Abstract
AimsPrior to March 2020, at Princess Royal University Hospital (PRUH), Kings College NHS Foundation Trust, almost daily face to face benign/malignant breast clinic follow ups occurred. On March 23rd 2020 the UK went into official COVID-19 pandemic lockdown. The effect on elective follow up practice was swift with cancellation, triaging and replacement of face-to-face by telephonic/virtual consultations.We compared the change of follow up pattern, pre and post COVID-19. Could this effect the future of consultations at PRUH?MethodsA comparison of all patients attending PRUH breast unit outpatients in January 2020 (preCOVID-19) for follow up, with those attending in April 2020 (postCOVID-19).Data collection from clinic lists and electronic patient records, with Excel version 16 analysis.Results343 patient follow up consultations 01/2020. 53 patient follow up consultations 04/2020.Malignant cases: January 65%, April 60%Benign/B3 cases: January 35%, April 20%TP10.2.9 Table5 year surveillanceBenign f/upPost-Biopsy ResultsPost-InvestigationPost-OperativePre-Operative PlanningPrimary EndocrineResultsResultsf/upPre COVID-01/2020134(39%)15(4%)26(8%)79(23%)68(20%)16(5%)5(1%)Post COVID-04/20205(9%)7(13%)14(26%)15(28%11(21%)2(3%)0(0%)Summary follow up types.ConclusionsImpact of COVID has been widespread in our practice. Our results show a significant reduction in face-to-face appointments, to allow social distancing. Further evaluation of this model will show its sustainability. Patient satisfaction will have to be assessed, with a view to a full move to video/telephone consultation where indicated.
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