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The Impact of the COVID-19 Pandemic on Surgical Management of Breast Cancer: Global Trends and Future Perspectives

机译：Covid-19流行对乳腺癌外科手术管理的影响：全球趋势和未来的观点

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Introduction The rapid spread of COVID-19 across the globe is forcing surgical oncologists to change their daily practice. We sought to evaluate how breast surgeons are adapting their surgical activity to limit viral spread and spare hospital resources. Methods A panel of 12 breast surgeons from the most affected regions of the world convened a virtual meeting on April 7, 2020, to discuss the changes in their local surgical practice during the COVID-19 pandemic. Similarly, a Web-based poll based was created to evaluate changes in surgical practice among breast surgeons from several countries. Results The virtual meeting showed that distinct countries and regions were experiencing different phases of the pandemic. Surgical priority was given to patients with aggressive disease not candidate for primary systemic therapy, those with progressive disease under neoadjuvant systemic therapy, and patients who have finished neoadjuvant therapy. One hundred breast surgeons filled out the poll. The trend showed reductions in operating room schedules, indications for surgery, and consultations, with an increasingly restrictive approach to elective surgery with worsening of the pandemic. Conclusion The COVID-19 emergency should not compromise treatment of a potentially lethal disease such as breast cancer. Our results reveal that physicians are instinctively reluctant to abandon conventional standards of care when possible. However, as the situation deteriorates, alternative strategies of de-escalation are being adopted. Implications for Practice This study aimed to characterize how the COVID-19 pandemic is affecting breast cancer surgery and which strategies are being adopted to cope with the situation.
机译：引言Covid-19对全球的迅速传播迫使外科肿瘤学家改变日常生业。我们试图评估母乳外科医生如何调整他们的外科活动，以限制病毒传播和备用医院资源。方法从世界上最受影响的地区举行12个胸部外科医生，于2020年4月7日召开了一个虚拟会议，讨论了在Covid-19大流行期间的当地外科实践的变化。同样，基于网络的基于Web的投票是为了评估来自若干国家的母乳外科医生的手术实践的变化。结果虚拟会议表明，不同的国家和地区正在经历不同的大流行阶段。手术优先考虑患有侵略性疾病的患者，没有初级全身治疗的候选者，在新辅助系统治疗下具有渐进性的患者，以及完成新辅助治疗的患者。一百款乳房外科医生填防民意调查。该趋势在手术室时间表，手术迹象和咨询方面的趋势表现出越来越严格的选择手术，令人越来越严格的意见。结论Covid-19应急不应损害治疗患有乳腺癌等潜在致命的疾病。我们的结果表明，在可能的情况下，医生本能不愿意放弃传统的护理标准。但是，随着情况恶化，正在采用脱升升级的替代策略。对实践的影响本研究旨在表征Covid-19大流行如何影响乳腺癌手术，以及正在采用哪些策略来应对这种情况。

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