4385327051 hasRelatedWork W3152606407 @default.
• W4385327051 hasRelatedWork W3152916563 @default.
• W4385327051 hasRelatedWork W4313474620 @default.
• W4385327051 hasRelatedWork W4327956415 @default.
• W4385327051 hasRelatedWork W4381432928 @default.
• W4385327051 hasRelatedWork W4381942459 @default.
• W4385327051 hasVolume "10" @default.
• W4385327051 isParatext "false" @default.
• W4385327051 isRetracted "false" @default.
• W4385327051 workType "article" @default.