Abstract

IntroductionApproximately 55,000 women in the United Kingdom are diagnosed with new breast cancer annually. Since emerging in December 2019, SARS-CoV-2 (coronavirus disease 2019, COVID-19) has become a global pandemic, affecting healthcare delivery worldwide. In response to the pandemic, multiple guidelines were issued to assist with rationalising breast cancer care. The primary aim of the B-MaP-C study is to audit and describe breast cancer management of patients newly diagnosed with breast cancer during the COVID-19 pandemic against pre-COVID-19 management practice in the UK. The implications of changes to management will be determined and the impact of a COVID-19 diagnosis on the patient’s breast cancer management will be determined. Methods and analysisThis is a multi-centre collaborative audit of consecutive breast cancer patients undergoing treatment decisions during the acute and recovery phases of the COVID-19 pandemic. All patients with newly diagnosed primary breast cancer, whose treatment was decided in a multidisciplinary meeting from the 16thMarch 2020, are eligible for inclusion. Ethics and disseminationAs this is an audit ethical approval is not required. Each participating centre is required to register the study locally and obtain local governance approvals prior to commencement of data collection. Local audit data will be available to individual participating units for governance purposes. The results of the data analysis will be submitted for publication, as well as disseminated via the ABS newsletter and a webinar. All data will be presented at national and international conferences, circumstances permitting. Registration detailsEach participating centre received local governance audit registration.

Highlights

  • 55,000 women in the United Kingdom are diagnosed with new breast cancer annually

  • Collected data will be compared to established standard breast cancer management [29] as well as COVID-specific guidelines published by the Association of Breast Surgery (ABS) [6] and the Royal College of Radiologists (RCR) [7,10]

  • All data will be presented at national and international conferences, circumstances permitting. This European study aims to describe the extent of alterations in the management of breast cancer during the COVID-19 pandemic on a patient and population-based level to help us understand the true impact of the pandemic on patient outcomes and the degree to which breast cancer management has been affected. This knowledge will assist us with the long-term planning of service delivery once routine breast cancer management resumes or if another pandemic were to occur

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Summary

Introduction

55,000 women in the United Kingdom are diagnosed with new breast cancer annually. The primary aim of the BMaP-C study is to audit and describe breast cancer management of patients newly diagnosed with breast cancer during the COVID-19 pandemic against pre-COVID-19 management practice in the UK. Methods and analysis: This is a multi-centre collaborative audit of consecutive breast cancer patients undergoing treatment decisions during the acute and recovery phases of the COVID-19 pandemic. All patients with newly diagnosed primary breast cancer, whose treatment was decided in a multidisciplinary meeting from the 16th March 2020, are eligible for inclusion. Each participating centre is required to register the study locally and obtain local governance approvals prior to commencement of data collection. Local audit data will be available to individual participating units for governance purposes. Registration details: Each participating centre received local governance audit registration.

Background
Aims and objectives
Methods and analysis
Patient inclusion and exclusion criteria
Study design
Data collection
Data validation and management
Data analysis
Ethics and dissemination
Discussion
Authors’ contributions
Full Text
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