Methods: A panel of 12 breast surgeons from the most affected regions of the world convened a virtual meeting the 7th of April 2020 to discuss the changes in their local surgical practice during the COVID‐19 pandemic. Similarly, a web‐based poll based was created to evaluate changes in surgical practice among breast surgeons from several countries.
Results: The virtual meeting showed that distinct countries and regions were experiencing different phases of the pandemic. Surgical priority was given to patients with aggressive disease not candidate for primary systemic therapy, those with progressive disease under neoadjuvant systemic therapy, and post‐neoadjuvant patients. One hundred breast surgeons filled out the poll. The trend showed reductions in operating room schedules, indications for surgery, and consultations, with an increasingly restrictive approach to elective surgery with worsening of the pandemic.
Conclusion: The COVID‐19 emergency should not compromise treatment of a potentially lethal disease such as breast cancer. Our results reveal that physicians are instinctively reluctant to abandon conventional standards of care when possible. However, as the situation deteriorates, alternative strategies of de‐escalation are being adopted.
Implications for Practice: Our study aims to characterize how the COVID‐19 pandemic is affecting breast cancer surgery and which strategies are being adopted to cope with the situation.
- Breast cancer surgery
- surgical priorities
- alternatives to surgery