Breast cancer surgery during the Covid-19 pandemic: a monocentre experience from the Regina Elena National Cancer Institute of Rome
Abstract The Covid-19 pandemic has challenged hard the national health systems worldwide. According to the national policy issued in March 2020 in response to the evolving Covid-19 pandemic, several hospitals were re-configured as Covid-19 centers and elective surgery procedures were rescheduled acc...
Main Authors: | , , , , , , , , , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2020-08-01
|
Series: | Journal of Experimental & Clinical Cancer Research |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s13046-020-01683-y |
id |
doaj-5b1a3c6826694c89bf0aa750562f5461 |
---|---|
record_format |
Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Fabio Pelle Sonia Cappelli Franco Graziano Loredana Piarulli Flavia Cavicchi Domenico Magagnano Assunta De Luca Roy De Vita Marcello Pozzi Maurizio Costantini Antonio Varanese Massimo Panimolle Pietro Paolo Gullo Maddalena Barba Patrizia Vici Enrico Vizza Francesco Cognetti Giuseppe Sanguineti Elena Saracca Gennaro Ciliberto Claudio Botti |
spellingShingle |
Fabio Pelle Sonia Cappelli Franco Graziano Loredana Piarulli Flavia Cavicchi Domenico Magagnano Assunta De Luca Roy De Vita Marcello Pozzi Maurizio Costantini Antonio Varanese Massimo Panimolle Pietro Paolo Gullo Maddalena Barba Patrizia Vici Enrico Vizza Francesco Cognetti Giuseppe Sanguineti Elena Saracca Gennaro Ciliberto Claudio Botti Breast cancer surgery during the Covid-19 pandemic: a monocentre experience from the Regina Elena National Cancer Institute of Rome Journal of Experimental & Clinical Cancer Research Covid-19 pandemic; elective breast cancer surgery; safety; Covid-19 protective cancer hubs |
author_facet |
Fabio Pelle Sonia Cappelli Franco Graziano Loredana Piarulli Flavia Cavicchi Domenico Magagnano Assunta De Luca Roy De Vita Marcello Pozzi Maurizio Costantini Antonio Varanese Massimo Panimolle Pietro Paolo Gullo Maddalena Barba Patrizia Vici Enrico Vizza Francesco Cognetti Giuseppe Sanguineti Elena Saracca Gennaro Ciliberto Claudio Botti |
author_sort |
Fabio Pelle |
title |
Breast cancer surgery during the Covid-19 pandemic: a monocentre experience from the Regina Elena National Cancer Institute of Rome |
title_short |
Breast cancer surgery during the Covid-19 pandemic: a monocentre experience from the Regina Elena National Cancer Institute of Rome |
title_full |
Breast cancer surgery during the Covid-19 pandemic: a monocentre experience from the Regina Elena National Cancer Institute of Rome |
title_fullStr |
Breast cancer surgery during the Covid-19 pandemic: a monocentre experience from the Regina Elena National Cancer Institute of Rome |
title_full_unstemmed |
Breast cancer surgery during the Covid-19 pandemic: a monocentre experience from the Regina Elena National Cancer Institute of Rome |
title_sort |
breast cancer surgery during the covid-19 pandemic: a monocentre experience from the regina elena national cancer institute of rome |
publisher |
BMC |
series |
Journal of Experimental & Clinical Cancer Research |
issn |
1756-9966 |
publishDate |
2020-08-01 |
description |
Abstract The Covid-19 pandemic has challenged hard the national health systems worldwide. According to the national policy issued in March 2020 in response to the evolving Covid-19 pandemic, several hospitals were re-configured as Covid-19 centers and elective surgery procedures were rescheduled according to the most recent recommendations. In addition, Covid-19 protected cancer hubs were established, including the Regina Elena National Cancer Institute of Rome, Central Italy. At our Institute, the Breast Surgery Department continued working under the sign of a multidisciplinary approach. The number of professional figures involved in case evaluation was reduced to a minimum and interactions took place in the full respect of the required safety measures. Treatments for benign disease, pure prophylactic surgery and elective reconstructive procedures were all postponed and priority was assigned to the histologically-proven malignant breast tumors and highly suspicious lesions. From March 15th though April 30th 2020, we treated a total of 79 patients. This number is fully consistent with the average quantitative standards reached by our Department under ordinary circumstances. Patients were mostly discharged the day after surgery and none was readmitted due to surgery-related late complications. More generally, post-operative complications rates were unexpectedly low, particularly in light of the relatively high number of reconstructive procedures performed in this emergency situation. A strict follow up was performed based on the close contact with the surgical staff by telephone, messaging apps and telemedicine. Patients ascertainment for their Covid-19 status prior to hospital admission and hospital discharge allowed to maintain the “no-Covid-19” status at our Institution. In addition, during the aforementioned time window, none of the care providers developed SARS-CoV-2 infection or disease, as shown by the results of anti-SARS-CoV-2 immunoglobulin M and G profiling. In conclusions, elective breast cancer surgery procedures were successfully performed in a lockdown situation due to a novel viral pandemic. The well-coordinated regional and hospital efforts in terms of medical resource re-allocation and definition of clinical priorities allowed to maintain high quality standards of breast cancer care while ensuring safety to the cancer patients and care providers involved. |
topic |
Covid-19 pandemic; elective breast cancer surgery; safety; Covid-19 protective cancer hubs |
url |
http://link.springer.com/article/10.1186/s13046-020-01683-y |
work_keys_str_mv |
AT fabiopelle breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome AT soniacappelli breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome AT francograziano breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome AT loredanapiarulli breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome AT flaviacavicchi breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome AT domenicomagagnano breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome AT assuntadeluca breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome AT roydevita breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome AT marcellopozzi breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome AT mauriziocostantini breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome AT antoniovaranese breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome AT massimopanimolle breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome AT pietropaologullo breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome AT maddalenabarba breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome AT patriziavici breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome AT enricovizza breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome AT francescocognetti breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome AT giuseppesanguineti breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome AT elenasaracca breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome AT gennarociliberto breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome AT claudiobotti breastcancersurgeryduringthecovid19pandemicamonocentreexperiencefromthereginaelenanationalcancerinstituteofrome |
_version_ |
1724495438705328128 |
spelling |
doaj-5b1a3c6826694c89bf0aa750562f54612020-11-25T03:49:27ZengBMCJournal of Experimental & Clinical Cancer Research1756-99662020-08-013911510.1186/s13046-020-01683-yBreast cancer surgery during the Covid-19 pandemic: a monocentre experience from the Regina Elena National Cancer Institute of RomeFabio Pelle0Sonia Cappelli1Franco Graziano2Loredana Piarulli3Flavia Cavicchi4Domenico Magagnano5Assunta De Luca6Roy De Vita7Marcello Pozzi8Maurizio Costantini9Antonio Varanese10Massimo Panimolle11Pietro Paolo Gullo12Maddalena Barba13Patrizia Vici14Enrico Vizza15Francesco Cognetti16Giuseppe Sanguineti17Elena Saracca18Gennaro Ciliberto19Claudio Botti20Department of Surgery, Division of Breast Surgery, IRCCS Regina Elena National Cancer InstituteDepartment of Surgery, Division of Breast Surgery, IRCCS Regina Elena National Cancer InstituteDepartment of Surgery, Division of Breast Surgery, IRCCS Regina Elena National Cancer InstituteDepartment of Surgery, Division of Breast Surgery, IRCCS Regina Elena National Cancer InstituteDepartment of Surgery, Division of Breast Surgery, IRCCS Regina Elena National Cancer InstituteDepartment of Surgery, Division of Breast Surgery, IRCCS Regina Elena National Cancer InstituteQuality and Risk Management, Medical Direction, IRCCS Regina Elena National Cancer InstituteDepartment of Surgery, Division of Plastic and Reconstructive Surgery, IRCCS Regina Elena National Cancer InstituteDepartment of Surgery, Division of Plastic and Reconstructive Surgery, IRCCS Regina Elena National Cancer InstituteDepartment of Surgery, Division of Plastic and Reconstructive Surgery, IRCCS Regina Elena National Cancer InstituteDepartment of Surgery, Division of Plastic and Reconstructive Surgery, IRCCS Regina Elena National Cancer InstituteDepartment of Surgery, Division of Plastic and Reconstructive Surgery, IRCCS Regina Elena National Cancer InstituteDepartment of Surgery, Division of Plastic and Reconstructive Surgery, IRCCS Regina Elena National Cancer InstituteDivision of Medical Oncology 2, IRCCS Regina Elena National Cancer InstituteDivision of Medical Oncology 2, IRCCS Regina Elena National Cancer InstituteUnit of Gynecologic Oncology, Department of Experimental Clinical Oncology, IRCCS Regina Elena National Cancer InstituteDivision of Medical Oncology 1, IRCCS Regina Elena National Cancer InstituteDepartment of Radiation Oncology, IRCCS Regina Elena National Cancer InstituteDepartment of Radiology, IRCCS Regina Elena National Cancer InstituteScientific Direction, Regina Elena National Cancer InstituteDepartment of Surgery, Division of Breast Surgery, IRCCS Regina Elena National Cancer InstituteAbstract The Covid-19 pandemic has challenged hard the national health systems worldwide. According to the national policy issued in March 2020 in response to the evolving Covid-19 pandemic, several hospitals were re-configured as Covid-19 centers and elective surgery procedures were rescheduled according to the most recent recommendations. In addition, Covid-19 protected cancer hubs were established, including the Regina Elena National Cancer Institute of Rome, Central Italy. At our Institute, the Breast Surgery Department continued working under the sign of a multidisciplinary approach. The number of professional figures involved in case evaluation was reduced to a minimum and interactions took place in the full respect of the required safety measures. Treatments for benign disease, pure prophylactic surgery and elective reconstructive procedures were all postponed and priority was assigned to the histologically-proven malignant breast tumors and highly suspicious lesions. From March 15th though April 30th 2020, we treated a total of 79 patients. This number is fully consistent with the average quantitative standards reached by our Department under ordinary circumstances. Patients were mostly discharged the day after surgery and none was readmitted due to surgery-related late complications. More generally, post-operative complications rates were unexpectedly low, particularly in light of the relatively high number of reconstructive procedures performed in this emergency situation. A strict follow up was performed based on the close contact with the surgical staff by telephone, messaging apps and telemedicine. Patients ascertainment for their Covid-19 status prior to hospital admission and hospital discharge allowed to maintain the “no-Covid-19” status at our Institution. In addition, during the aforementioned time window, none of the care providers developed SARS-CoV-2 infection or disease, as shown by the results of anti-SARS-CoV-2 immunoglobulin M and G profiling. In conclusions, elective breast cancer surgery procedures were successfully performed in a lockdown situation due to a novel viral pandemic. The well-coordinated regional and hospital efforts in terms of medical resource re-allocation and definition of clinical priorities allowed to maintain high quality standards of breast cancer care while ensuring safety to the cancer patients and care providers involved.http://link.springer.com/article/10.1186/s13046-020-01683-yCovid-19 pandemic; elective breast cancer surgery;safety;Covid-19 protective cancer hubs |