Impact of the COVID-19 pandemic on breast cancer management in Portugal: a cross-sectional survey-based study of medical oncologists
| Autor(a) principal: | |
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| Data de Publicação: | 2022 |
| Outros Autores: | , , , , , , , , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10451/52231 |
Resumo: | © The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/. |
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Impact of the COVID-19 pandemic on breast cancer management in Portugal: a cross-sectional survey-based study of medical oncologistsBreast cancerCOVID-19Clinical practicePatient management© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/.Introduction: Cancer care providers have faced many challenges in delivering safe care for patients during the COVID-19 pandemic. This cross-sectional survey-based study investigated the impact of the pandemic on clinical practices of Portuguese medical oncologists caring for patients with breast cancer. Methods: An anonymous online survey comprising 42 questions gathered information regarding COVID-19 testing, treatment in (neo)adjuvant and metastatic settings, and other aspects of breast cancer management. Practices before and during the pandemic were compared, and potential differences in outcomes according to respondents' regions, case volumes, and practice type were explored. Results: Of 129 respondents, 108 worked in the public health system, giving a representative national picture of the impact of the COVID-19 pandemic on breast cancer management. Seventy-one percent of respondents reported a reduction in visits for new cases of breast cancer, and there was a shift towards increased use of telemedicine. Clinical decision-making was largely unaffected in the most aggressive indications (i.e., triple-negative, HER2-positive, visceral crisis). The use of neoadjuvant therapy increased when access to surgery was difficult, whereas dose-dense regimens decreased, and cyclin-dependent kinase 4/6 inhibitor treatment decreased for less aggressive disease and increased for more aggressive disease. The use of oral formulations and metronomic chemotherapy regimens increased, and clinical trial participation decreased. Some differences by respondents' region and case volume were noted. Conclusion: Medical oncologists in Portugal implemented many changes during the COVID-19 pandemic, most of which were logical and reasonable responses to the current healthcare emergency; however, the true impact on patient outcomes remains unknown.Springer NatureRepositório da Universidade de LisboaAlpuim Costa, DiogoGonçalves Nobre, José GuilhermeFernandes, João PauloBatista, Marta VazSimas, AnaSales, CarolinaGouveia, HelenaRibeiro, Maria LeonorCoelho, AndreiaBrito, MargaridaInácio, MarianaCruz, AndréMariano, MónicaSavva-Bordalo, JoanaFernandes, RicardoOliveira, AndréChaves, AndreiaFontes-Sousa, MárioSampaio-Alves, MafaldaMartins-Branco, DiogoAfonso, Noémia2022-04-06T15:46:21Z20222022-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/52231engOncol Ther . 2022 Mar 21;1-162366-107010.1007/s40487-022-00191-72366-1089info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:57:20Zoai:repositorio.ul.pt:10451/52231Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:03:22.519817Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Impact of the COVID-19 pandemic on breast cancer management in Portugal: a cross-sectional survey-based study of medical oncologists |
| title |
Impact of the COVID-19 pandemic on breast cancer management in Portugal: a cross-sectional survey-based study of medical oncologists |
| spellingShingle |
Impact of the COVID-19 pandemic on breast cancer management in Portugal: a cross-sectional survey-based study of medical oncologists Alpuim Costa, Diogo Breast cancer COVID-19 Clinical practice Patient management |
| title_short |
Impact of the COVID-19 pandemic on breast cancer management in Portugal: a cross-sectional survey-based study of medical oncologists |
| title_full |
Impact of the COVID-19 pandemic on breast cancer management in Portugal: a cross-sectional survey-based study of medical oncologists |
| title_fullStr |
Impact of the COVID-19 pandemic on breast cancer management in Portugal: a cross-sectional survey-based study of medical oncologists |
| title_full_unstemmed |
Impact of the COVID-19 pandemic on breast cancer management in Portugal: a cross-sectional survey-based study of medical oncologists |
| title_sort |
Impact of the COVID-19 pandemic on breast cancer management in Portugal: a cross-sectional survey-based study of medical oncologists |
| author |
Alpuim Costa, Diogo |
| author_facet |
Alpuim Costa, Diogo Gonçalves Nobre, José Guilherme Fernandes, João Paulo Batista, Marta Vaz Simas, Ana Sales, Carolina Gouveia, Helena Ribeiro, Maria Leonor Coelho, Andreia Brito, Margarida Inácio, Mariana Cruz, André Mariano, Mónica Savva-Bordalo, Joana Fernandes, Ricardo Oliveira, André Chaves, Andreia Fontes-Sousa, Mário Sampaio-Alves, Mafalda Martins-Branco, Diogo Afonso, Noémia |
| author_role |
author |
| author2 |
Gonçalves Nobre, José Guilherme Fernandes, João Paulo Batista, Marta Vaz Simas, Ana Sales, Carolina Gouveia, Helena Ribeiro, Maria Leonor Coelho, Andreia Brito, Margarida Inácio, Mariana Cruz, André Mariano, Mónica Savva-Bordalo, Joana Fernandes, Ricardo Oliveira, André Chaves, Andreia Fontes-Sousa, Mário Sampaio-Alves, Mafalda Martins-Branco, Diogo Afonso, Noémia |
| author2_role |
author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Repositório da Universidade de Lisboa |
| dc.contributor.author.fl_str_mv |
Alpuim Costa, Diogo Gonçalves Nobre, José Guilherme Fernandes, João Paulo Batista, Marta Vaz Simas, Ana Sales, Carolina Gouveia, Helena Ribeiro, Maria Leonor Coelho, Andreia Brito, Margarida Inácio, Mariana Cruz, André Mariano, Mónica Savva-Bordalo, Joana Fernandes, Ricardo Oliveira, André Chaves, Andreia Fontes-Sousa, Mário Sampaio-Alves, Mafalda Martins-Branco, Diogo Afonso, Noémia |
| dc.subject.por.fl_str_mv |
Breast cancer COVID-19 Clinical practice Patient management |
| topic |
Breast cancer COVID-19 Clinical practice Patient management |
| description |
© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/. |
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2022 |
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2022-04-06T15:46:21Z 2022 2022-01-01T00:00:00Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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http://hdl.handle.net/10451/52231 |
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eng |
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eng |
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Oncol Ther . 2022 Mar 21;1-16 2366-1070 10.1007/s40487-022-00191-7 2366-1089 |
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Springer Nature |
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