Utilization of a rapid diagnostic centre during the COVID-19 pandemic reduced diagnostic delays in breast cancer - 13/12/22

Doi : 10.1016/j.amjsurg.2022.09.051

Gary Ko ^a, Sangita Sequeira ^a, David R. McCready ^a,^b, Sharmy Sarvanantham ^a, Nancy Li ^a, Shelley Westergard ^a, Vrutika Prajapati ^a, Vivianne Freitas ^c, Tulin D. Cil ^a,^b,^⁎
^a -Department of Surgery, University of Toronto, Toronto, ON, Canada
^b -Division of Surgical Oncology, University Health Network, Toronto, ON, Canada
^c -Joint Department of Medical Imaging, Breast Division, University Health Network, Toronto, ON, Canada

^∗Corresponding author. Princess Margaret Cancer Centre Department of Surgical Oncology 700 University Avenue, OPG Wing, 6th Floor Toronto, Ontario, M5G 1Z5, Canada. Tel.: (416) 946 4501 Ext. 3984; fax: (416) 946 4429.Princess Margaret Cancer Centre Department of Surgical Oncology700 University AvenueOPG Wing6th Floor TorontoOntarioM5G 1Z5Canada

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Abstract

Background

Access to breast imaging was restricted during the first wave of the COVID-19 pandemic. We assessed the impact of healthcare restrictions on the Gattuso Rapid Diagnostic Centre (GRDC) at the Princess Margaret Cancer Centre.

Methods

A retrospective review of patients seen at the GRDC between March 12 - August 31, 2020 and the corresponding period from 2019 was performed.

Results

There was an 18.6% decrease in patients seen at the GRDC (n = 429 in 2020 vs. 527 in 2019). Time from the first abnormal breast image to diagnosis was significantly shorter (17.4 days [IQR 13.0–21.8] in 2020 vs. 25.9 days [21.0–30.8] in 2019; p = 0.020) with no appreciable difference in time from diagnosis to consult or from consult to surgery.

Conclusion

The GRDC enabled patients with concerning breast symptoms to access breast imaging, which helped to ensure timely treatment during the first wave of the pandemic.

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Graphical abstract

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Highlights

•	The rapid diagnostic clinic ensured access to breast imaging during the pandemic.
•	A higher proportion of patients presented with palpable lesions.
•	Despite this change in presentation, there was no increase in cancer diagnoses.

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Vol 225 - N° 1

P. 70-74 - janvier 2023 Retour au numéro

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Utilization of a rapid diagnostic centre during the COVID-19 pandemic reduced diagnostic delays in breast cancer - 13/12/22

Abstract

Background

Methods

Results

Conclusion

Graphical abstract

Highlights

Plan

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