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Introduction: The pandemic caused by the spread of the SARS-CoV-2 virus brought demands that had never been predicted for health systems and society. Among the biggest challenges, the importance of maintaining the treatment of potentially lethal diseases that continued in parallel with the global epidemic that took place stands out. The treatment of breast cancer, a time-dependent disease, was also compromised, as there was a need to prioritize financial resources, supplies, medicines, and especially hospital beds to assist those infected with the coronavirus. Surgeries were suspended and surgical centers closed. Objectives: Compare the number of breast surgical procedures between the periods before and during the pandemic; identify the impact on the proportional number of surgeries performed. Methods: This is a retrospective cohort study reviewing procedures performed from January 2015 to June 2021. Results: 899 patients were included, the majority of whom were female, 58.5% of which were oncological cases. The most commonly performed surgical procedure, both in the pre-pandemic and pandemic periods, was conservative oncological surgery (sectorectomy or quadrantectomy). There was a significant difference between the number of procedures performed before and during the pandemic, with a 43% drop in the number of surgeries performed during the pandemic. There was no significant difference in the pattern of surgeries performed during the period. Conclusion: The pandemic caused a significant reduction in the performance of elective surgeries in the period analyzed, generating delays in interventions, which the literature points to as a potential risk for disease progression and increased death rates.
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Copyright (c) 2023 Luiza Herdy Boechat Luz Tiago , Carolina Dalla Santa Dal Moro , Carolina Odorizzi Magno Nunes , Fernando Vivian , Karine Santos de Azevedo , Marília Damo , Marjoriê Aparecida Dalla Lana , Thaís Hunoff Ribeiro