COVID-19大流行对立即乳腺重建的影响 访问 访问
Karanvir S Raman1, Maya Morton Ninomiya, Esta S Bovill
1From the Department of Surgery, Division of Plastic Surgery, University of British Columbia, Vancouver, Canada.
Annals of plastic surgery
|September 15, 2023
概括
由于COVID-19的限制,乳房重建的等待时间受到了影响. 虽然切除性手术等待时间保持稳定,但自主技术减少,第二阶段重建时间在流行后延长.
科学领域:
- 在瘤学瘤学.
- 整形外科 整形外科 整形外科
- 公共卫生 公共卫生
背景情况:
- 由于COVID-19的流行,加拿大对选择性手术进行了限制.
- 立即乳房重建 (IBR) 是癌症护理的重要组成部分,但被归类为选择性.
- 在大流行期间,对IBR的访问受到限制.
研究的目的:
- 为了比较COVID-19大流行之前和之后接受立即乳房重建 (IBR) 的乳腺癌患者的等待时间.
- 分析与流行病相关的限制对IBR手术干预时间表的影响.
- 评估手术技术和重建阶段的变化.
主要方法:
- 在2018年7月至2021年10月期间,对161名接受IBR的患者进行了回顾性横截面研究.
- 在COVID前和后的队列中,咨询和手术干预等待时间的比较.
- 分析手术技术 (自主 vs. 整形) 和重建阶段.
主要成果:
- 在COVID前和后的队列中,切除性手术咨询和干预的等待时间仍然相似 (P > 0.05).
- 重建整形手术咨询的时间没有变化 (P = 0.775).
- 自主技术的使用显著下降 (16%与2%,P = 0.006),而后COVID的第二阶段全塑性重建的时间显著增加 (230天与325天,P = 0.044).
结论:
- 基于证据的协议维持了可比的等待时间,用于COVID后的乳腺癌废除程序.
- 疫情导致乳房重建中自主技术的使用减少.
- 在大流行期间,第二阶段全塑性乳房重建的等待时间显著增加.
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