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High-Efficiency Same-Day Approach to Breast Reconstruction During the COVID-19 Crisis
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 can...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7304917/ https://www.ncbi.nlm.nih.gov/pubmed/32562119 http://dx.doi.org/10.1007/s10549-020-05739-7 |
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author | Specht, Michelle Sobti, Nikhil Rosado, Nikki Tomczyk, Eleanor Abbate, Olivia Ellis, Dan Liao, Eric C. |
author_facet | Specht, Michelle Sobti, Nikhil Rosado, Nikki Tomczyk, Eleanor Abbate, Olivia Ellis, Dan Liao, Eric C. |
author_sort | Specht, Michelle |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7304917 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-73049172020-06-22 High-Efficiency Same-Day Approach to Breast Reconstruction During the COVID-19 Crisis Specht, Michelle Sobti, Nikhil Rosado, Nikki Tomczyk, Eleanor Abbate, Olivia Ellis, Dan Liao, Eric C. Breast Cancer Res Treat Clinical Trial 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. Springer US 2020-06-19 2020 /pmc/articles/PMC7304917/ /pubmed/32562119 http://dx.doi.org/10.1007/s10549-020-05739-7 Text en © Springer Science+Business Media, LLC, part of Springer Nature 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Clinical Trial Specht, Michelle Sobti, Nikhil Rosado, Nikki Tomczyk, Eleanor Abbate, Olivia Ellis, Dan Liao, Eric C. High-Efficiency Same-Day Approach to Breast Reconstruction During the COVID-19 Crisis |
title | High-Efficiency Same-Day Approach to Breast Reconstruction During the COVID-19 Crisis |
title_full | High-Efficiency Same-Day Approach to Breast Reconstruction During the COVID-19 Crisis |
title_fullStr | High-Efficiency Same-Day Approach to Breast Reconstruction During the COVID-19 Crisis |
title_full_unstemmed | High-Efficiency Same-Day Approach to Breast Reconstruction During the COVID-19 Crisis |
title_short | High-Efficiency Same-Day Approach to Breast Reconstruction During the COVID-19 Crisis |
title_sort | high-efficiency same-day approach to breast reconstruction during the covid-19 crisis |
topic | Clinical Trial |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7304917/ https://www.ncbi.nlm.nih.gov/pubmed/32562119 http://dx.doi.org/10.1007/s10549-020-05739-7 |
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