Age, Onset, and Tumor Size Differences in Newly Diagnosed Breast Cancer Patients Before and During the SARS-CoV-2 Pandemic at Siloam Hospital Lippo Village (April 2019 - December 2020)
DOI:
https://doi.org/10.19166/med.v13i3.8889Abstract
Background: The current pandemic condition has caused delays in cancer treatment therefore surveillance should be increased.
Methods: By total sampling, this retrospective cross-sectional study enrolled 108 samples, who were newly diagnosed breast cancer patients at the outpatient department of Siloam Hospital Lippo Village (April 2019 - December 2020). Data obtained from medical records and interviews from December 2020 - February 2021.
Result: From the total of 108 samples which consisted of 54 samples before the pandemic (April 2019 - February 2020) and 54 samples during the pandemic (March 2020 - December 2020), accompanied by an increasing trend. The age during pandemic was younger than before pandemic (51,167 years old ± 11,255 vs 47,537 years old ± 9,824, p value=0,038), the tumor size during pandemic was bigger than before pandemic (3,403 cm ± 3,024 vs 4,262cm ± 4,212, p value=0,046) but the onset of patient during pandemic was not longer than before pandemic (281,69 days ± 401,387 vs 178,09 days ± 292,563, p value=0,036).
Conclusions: Newly diagnosed patients have younger age and larger tumor size during pandemic when we compare to before pandemic period, but no difference in onset term. Surveillance to society is needed to ensure older people with smaller tumor size to seek medical attention.
References
1. WHO. GLOBOCAN 2020: New Global Cancer Data [Internet]. 2020. Available from: https://www.uicc.org/news/globocan-2020-new-global-cancer-data
2. Ng CH, Bhoo Pathy N, Taib NA, Teh YC, Mun KS, Amiruddin A, et al. Comparison of breast cancer in Indonesia and Malaysia - A clinico-pathological study between dharmais cancer centre Jakarta and university Malaya medical centre, Kuala Lumpur. Asian Pacific J Cancer Prev. 2011;12(11):2943-6. https://journal.waocp.org/article_25991_170657be316e64ec920745c8cc917a67.pdf
3. Kemenkes RI. Pedoman Pencegahan dan Pengendalian COVID-19. 2020.
4. Kaufman HW, Chen Z, Niles J, Fesko Y. Changes in the Number of US Patients with Newly Identified Cancer before and during the Coronavirus Disease 2019 (COVID-19) Pandemic. JAMA Netw Open. 2020; 3(8): e2017267. https://doi.org/10.1001%2Fjamanetworkopen.2020.17267
5. Kiziltan G, Tumer BKC, Guler OC, Ozaslan C. Effects of COVID-19 pandemic in a breast unit: Is it possible to avoid delays in surgical treatment? Int J Clin Pract. 2021; 75(12):1-5. https://doi.org/10.1111/ijcp.14995
6. Vanni G, Materazzo M, Pellicciaro M, Ingallinella S, Rho M, Santori F, et al. Breast cancer and COVID - 19: The effect of fear on patients’ decision-making process. In Vivo (Brooklyn). 2020; 34:1651-1659. https://doi.org/10.21873/invivo.11957
7. Xu Z, Fan J, Ding J, Feng X, Tao S, Zhou J, et al. The Impact of COVID-19 on Primary Care General Practice Consultations in a Teaching Hospital in Shanghai, China. Front Med. 2021;8: 642496. https://doi.org/10.3389/fmed.2021.642496
8. Papautsky EL, Hamlish T. Patient-reported treatment delays in breast cancer care during the COVID-19 pandemic. Breast Cancer Res Treat. 2020; 184(1):249-54. https://doi.org/10.1007/s10549-020-05828-7
9. Undang Undang Nomor 6 tahun 2018 tentang Kekarantinaan Wilayah. Undang Undang Nomor 6 tahun 2018 tentang Kekarantinaan Wilayah. Natl Stand Agency Indonesia [Internet]. 2018;31-4. Available from: https://jdih.bsn.go.id/produk/detail/?id=730&jns=2
10. Malik D. Satgas COVID-19 Minta Orang Tua Usia 45 Tahun ke Atas Tak Keluar Rumah. 2020. Available from: https://www.viva.co.id/berita/nasional/1303383-satgas-covid-19-minta-orang-tua-usia-45tahun-ke-atas-tak-keluar-rumah
11. Kemenkes RI. Panduan Penatalaksanaan Kanker Payudara. 2018. p. 7-11. Available from: http://kanker.kemkes.go.id/guidelines/PPKPayudara.pdf
12. Breastcancer.org. Special Report: COVID-19’s Impact on Breast Cancer Care. 2022. Available from: https://www.breastcancer.org/treatment/covid-19-and-breast-cancer-care
13. Curigliano G, Cardoso MJ, Poortmans P, Gentilini O, Pravettoni G, Mazzocco K, et al. Recommendations for triage, prioritization and treatment of breast cancer patients during the COVID-19 pandemic. Breast [Internet]. 2020; 52:8-16. https://doi.org/10.1016/j.breast.2020.04.006
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