Pattern of breast cancer presentation during the COVID-19 pandemic: results from a cohort study in the UK

Author:

Borsky Kim1ORCID,Shah Ketan1,Cunnick Giles1,Tsang-Wright Fiona1ORCID

Affiliation:

1. Bucks Breast Unit, Buckinghamshire Healthcare NHS Trust, High Wycombe, HP11 2TT, UK

Abstract

Background: This study aimed to explore the hypothesis that the stage of breast cancer at initial diagnosis in 2020 is more advanced compared with 2019. Methods: Tumor, node, metastasis and Union for International Cancer Control (UICC) stages of new breast cancer diagnoses at the Bucks Breast Unit from May 2019 to October 2020 were reviewed. A p < 0.05 was considered significant. Results: Average UICC stage increased from 1a in 2019 to 2a in 2020 (p < 0.01). Excluding cancers detected through screening, UICC stage still increased from 1b in 2019 to 2a in 2020 (p = 0.0184). There was a significant increase in the percentage of node-positive patients (p = 0.0063) and patients with metastatic disease (p = 0.0295) on initial presentation. Conclusion: Overall, patients presented with higher UICC stages and more node-positive and metastatic disease on initial diagnosis in 2020 compared with 2019.

Publisher

Future Medicine Ltd

Subject

Cancer Research,Oncology,General Medicine

Reference21 articles.

1. National Cancer Registration and Analysis Service. Cancer data (2020). www.cancerdata.nhs.uk

2. NHS. Overview: breast cancer screening (2021). www.nhs.uk/conditions/breast-cancer-screening/

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4. The American Society of Breast Surgeons. ASBrS and ACR joint statement on breast screening exams during the COVID-19 pandemic (2020). www.breastsurgeons.org/docs/news/2020-03-26-ASBrS-ACR-Joint-Statement.pdf

5. Time to Surgery and Breast Cancer Survival in the United States

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