{"id":"https://openalex.org/W4307382811","doi":"https://doi.org/10.1093/eurpub/ckac129.274","title":"Was there any delay in the treatment of breast cancer patients because of the COVID-19 stringency measures?","display_name":"Was there any delay in the treatment of breast cancer patients because of the COVID-19 stringency measures?","publication_year":2022,"publication_date":"2022-10-01","ids":{"openalex":"https://openalex.org/W4307382811","doi":"https://doi.org/10.1093/eurpub/ckac129.274","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/9594653"},"language":"en","primary_location":{"id":"doi:10.1093/eurpub/ckac129.274","doi":"https://doi.org/10.1093/eurpub/ckac129.274","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckac129.274","pdf_url":"https://academic.oup.com/eurpub/article-pdf/32/Supplement_3/ckac129.274/48593382/ckac129.274.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://academic.oup.com/eurpub/article-pdf/32/Supplement_3/ckac129.274/48593382/ckac129.274.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5040433443","display_name":"Francisco Estupi\u00f1\u00e1n\u2010Romero","orcid":"https://orcid.org/0000-0002-6285-8120","observed_orcids":["https://orcid.org/0000-0002-6285-8120"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"F Estupi\u00f1\u00e1n-Romero","raw_affiliation_strings":["Institute for Health Sciences in Aragon , Zaragoza, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Health Sciences in Aragon , Zaragoza, Spain","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039213429","display_name":"Javier Gonz\u00e1lez-Galindo","orcid":"https://orcid.org/0000-0002-8783-5478","observed_orcids":["https://orcid.org/0000-0002-8783-5478"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J Gonz\u00e1lez-Galindo","raw_affiliation_strings":["Institute for Health Sciences in Aragon , Zaragoza, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Health Sciences in Aragon , Zaragoza, Spain","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058267625","display_name":"Natalia Mart\u00ednez-Lizaga","orcid":"https://orcid.org/0000-0002-9586-7955","observed_orcids":["https://orcid.org/0000-0002-9586-7955"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"N Mart\u00ednez-Lizaga","raw_affiliation_strings":["Institute for Health Sciences in Aragon , Zaragoza, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Health Sciences in Aragon , Zaragoza, Spain","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101861267","display_name":"Juan Gonz\u00e1lez","orcid":"https://orcid.org/0000-0003-3109-5586","observed_orcids":["https://orcid.org/0000-0003-3109-5586"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J Gonz\u00e1lez-Garc\u00eda","raw_affiliation_strings":["Institute for Health Sciences in Aragon , Zaragoza, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Health Sciences in Aragon , Zaragoza, Spain","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032159558","display_name":"Pascal Derycke","orcid":"https://orcid.org/0000-0002-4658-5185","observed_orcids":["https://orcid.org/0000-0002-4658-5185"]},"institutions":[{"id":"https://openalex.org/I4210145009","display_name":"Sciensano (Belgium)","ror":"https://ror.org/04ejags36","country_code":"BE","type":"company","lineage":["https://openalex.org/I4210145009"]}],"countries":["BE"],"is_corresponding":false,"raw_author_name":"P Derycke","raw_affiliation_strings":["Sciensano , Brussels, Belgium"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sciensano , Brussels, Belgium","institution_ids":["https://openalex.org/I4210145009"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113030226","display_name":"Sarag Aldridge","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I39586589","display_name":"Swansea University","ror":"https://ror.org/053fq8t95","country_code":"GB","type":"education","lineage":["https://openalex.org/I39586589"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"S Aldridge","raw_affiliation_strings":["Population Data Science, Swansea University Medical School , Swansea, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Population Data Science, Swansea University Medical School , Swansea, UK","institution_ids":["https://openalex.org/I39586589"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067873904","display_name":"Andrea Faragalli","orcid":"https://orcid.org/0000-0003-4414-4789","observed_orcids":["https://orcid.org/0000-0003-4414-4789"]},"institutions":[{"id":"https://openalex.org/I122534668","display_name":"Marche Polytechnic University","ror":"https://ror.org/00x69rs40","country_code":"IT","type":"education","lineage":["https://openalex.org/I122534668"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"A Faragalli","raw_affiliation_strings":["Biomedical Sciences and Public Health, Marche Polytechnic University , Ancona, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Biomedical Sciences and Public Health, Marche Polytechnic University , Ancona, Italy","institution_ids":["https://openalex.org/I122534668"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032200896","display_name":"M\u00e9lanie Raimundo Maia","orcid":"https://orcid.org/0000-0003-3695-0537","observed_orcids":["https://orcid.org/0000-0003-3695-0537"]},"institutions":[{"id":"https://openalex.org/I83558840","display_name":"Universidade Nova de Lisboa","ror":"https://ror.org/02xankh89","country_code":"PT","type":"education","lineage":["https://openalex.org/I83558840"]}],"countries":["PT"],"is_corresponding":false,"raw_author_name":"M Raimundo Maia","raw_affiliation_strings":["NOVA University of Lisbon , Lisbon, Portugal"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"NOVA University of Lisbon , Lisbon, Portugal","institution_ids":["https://openalex.org/I83558840"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013492435","display_name":"Irisa Z\u012ble","orcid":"https://orcid.org/0000-0003-1553-1130","observed_orcids":["https://orcid.org/0000-0003-1553-1130"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"I Zile","raw_affiliation_strings":["Center for Disease Prevention and Control , Riga, Latvia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Disease Prevention and Control , Riga, Latvia","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5036638389","display_name":"Enrique Bernal\u2010Delgado","orcid":"https://orcid.org/0000-0002-0961-3298","observed_orcids":["https://orcid.org/0000-0002-0961-3298"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"E Bernal-Delgado","raw_affiliation_strings":["Institute for Health Sciences in Aragon , Zaragoza, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Institute for Health Sciences in Aragon , Zaragoza, Spain","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":4,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5040433443"],"corresponding_institution_ids":[],"apc_list":{"value":2553,"currency":"EUR","value_usd":2690},"apc_paid":{"value":2553,"currency":"EUR","value_usd":2690},"fwci":0.1122,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.35208842,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":"32","issue":"Supplement_3","first_page":null,"last_page":null},"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/T10556","display_name":"Global Cancer Incidence and Screening","score":0.0,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/breast-cancer","display_name":"breast cancer","score":0.9990000128746033},{"id":"https://openalex.org/keywords/covid-19","display_name":"COVID-19 pandemic","score":0.9169999957084656},{"id":"https://openalex.org/keywords/cross-national-comparison","display_name":"cross-national comparison","score":0.7860000133514404},{"id":"https://openalex.org/keywords/access-to-cancer-care","display_name":"access to cancer care","score":0.41600000858306885}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7676944136619568},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.687927782535553},{"id":"https://openalex.org/C509974204","wikidata":"https://www.wikidata.org/wiki/Q180507","display_name":"Radiation therapy","level":2,"score":0.565884530544281},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.509367823600769},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.4932686686515808},{"id":"https://openalex.org/C3008058167","wikidata":"https://www.wikidata.org/wiki/Q84263196","display_name":"Coronavirus disease 2019 (COVID-19)","level":4,"score":0.44572368264198303},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.4392821788787842},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4327211081981659},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2710334360599518},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.23490455746650696},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.14504662156105042},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.1084202229976654},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C524204448","wikidata":"https://www.wikidata.org/wiki/Q788926","display_name":"Infectious disease (medical specialty)","level":3,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1093/eurpub/ckac129.274","doi":"https://doi.org/10.1093/eurpub/ckac129.274","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckac129.274","pdf_url":"https://academic.oup.com/eurpub/article-pdf/32/Supplement_3/ckac129.274/48593382/ckac129.274.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:9594653","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC9594653/","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":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Eur J Public Health","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/eurpub/ckac129.274","doi":"https://doi.org/10.1093/eurpub/ckac129.274","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckac129.274","pdf_url":"https://academic.oup.com/eurpub/article-pdf/32/Supplement_3/ckac129.274/48593382/ckac129.274.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9940000176429749}],"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/W4307382811.pdf","grobid_xml":"https://content.openalex.org/works/W4307382811.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4400221925","https://openalex.org/W3088013210","https://openalex.org/W4386632436","https://openalex.org/W4322769585","https://openalex.org/W4383187461","https://openalex.org/W4220755605","https://openalex.org/W7019647336","https://openalex.org/W4399204448","https://openalex.org/W4385442228","https://openalex.org/W4229041914"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Healthcare":[2],"systems":[3],"across":[4,60,151,226,239],"Europe":[5],"reorganized":[6],"services":[7],"to":[8,11,25,37,48,161,173,195,219],"provide":[9],"attention":[10],"COVID-19":[12],"patients.":[13],"In":[14],"the":[15,18,54,73,94,112,115,143,156,164,182,186,203,206,229,234],"event":[16],"of":[17,20,33,75,205,233],"surge":[19],"cases,":[21],"countries":[22,208],"were":[23,41,56],"forced":[24],"cancel":[26],"or":[27,85],"postpone":[28],"non-urgent":[29],"care.":[30],"The":[31,108,124],"objective":[32],"this":[34],"work":[35],"is":[36,111],"investigate":[38],"whether":[39,53],"there":[40],"time-to-treatment":[42,117,148],"delays":[43,55],"in":[44,93,114,145,179,181,193,198,217,221],"breast":[45,76,224],"cancer":[46,77,225],"due":[47],"April-May":[49],"2020":[50,147],"restrictions,":[51],"and":[52,58,105,119,231],"permanent":[57],"different":[59],"countries.":[61,152,240],"Methods":[62],"Design:":[63],"Quasi-experimental":[64],"pre-post":[65],"study":[66,125],"with":[67,223],"a":[68],"historical":[69],"control.":[70],"Population:":[71],"Virtually":[72],"universe":[74],"patients":[78],"receiving":[79],"elective":[80],"surgery,":[81,162],"radiotherapy,":[82],"hormonal":[83],"therapy":[84],"chemotherapy":[86],"since":[87],"January":[88],"2017":[89],"(until":[90],"December":[91],"2021)":[92],"participant":[95,207],"regions":[96],"-":[97],"Belgium,":[98],"March\u00e9":[99],"(IT),":[100],"Riga":[101],"(LV),":[102],"Portugal,":[103],"Wales,":[104,180],"Aragon":[106],"(ES).":[107],"main":[109],"endpoint":[110],"change":[113],"median":[116,157,187],"before":[118],"after":[120],"an":[121],"empirical":[122],"joint-point.":[123],"variables":[126],"are":[127,209],"detailed":[128],"here":[129],"https://doi.org/10.5281/zenodo.5148022.":[130],"Analysis:":[131],"Distributed":[132],"generalized":[133],"additive":[134],"models":[135],"using":[136],"https://cran.r-project.org/package=mgcv.":[137],"Results":[138],"Preliminary":[139],"results":[140],"show":[141],"that":[142],"impact":[144],"March-April":[146],"evolved":[149],"differently":[150],"For":[153],"instance,":[154],"while":[155],"time":[158,188,218],"from":[159,168,190],"diagnosis":[160],"as":[163],"first":[165],"treatment,":[166],"increased":[167],"approximately":[169],"39":[170],"days":[171,177,192,197],"(2018-2019)":[172],"more":[174],"than":[175],"45":[176],"(2020-2021)":[178],"Marche":[183],"region":[184],"(IT)":[185],"decreased":[189],"52":[191],"2017-2019":[194],"47":[196],"2020.":[199],"Complete":[200],"analyses":[201],"for":[202],"rest":[204],"currently":[210],"undergoing.":[211],"Conclusions":[212],"We":[213],"have":[214],"observed":[215],"differences":[216],"treatment":[220],"women":[222],"countries;":[227],"however,":[228],"magnitude":[230],"direction":[232],"effect":[235],"has":[236],"been":[237],"uneven":[238]},"counts_by_year":[{"year":2023,"cited_by_count":1}],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2022-11-01T00:00:00"}