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Table 2 Women per week by initial treatment within 3 months of diagnosis, diagnosis period, and stage

From: Impact of the COVID-19 pandemic on diagnosis, stage, and initial treatment of breast cancer in the Netherlands: a population-based study

 

Total

Untreated

BCS

Mx with IBR

Mx without IBR

Chemotherapy

Hormonal treatment

Other

DCIS

        

 2018/2019, wk 2–17

42.8

3.9 (9.1)

27.9 (65.2)

5.0 (11.8)

5.4 (12.6)

0.2 (0.4)

0.4 (0.9)

0.0 (0.2)

 2020, wk 2–8

49.7

8.1 (16.4) ↑

29.7 (59.8)

5.1 (10.3)

6.4 (12.9)

0.1 (0.3)

0.1 (0.3)

0.0 (0.0)

 2020, wk 9–11

41.3

7.3 (17.7) ↑

22.7 (54.8)

3.7 (8.9)

7.0 (16.9)

0.0 (0.0)

0.7 (1.6)

0.0 (0.0)

 2020, wk 12–13

32.0

3.5 (10.9)

19.5 (60.9)a

2.0 (6.3)

5.5 (17.2)

0.0 (0.0)

1.5 (4.7)b

0.0 (0.0)

 2020, wk 14–17

9.8

1.0 (10.3)

4.5 (46.2)

2.0 (20.5)

1.8 (17.9)

0.3 (2.6)

0.3 (2.6)

0.0 (0.0)

Stage I

        

 2018/2019, wk 2–17

147.0

2.7 (1.8)

103.0 (70.1)

10.1 (6.9)

16.8 (11.4)

7.1 (4.8)

7.3 (4.9)

0.2 (0.1)

 2020, wk 2–8

153.1

2.6 (1.7)

104.6 (68.3)

8.9 (5.8)c

18.0 (11.8)

9.1 (6.0)

9.9 (6.4)

0.1 (0.1)

 2020, wk 9–11

138.7

1.7 (1.2)

95.0 (68.5)

10.0 (7.2)

17.7 (12.7)

2.3 (1.7) ↓

12.0 (8.7)d

0.0 (0.0)

 2020, wk 12–13

83.5

1.0 (1.2)

55.5 (66.5)

3.5 (4.2)

9.5 (11.4)

3.0 (3.6)

11.0 (13.2)e

0.0 (0.0)

 2020, wk 14–17

52.5

0.8 (1.4)

29.0 (55.2) ↓

4.8 (9.0)

7.5 (14.3)

5.0 (9.5) ↑

5.5 (10.5) ↑

0.0 (0.0)

Stage II

        

 2018/2019, wk 2–17

119.1

2.6 (2.2)

36.3 (30.5)

5.3 (4.5)

20.9 (17.6)

37.5 (31.5)

16.0 (13.4)

0.4 (0.4)

 2020, wk 2–8

127.1

2.9 (2.2)

35.9 (28.2)

5.9 (4.6)

21.7 (17.1)

38.7 (30.4)

21.9 (17.2)f

0.3 (0.2)

 2020, wk 9–11

105.3

3.3 (3.2)

32.0 (30.4)

3.3 (3.2)

20.0 (19.0)

22.7 (21.5) ↓

24.0 (22.8)d

0.0 (0.0)

 2020, wk 12–13

71.0

1.0 (1.4)

22.5 (31.7)

1.5 (2.1)

10.5 (14.8)

20.0 (28.2)

15.5 (21.8)g

0.0 (0.0)

 2020, wk 14–17

66.0

1.0 (1.5)

17.3 (26.1)

2.0 (3.0)

12.3 (18.6)

22.5 (34.1)

11.0 (16.7)

0.0 (0.0)

Stage III

        

 2018/2019, wk 2–17

32.7

0.8 (2.6)

2.0 (6.2)

0.6 (1.8)

5.9 (18.1)

17.5 (53.6)

5.3 (16.2)

0.5 (1.4)

 2020, wk 2–8

29.9

1.1 (3.8)

2.4 (8.1)

0.4 (1.4)

6.0 (20.1)

14.4 (48.3)

5.4 (18.2)

0.0 (0.0)

 2020, wk 9–11

27.3

0.3 (1.2)

1.3 (4.9)

0.3 (1.2)

5.3 (19.5)

14.0 (51.2)h

6.0 (22.0)

0.0 (0.0)

 2020, wk 12–13

17.5

0.0 (0.0)

0.5 (2.9)

1.5 (8.6) ↑

2.5 (14.3)

6.0 (34.3)

7.0 (40.0)i

0.0 (0.0)

 2020, wk 14–17

15.5

0.3 (1.6)

0.8 (4.8)

1.0 (6.5) ↑

2.3 (14.5)

9.3 (59.7)

2.0 (12.9)

0.0 (0.0)

Stage IV

        

 2018/2019, wk 2–17

17.2

1.6 (9.3)

0.3 (2.0)

0.0 (0.2)

0.6 (3.5)

5.7 (33.3)

7.4 (43.3)

1.5 (8.5)

 2020, wk 2–8

19.1

3.1 (16.4) ↑

0.4 (2.2)

0.0 (0.0)

0.9 (4.5)

6.3 (32.8)

7.4 (38.8)

1.0 (5.2)

 2020, wk 9–11

16.3

2.0 (12.2)

0.7 (4.1)

0.0 (0.0)

0.7 (4.1)

5.3 (32.7)j

7.7 (46.9)

0.0 (0.0)

 2020, wk 12–13

12.0

1.0 (8.3)

0.0 (0.0)

0.0 (0.0)

0.0 (0.0)

3.5 (29.2)k

7.5 (62.5) ↑

0.0 (0.0)

 2020, wk 14–17

13.5

1.5 (11.1)

0.0 (0.0)

0.0 (0.0)

0.3 (1.9)

5.8 (42.6)l

5.3 (38.9)m

0.8 (5.6)

  1. Data are shown as average n (%). We compared data for weeks 2–17, 2020 (the COVID-19 period) with those for weeks 2–17, 2018/2019 using the Mantel–Haenszel test, adjusted by age (< 40, 40–50, 50–65, 65–74, > 74 years)
  2. The arrows show statistically significant data corrected for age: ↑ = more patients received this therapy; ↓ = fewer patients received this therapy
  3. BCS, breast conserving surgery; DCIS, ductal carcinoma in situ; IBR, immediate breast reconstruction; Mx, mastectomy; wk, week
  4. Analyses stratified per age group was performed and significant differences are explained:
  5. aLower proportion of patients 65–74 years old with DCIS received BCS
  6. bHigher proportion of patients 65–74 years old with DCIS received hormonal treatment
  7. cHigher proportion of patients < 40 years old with stage I received mastectomy with IBR
  8. dHigher proportion of patients 50–74 years old with stage I or stage II received hormonal treatment
  9. eHigher proportion of patients < 75 years old with stage I received hormonal treatment
  10. fHigher proportion of patients 40–74 years old with stage II received hormonal treatment
  11. gHigher proportion of patients < 50 years old or > 74 years old with stage II received hormonal treatment
  12. hHigher proportion of patients < 40 years old with stage III received chemotherapy
  13. iHigher proportion of patients < 50 years old or 65–74 years old with stage III received hormonal treatment
  14. jHigher proportion of patients < 40 years old with stage IV received chemotherapy
  15. kHigher proportion of patients 40–49 years old with stage IV received chemotherapy
  16. lHigher proportion of patients aged < 40 years old or 50–64 years old with stage IV received chemotherapy
  17. mHigher proportion of patients 40–49 years old or 65–74 years old with stage IV received hormonal treatment