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High-Efficiency Same-Day Approach to Breast Reconstruction During the COVID-19 Crisis

التفاصيل البيبلوغرافية
العنوان: High-Efficiency Same-Day Approach to Breast Reconstruction During the COVID-19 Crisis
المؤلفون: Michelle C. Specht, Olivia Abbate, Nikhil Sobti, Nikki Rosado, Dan B. Ellis, Eric C. Liao, Eleanor Tomczyk
المصدر: Breast Cancer Research and Treatment
بيانات النشر: Springer Science and Business Media LLC, 2020.
سنة النشر: 2020
مصطلحات موضوعية: 0301 basic medicine, Cancer Research, Quality management, Mammaplasty, medicine.medical_treatment, Aftercare, Efficiency, Same-day, 0302 clinical medicine, Clinical Protocols, Anesthesiology, Protocol, Breast reconstruction, Prospective Studies, Prospective cohort study, Breast Implantation, Mastectomy, Carcinoma, Ductal, Breast, Tissue Expansion Devices, Middle Aged, Home Care Services, Quality Improvement, Clinical Trial, Telemedicine, Surgical Oncology, Oncology, 030220 oncology & carcinogenesis, Health Resources, Female, Medical emergency, Coronavirus Infections, Emergency Service, Hospital, Adult, Breast Implants, Pneumonia, Viral, Breast Neoplasms, Patient Readmission, Perioperative Care, Betacoronavirus, 03 medical and health sciences, Breast cancer, medicine, Humans, Surgery, Plastic, Pandemics, SARS-CoV-2, Sentinel Lymph Node Biopsy, business.industry, COVID-19, Cancer, Emergency department, Length of Stay, medicine.disease, Coronavirus, 030104 developmental biology, Ambulatory Surgical Procedures, business
الوصف: Purpose As our hospitals conserve and re-allocate resources during the COVID-19 crisis, there is urgent need to determine how best to continue caring for breast cancer patients. During the time window before the COVID-19 critical peak and particularly thereafter, as hospitals are able to resume cancer operations, we anticipate that there will be great need to maximize efficiency to treat breast cancer. The goal of this study is to present a same-day protocol that minimizes resource utilization to enable hospitals to increase inpatient capacity, while providing care for breast cancer patients undergoing mastectomy and immediate breast reconstruction during the COVID-19 crisis. Methods IRB exempt patient quality improvement initiative was conducted to detail the operationalization of a novel same-day breast reconstruction protocol. Consecutive patients having undergone immediate breast reconstruction were prospectively enrolled between February and March of 2020 at Massachusetts General Hospital during the COVID-19 crisis. Peri-operative results and postoperative complications were summarized. Results Time interval from surgical closure to patient discharge was 5.02 ± 1.29 h. All patients were discharged home, with no re-admissions or emergency department visits. No postoperative complications were observed. Conclusion This report provides an instruction manual to operationalize a same-day breast reconstruction protocol, to meet demands of providing appropriate cancer treatment during times of unprecedented resource limitations. Pre-pectoral implant-based breast reconstruction can be the definitive procedure or be used as a bridge to autologous reconstruction. Importantly, we hope this work will be helpful to our patients and community as we emerge from the COVID-19 pandemic. Electronic supplementary material The online version of this article (10.1007/s10549-020-05739-7) contains supplementary material, which is available to authorized users.
تدمد: 1573-7217
0167-6806
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::943392d713646466e164b850ab4388d8
https://doi.org/10.1007/s10549-020-05739-7
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....943392d713646466e164b850ab4388d8
قاعدة البيانات: OpenAIRE
الوصف
تدمد:15737217
01676806