In vivo (Athens, Greece) · 2020
Breast Cancer and COVID-19: The Effect of Fear on Patients' Decision-making Process.
СтатьяНазвание и аннотация: Перевод в очереди
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Vanni Gianluca, Materazzo Marco, Pellicciaro Marco, Ingallinella Sara, Rho Maurizio, Santori Francesca, Cotesta Maria, Caspi Jonathan, Makarova Anna, Pistolese Chiara Adriana, Buonomo Oreste Claudio
Аннотация
BACKGROUND/AIM: Coronavirus-19 (COVID-19) pandemic outbreak is currently having a huge impact on medical resource allocation. Breast Cancer (BC) patients are concerned both with BC treatment and COVID-19. This study aimed to estimate the impact of anxiety among patients, caused by the spreading of COVID-19.
PATIENTS AND METHODS: Between the 16th of January and the 20th of March 2020, we retrospectively enrolled 160 patients. Eighty-two patients with a suspected breast lesion (SBL) were divided into two groups: PRE-COVID-19-SBL and POST-COVID-19-SBL. Seventy-eight BC patients were divided into PRE-COVID-19-BC and POST-COVID-19-BC. Patient characteristics including age, marital status, SBL/BC diameter, personal and family history of BC, clinical stage and molecular subtype were recorded. Procedure Refusal (PR) and Surgical Refusal (SR) were also recorded with their reason.
RESULTS: BC and SBL analysis showed no difference in pre-treatment characteristics (p>0.05). Both POST-COVID-19-SBL and POST-COVID-19-BC groups showed higher rates of PR and SR (p=0.0208, p=0.0065 respectively). Infection risk represented primary reason for refusal among POST-COVID-19 patients.
CONCLUSION: COVID-19-related anxiety could affect patients' decision-making process.
PATIENTS AND METHODS: Between the 16th of January and the 20th of March 2020, we retrospectively enrolled 160 patients. Eighty-two patients with a suspected breast lesion (SBL) were divided into two groups: PRE-COVID-19-SBL and POST-COVID-19-SBL. Seventy-eight BC patients were divided into PRE-COVID-19-BC and POST-COVID-19-BC. Patient characteristics including age, marital status, SBL/BC diameter, personal and family history of BC, clinical stage and molecular subtype were recorded. Procedure Refusal (PR) and Surgical Refusal (SR) were also recorded with their reason.
RESULTS: BC and SBL analysis showed no difference in pre-treatment characteristics (p>0.05). Both POST-COVID-19-SBL and POST-COVID-19-BC groups showed higher rates of PR and SR (p=0.0208, p=0.0065 respectively). Infection risk represented primary reason for refusal among POST-COVID-19 patients.
CONCLUSION: COVID-19-related anxiety could affect patients' decision-making process.
Предметные рубрики MeSH
AgedAged, 80 and overAnxietyAttitude to HealthBiopsy, Large-Core NeedleBreast NeoplasmsCOVID-19Coronavirus InfectionsDecision MakingElective Surgical ProceduresFearFemaleHumansItalyMammographyMastectomyMiddle AgedPandemicsPneumonia, ViralRetrospective StudiesSocioeconomic FactorsTreatment RefusalUltrasonography, MammaryVacuum