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Breast Cancer Screening during COVID-19 Emergency: Patients and Department Management in a Local Experience

Background: During the COVID-19 public health emergency, our breast cancer screening activities have been interrupted. In June 2020, they resumed, calling for mandatory safe procedures to properly manage patients and staff. Methods: A protocol supporting medical activities in breast cancer screening...

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Autores principales: Maio, Francesca, Tari, Daniele Ugo, Granata, Vincenza, Fusco, Roberta, Grassi, Roberta, Petrillo, Antonella, Pinto, Fabio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8148132/
https://www.ncbi.nlm.nih.gov/pubmed/34066425
http://dx.doi.org/10.3390/jpm11050380
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author Maio, Francesca
Tari, Daniele Ugo
Granata, Vincenza
Fusco, Roberta
Grassi, Roberta
Petrillo, Antonella
Pinto, Fabio
author_facet Maio, Francesca
Tari, Daniele Ugo
Granata, Vincenza
Fusco, Roberta
Grassi, Roberta
Petrillo, Antonella
Pinto, Fabio
author_sort Maio, Francesca
collection PubMed
description Background: During the COVID-19 public health emergency, our breast cancer screening activities have been interrupted. In June 2020, they resumed, calling for mandatory safe procedures to properly manage patients and staff. Methods: A protocol supporting medical activities in breast cancer screening was created, based on six relevant articles published in the literature and in the following National and International guidelines for COVID-19 prevention. The patient population, consisting of both screening and breast ambulatory patients, was classified into one of four categories: 1. Non-COVID-19 patient; 2. Confirmed COVID-19 in an asymptomatic screening patient; 3. suspected COVID-19 in symptomatic or confirmed breast cancer; 4. Confirmed COVID-19 in symptomatic or confirmed breast cancer. The day before the radiological exam, patients are screened for COVID-19 infection through a telephone questionnaire. At a subsequent in person appointment, the body temperature is checked and depending on the clinical scenario at stake, the scenario-specific procedures for medical and paramedical staff are adopted. Results: In total, 203 mammograms, 76 breast ultrasound exams, 4 core needle biopsies, and 6 vacuum-assisted breast biopsies were performed in one month. Neither medical nor paramedical staff were infected on any of these occasions. Conclusion: Our department organization model can represent a case of implementation of National and International guidelines applied in a breast cancer screening program, assisting hospital personnel into COVID-19 infection prevention.
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spelling pubmed-81481322021-05-26 Breast Cancer Screening during COVID-19 Emergency: Patients and Department Management in a Local Experience Maio, Francesca Tari, Daniele Ugo Granata, Vincenza Fusco, Roberta Grassi, Roberta Petrillo, Antonella Pinto, Fabio J Pers Med Article Background: During the COVID-19 public health emergency, our breast cancer screening activities have been interrupted. In June 2020, they resumed, calling for mandatory safe procedures to properly manage patients and staff. Methods: A protocol supporting medical activities in breast cancer screening was created, based on six relevant articles published in the literature and in the following National and International guidelines for COVID-19 prevention. The patient population, consisting of both screening and breast ambulatory patients, was classified into one of four categories: 1. Non-COVID-19 patient; 2. Confirmed COVID-19 in an asymptomatic screening patient; 3. suspected COVID-19 in symptomatic or confirmed breast cancer; 4. Confirmed COVID-19 in symptomatic or confirmed breast cancer. The day before the radiological exam, patients are screened for COVID-19 infection through a telephone questionnaire. At a subsequent in person appointment, the body temperature is checked and depending on the clinical scenario at stake, the scenario-specific procedures for medical and paramedical staff are adopted. Results: In total, 203 mammograms, 76 breast ultrasound exams, 4 core needle biopsies, and 6 vacuum-assisted breast biopsies were performed in one month. Neither medical nor paramedical staff were infected on any of these occasions. Conclusion: Our department organization model can represent a case of implementation of National and International guidelines applied in a breast cancer screening program, assisting hospital personnel into COVID-19 infection prevention. MDPI 2021-05-06 /pmc/articles/PMC8148132/ /pubmed/34066425 http://dx.doi.org/10.3390/jpm11050380 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Maio, Francesca
Tari, Daniele Ugo
Granata, Vincenza
Fusco, Roberta
Grassi, Roberta
Petrillo, Antonella
Pinto, Fabio
Breast Cancer Screening during COVID-19 Emergency: Patients and Department Management in a Local Experience
title Breast Cancer Screening during COVID-19 Emergency: Patients and Department Management in a Local Experience
title_full Breast Cancer Screening during COVID-19 Emergency: Patients and Department Management in a Local Experience
title_fullStr Breast Cancer Screening during COVID-19 Emergency: Patients and Department Management in a Local Experience
title_full_unstemmed Breast Cancer Screening during COVID-19 Emergency: Patients and Department Management in a Local Experience
title_short Breast Cancer Screening during COVID-19 Emergency: Patients and Department Management in a Local Experience
title_sort breast cancer screening during covid-19 emergency: patients and department management in a local experience
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8148132/
https://www.ncbi.nlm.nih.gov/pubmed/34066425
http://dx.doi.org/10.3390/jpm11050380
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