{"id":"https://openalex.org/W3038947323","doi":"https://doi.org/10.1111/tbj.13961","title":"A tripartite approach can seek to optimize breast cancer management during a pandemic \u2013 Real\u2010Time experience of a developing breast oncology unit in Singapore","display_name":"A tripartite approach can seek to optimize breast cancer management during a pandemic \u2013 Real\u2010Time experience of a developing breast oncology unit in Singapore","publication_year":2020,"publication_date":"2020-07-01","ids":{"openalex":"https://openalex.org/W3038947323","doi":"https://doi.org/10.1111/tbj.13961","mag":"3038947323","pmid":"https://pubmed.ncbi.nlm.nih.gov/32608540","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/7361843"},"language":"en","primary_location":{"id":"doi:10.1111/tbj.13961","doi":"https://doi.org/10.1111/tbj.13961","is_oa":true,"landing_page_url":"https://doi.org/10.1111/tbj.13961","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/tbj.13961","source":{"id":"https://openalex.org/S169520197","display_name":"The Breast Journal","issn_l":"1075-122X","issn":["1075-122X","1524-4741"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Breast Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/tbj.13961","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5018485482","display_name":"Sabrina Ngaserin","orcid":"https://orcid.org/0000-0002-4319-3389","observed_orcids":["https://orcid.org/0000-0002-4319-3389"]},"institutions":[{"id":"https://openalex.org/I157582758","display_name":"SingHealth","ror":"https://ror.org/04me94w47","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I157582758"]},{"id":"https://openalex.org/I165932596","display_name":"National University of Singapore","ror":"https://ror.org/01tgyzw49","country_code":"SG","type":"education","lineage":["https://openalex.org/I165932596"]},{"id":"https://openalex.org/I4210097409","display_name":"SingHealth Duke-NUS Academic Medical Centre","ror":"https://ror.org/00xcwps97","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I157582758","https://openalex.org/I165932596","https://openalex.org/I170897317","https://openalex.org/I4210097409","https://openalex.org/I4210126319"]},{"id":"https://openalex.org/I4210126319","display_name":"Duke-NUS Medical School","ror":"https://ror.org/02j1m6098","country_code":"SG","type":"education","lineage":["https://openalex.org/I165932596","https://openalex.org/I170897317","https://openalex.org/I4210126319"]},{"id":"https://openalex.org/I4210159875","display_name":"Sengkang General Hospital","ror":"https://ror.org/05cqp3018","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I4210159875"]}],"countries":["SG"],"is_corresponding":true,"raw_author_name":"Sabrina Ngaserin","raw_affiliation_strings":["Department of Surgery, Sengkang General Hospital, Singapore","SingHealth Duke-NUS Breast Centre, Singapore"],"raw_orcid":"https://orcid.org/0000-0002-4319-3389","affiliations":[{"raw_affiliation_string":"Department of Surgery, Sengkang General Hospital, Singapore","institution_ids":["https://openalex.org/I4210159875"]},{"raw_affiliation_string":"SingHealth Duke-NUS Breast Centre, Singapore","institution_ids":["https://openalex.org/I157582758","https://openalex.org/I165932596","https://openalex.org/I4210097409","https://openalex.org/I4210126319"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010689459","display_name":"Hui Wen Chua","orcid":"https://orcid.org/0000-0002-4777-4527","observed_orcids":["https://orcid.org/0000-0002-4777-4527"]},"institutions":[{"id":"https://openalex.org/I157582758","display_name":"SingHealth","ror":"https://ror.org/04me94w47","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I157582758"]},{"id":"https://openalex.org/I165932596","display_name":"National University of Singapore","ror":"https://ror.org/01tgyzw49","country_code":"SG","type":"education","lineage":["https://openalex.org/I165932596"]},{"id":"https://openalex.org/I4210097409","display_name":"SingHealth Duke-NUS Academic Medical Centre","ror":"https://ror.org/00xcwps97","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I157582758","https://openalex.org/I165932596","https://openalex.org/I170897317","https://openalex.org/I4210097409","https://openalex.org/I4210126319"]},{"id":"https://openalex.org/I4210126319","display_name":"Duke-NUS Medical School","ror":"https://ror.org/02j1m6098","country_code":"SG","type":"education","lineage":["https://openalex.org/I165932596","https://openalex.org/I170897317","https://openalex.org/I4210126319"]},{"id":"https://openalex.org/I4210159875","display_name":"Sengkang General Hospital","ror":"https://ror.org/05cqp3018","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I4210159875"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"Hui Wen Chua","raw_affiliation_strings":["Department of Surgery, Sengkang General Hospital, Singapore","SingHealth Duke-NUS Breast Centre, Singapore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Sengkang General Hospital, Singapore","institution_ids":["https://openalex.org/I4210159875"]},{"raw_affiliation_string":"SingHealth Duke-NUS Breast Centre, Singapore","institution_ids":["https://openalex.org/I157582758","https://openalex.org/I165932596","https://openalex.org/I4210097409","https://openalex.org/I4210126319"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103483701","display_name":"Min\u2010Hoe Chew","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210159875","display_name":"Sengkang General Hospital","ror":"https://ror.org/05cqp3018","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I4210159875"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"Min\u2010Hoe Chew","raw_affiliation_strings":["Department of Surgery, Sengkang General Hospital, Singapore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Sengkang General Hospital, Singapore","institution_ids":["https://openalex.org/I4210159875"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5036077922","display_name":"Benita Kiat Tee Tan","orcid":"https://orcid.org/0000-0002-8573-4606","observed_orcids":["https://orcid.org/0000-0002-8573-4606"]},"institutions":[{"id":"https://openalex.org/I157582758","display_name":"SingHealth","ror":"https://ror.org/04me94w47","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I157582758"]},{"id":"https://openalex.org/I165932596","display_name":"National University of Singapore","ror":"https://ror.org/01tgyzw49","country_code":"SG","type":"education","lineage":["https://openalex.org/I165932596"]},{"id":"https://openalex.org/I4210097409","display_name":"SingHealth Duke-NUS Academic Medical Centre","ror":"https://ror.org/00xcwps97","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I157582758","https://openalex.org/I165932596","https://openalex.org/I170897317","https://openalex.org/I4210097409","https://openalex.org/I4210126319"]},{"id":"https://openalex.org/I4210126319","display_name":"Duke-NUS Medical School","ror":"https://ror.org/02j1m6098","country_code":"SG","type":"education","lineage":["https://openalex.org/I165932596","https://openalex.org/I170897317","https://openalex.org/I4210126319"]},{"id":"https://openalex.org/I4210159875","display_name":"Sengkang General Hospital","ror":"https://ror.org/05cqp3018","country_code":"SG","type":"healthcare","lineage":["https://openalex.org/I4210159875"]}],"countries":["SG"],"is_corresponding":false,"raw_author_name":"Benita Kiat\u2010Tee Tan","raw_affiliation_strings":["Department of Surgery, Sengkang General Hospital, Singapore","SingHealth Duke-NUS Breast Centre, Singapore"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Sengkang General Hospital, Singapore","institution_ids":["https://openalex.org/I4210159875"]},{"raw_affiliation_string":"SingHealth Duke-NUS Breast Centre, Singapore","institution_ids":["https://openalex.org/I157582758","https://openalex.org/I165932596","https://openalex.org/I4210097409","https://openalex.org/I4210126319"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5018485482"],"corresponding_institution_ids":["https://openalex.org/I157582758","https://openalex.org/I165932596","https://openalex.org/I4210097409","https://openalex.org/I4210126319","https://openalex.org/I4210159875"],"apc_list":{"value":3500,"currency":"USD","value_usd":3500},"apc_paid":null,"fwci":0.1977,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.47091354,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":93},"biblio":{"volume":"26","issue":"8","first_page":"1593","last_page":"1596"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11296","display_name":"COVID-19 and healthcare impacts","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11296","display_name":"COVID-19 and healthcare impacts","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10183","display_name":"Breast Cancer Treatment Studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/1306","display_name":"Cancer Research"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11987","display_name":"COVID-19 Impact on Reproduction","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/breast-cancer","display_name":"breast cancer","score":0.859000027179718},{"id":"https://openalex.org/keywords/covid-19","display_name":"COVID-19 pandemic","score":0.9990000128746033},{"id":"https://openalex.org/keywords/treatment-delay","display_name":"treatment delay","score":0.621999979019165},{"id":"https://openalex.org/keywords/triage-algorithm","display_name":"triage algorithm","score":0.6290000081062317},{"id":"https://openalex.org/keywords/neoadjuvant-therapy","display_name":"neoadjuvant therapy","score":0.7770000100135803},{"id":"https://openalex.org/keywords/upfront-surgery","display_name":"upfront surgery","score":0.6340000033378601},{"id":"https://openalex.org/keywords/adjuvant-therapy","display_name":"adjuvant therapy","score":0.6449999809265137},{"id":"https://openalex.org/keywords/singapore","display_name":"Singapore","score":0.6620000004768372},{"id":"https://openalex.org/keywords/t4-disease","display_name":"T4 disease","score":0.5210000276565552},{"id":"https://openalex.org/keywords/treatment-prioritization","display_name":"treatment prioritization","score":0.48399999737739563},{"id":"https://openalex.org/keywords/hospital-capacity-constraints","display_name":"hospital capacity constraints","score":0.42100000381469727}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.872599184513092},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.7230287790298462},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.5192604064941406},{"id":"https://openalex.org/C89623803","wikidata":"https://www.wikidata.org/wiki/Q12184","display_name":"Pandemic","level":5,"score":0.4894489347934723},{"id":"https://openalex.org/C2777120189","wikidata":"https://www.wikidata.org/wiki/Q780067","display_name":"Triage","level":2,"score":0.4707658290863037},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.4585033059120178},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4430544078350067},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.43125972151756287},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.37871623039245605},{"id":"https://openalex.org/C143998085","wikidata":"https://www.wikidata.org/wiki/Q162555","display_name":"Oncology","level":1,"score":0.3779549300670624},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.3501870036125183},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.2816847562789917},{"id":"https://openalex.org/C3008058167","wikidata":"https://www.wikidata.org/wiki/Q84263196","display_name":"Coronavirus disease 2019 (COVID-19)","level":4,"score":0.1528589427471161},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.10675862431526184},{"id":"https://openalex.org/C524204448","wikidata":"https://www.wikidata.org/wiki/Q788926","display_name":"Infectious disease (medical specialty)","level":3,"score":0.08367595076560974}],"mesh":[{"descriptor_ui":"D000086382","descriptor_name":"COVID-19","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001940","descriptor_name":"Breast","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D001943","descriptor_name":"Breast Neoplasms","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012846","descriptor_name":"Singapore","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D058873","descriptor_name":"Pandemics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1111/tbj.13961","doi":"https://doi.org/10.1111/tbj.13961","is_oa":true,"landing_page_url":"https://doi.org/10.1111/tbj.13961","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/tbj.13961","source":{"id":"https://openalex.org/S169520197","display_name":"The Breast Journal","issn_l":"1075-122X","issn":["1075-122X","1524-4741"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Breast Journal","raw_type":"journal-article"},{"id":"pmid:32608540","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32608540","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The breast journal","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:7361843","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7361843/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Breast J","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1111/tbj.13961","doi":"https://doi.org/10.1111/tbj.13961","is_oa":true,"landing_page_url":"https://doi.org/10.1111/tbj.13961","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/tbj.13961","source":{"id":"https://openalex.org/S169520197","display_name":"The Breast Journal","issn_l":"1075-122X","issn":["1075-122X","1524-4741"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-3"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Breast Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3038947323.pdf","grobid_xml":"https://content.openalex.org/works/W3038947323.grobid-xml"},"referenced_works_count":5,"referenced_works":["https://openalex.org/W2810840855","https://openalex.org/W3013841742","https://openalex.org/W3018098307","https://openalex.org/W3019205311","https://openalex.org/W3082472009"],"related_works":["https://openalex.org/W3092521800","https://openalex.org/W3035738908","https://openalex.org/W3164306305","https://openalex.org/W4389359716","https://openalex.org/W3049595070","https://openalex.org/W3032063354","https://openalex.org/W3130953865","https://openalex.org/W3210638027","https://openalex.org/W3160931446","https://openalex.org/W3157179763"],"abstract_inverted_index":{"Professional":[0],"societies":[1],"have":[2],"led":[3],"the":[4,23,80,118,244,298,346,382,402,432,446,479,504,507],"unenviable":[5],"challenge":[6],"of":[7,25,34,243,273,291,342,366,417,441,449],"clarifying":[8],"recommendations":[9,21],"on":[10,74],"management":[11,102,443],"prioritization":[12],"for":[13,166,172,462,471,490,498,506],"breast":[14,87,100,113,137,197,321,360,396],"cancer":[15,101,138,215,237,430,435],"during":[16,117],"this":[17],"COVID-19":[18,72,338],"pandemic.1-6":[19],"Triage":[20],"estimate":[22],"risk":[24],"delay-related":[26],"outcome":[27],"compromise.":[28],"Interventions":[29],"span":[30],"deferment,":[31],"simplification,":[32],"reorganization":[33],"treatment":[35,48],"sequence,7":[36],"to":[37,127,190,287,304,329,414,478,485],"pure":[38],"neo-adjuvant":[39,60,263],"endocrine":[40],"therapy":[41,264],"in":[42,53,192,205,214,282,312,337,436,500],"centers":[43],"with":[44,112,392,423],"substantial":[45],"constraints.8":[46],"However,":[47],"delay":[49],"can":[50,334,444,458],"still":[51],"result":[52,336],"disease":[54,225],"upstage,":[55],"limit":[56],"surgical":[57],"options,":[58],"intensify":[59],"and":[61,64,169,208,236,241,297,319,356,421,426,439,457,474,493],"adjuvant":[62],"treatment,":[63],"decrease":[65,204,213],"survival.9":[66],"Singapore":[67],"reported":[68],"its":[69,353],"first":[70],"imported":[71],"case":[73],"23rd":[75],"January":[76,126],"2020.":[77],"To":[78],"confront":[79],"evolving":[81],"situation,":[82],"Sengkang":[83],"General":[84],"Hospital's":[85],"(SKH)":[86],"unit":[88,361],"mobilized":[89],"a":[90,202,209,386,487],"\u201ctriple":[91],"algorithm\u201d":[92],"approach":[93],"(Figure":[94],"1),":[95],"aimed":[96],"at":[97,345],"delivering":[98],"optimal":[99],"despite":[103],"pandemic":[104,505],"constraints.":[105],"Our":[106,349],"retrospective":[107,357],"cohort":[108],"study":[109,416],"compared":[110,158,189],"women":[111],"carcinoma":[114,198],"who":[115],"presented":[116,344],"peri-pandemic":[119],"period":[120],"versus":[121],"similar":[122,240],"months":[123,380],"from":[124,134,145,284],"1st":[125],"30th":[128],"April":[129],"2019.":[130,193],"Patients":[131],"were":[132,155,179,239,377],"identified":[133],"our":[135,454],"joint":[136],"prospective":[139],"database.":[140],"Ethical":[141],"approval":[142],"was":[143,201,278,308],"obtained":[144],"Centralized":[146],"Institutional":[147],"Review":[148],"Board":[149],"Singhealth":[150],"(Ref:":[151],"2019/2419).":[152],"Summary":[153],"statistics":[154],"calculated,":[156],"outcomes":[157],"using":[159],"Pearson":[160],"Chi-squared":[161],"or":[162],"Fisher":[163],"Exact":[164],"test":[165],"categorical":[167],"variables":[168],"Mann-Whitney":[170],"U":[171],"continuous":[173],"variables.":[174],"P":[175,229,258,268],"values":[176],"<":[177],".05":[178],"considered":[180],"statistically":[181,210],"significant.":[182],"In":[183,374],"2020,":[184],"303":[185],"new":[186,206],"patients":[187,292,370],"attended,":[188],"400":[191],"We":[194,398,411],"studied":[195],"97":[196],"patients.":[199],"There":[200,277,307],"24%":[203],"cases":[207],"insignificant":[211],"27%":[212],"diagnoses":[216],"(P":[217],"=":[218,230,259,269],".486;":[219],"Figure":[220],"2).":[221,325],"More":[222],"had":[223,293],"T4":[224],"(19.5%":[226],"vs":[227,256,266],"3.6%;":[228],".026),":[231],"otherwise":[232],"patient":[233],"characteristics,":[234],"stage,":[235],"biology":[238],"reflective":[242],"national":[245],"registry's":[246],"distribution":[247],"10":[248],"(Table":[249,324],"1).":[250],"Fewer":[251],"underwent":[252],"upfront":[253],"surgery":[254,294,313,323],"(56.1%":[255],"78.6%;":[257],".040),":[260,270],"more":[261,388],"commenced":[262],"(29.3%":[265],"10.7%;":[267],"possibly":[271,302],"because":[272],"locally":[274],"advanced":[275],"disease.":[276],"no":[279,309],"significant":[280,310],"difference":[281,311],"duration":[283],"operation":[285],"listing":[286],"surgery.":[288],"Peri-pandemic,":[289],"73.7%":[290],"within":[295,300,363],"1-week":[296],"rest":[299],"2,":[301],"related":[303],"resource":[305],"ringfencing.":[306],"type,":[314],"including":[315],"subcutaneous":[316],"mastectomy,":[317],"reconstruction,":[318],"oncoplastic":[320],"conserving":[322],"68.3%":[326],"felt":[327],"none":[328],"slight":[330],"concern":[331],"that":[332,401],"attendance":[333],"potentially":[335],"exposure.":[339],"A":[340],"total":[341],"90.3%":[343],"earliest":[347],"opportunity.":[348],"study's":[350],"limitations":[351],"include":[352],"small":[354],"size":[355],"nature.":[358],"The":[359],"is":[362],"early":[364],"phases":[365],"development,":[367],"recently":[368],"accepting":[369],"since":[371],"August":[372],"2018.":[373],"2019,":[375],"we":[376,483],"only":[378],"5-8":[379],"old;":[381],"2020":[383],"data":[384],"reflects":[385],"slightly":[387],"established":[389],"1.5-year-old":[390],"hospital":[391],"2":[393],"full-time":[394],"consultant":[395],"surgeons.":[397],"cannot":[399],"infer":[400],"two":[403],"groups":[404],"are":[405],"directly":[406],"comparable":[407],"nor":[408],"results":[409],"generalizable.":[410],"look":[412],"forward":[413],"further":[415],"potential":[418],"rebound":[419],"effect,":[420],"collaboration":[422],"other":[424],"local":[425],"regional":[427],"hospitals.":[428],"Breast":[429],"remains":[431],"most":[433],"common":[434],"Singapore.10":[437],"Optimization":[438],"delivery":[440],"gold-standard":[442],"minimize":[445],"postpandemic":[447,455],"tsunami":[448],"backlog":[450],"cases.":[451],"Reflection":[452],"guides":[453],"responses":[456],"streamline":[459],"future":[460],"approaches":[461],"emergency":[463],"response":[464],"preparedness.":[465],"Guidelines":[466],"should":[467],"accommodate":[468],"individualized":[469],"considerations":[470],"patient,":[472],"tumor,":[473],"systemic":[475],"factors":[476],"unique":[477],"practicing":[480],"environment.":[481],"Collectively,":[482],"aim":[484],"create":[486],"safe":[488],"environment":[489],"both":[491],"staff":[492],"patients,":[494],"deliver":[495],"timely":[496],"intervention":[497],"those":[499],"need":[501],"while":[502],"battling":[503],"greater":[508],"good.":[509]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":1}],"updated_date":"2026-11-13T13:42:25.865203","created_date":"2020-07-10T00:00:00"}