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KMID : 0939920230550041222
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대한암학회지
2023 Volume.55 No. 4 p.1222 ~ p.1230
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Health-Seeking Behavior Returning to Normalcy Overcoming COVID-19 Threat in Breast Cancer
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Lee Eun-Gyeong
Han Yi-Reh
Lee Dong-Eun
Moon Hyeong-Gon
Koh Hyoung-Won
Kim Eun-Kyu
Jung So-Youn
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Abstract
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Purpose : The coronavirus disease 2019 (COVID-19) outbreak has significantly impacted the diagnosis and treatment of breast cancer. Our study investigated the change in diagnosis and treatment of breast cancer with the progress of COVID-19 pandemic.
Materials and Methods : The study group comprised 6,514 recently diagnosed breast cancer patients between January 1, 2019, and February 28, 2021. The patients were divided into two groups: pre?COVID-19 period (3,182; January 2019 to December 2019) and COVID-19 pandemic period (3,332; January 2020 to February 2021). Clinicopathological information related to the first treatment after breast cancer diagnosis was retrospectively collected and analyzed in the two groups.
Results : Among the 6,514 breast cancer patients, 3,182 were in the pre?COVID-19 period and 3,332 were in the COVID-19 pandemic period. According to our evaluation, the least breast cancer diagnosis (21.8%) was seen in the first quarter of 2020. The diagnosis increased gradually except for the fourth quarter in 2020. While early-stage breast cancer was diagnosed 1,601 (48.1%) during the COVID-19 pandemic (p=0.001), the number of surgical treatments increased 4.6% (p < 0.001), and the treatment time was slightly shorter 2 days (p=0.001). The breast cancer subtype distribution was not statistically different between the pre?COVID-19 and COVID-19 period groups.
Conclusion : In the early stages of the pandemic, the number of breast cancer cases temporarily decreased; however, they stabilized soon, and no significant differences could be identified in the diagnosis and treatment when compared to the period before the pandemic.
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KEYWORD
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Breast neoplasms, COVID-19, Diagnosis, Therapeutics
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