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. 2020 Jun 1;27(3):163–168. doi: 10.3747/co.27.6699

TABLE I.

Modelled estimates of the cumulative number of breast cancer cases delayed in Ontario because of restrictions on surgical capacitya

Estimate Reduction in operating room capacity
80% 60% 40%
Cases deferred (n)
 After 1 monthb 699 524 350
 After 2 monthsc 1140 855 570
 After 3 monthsc 1520 1140 760
a

Assumptions: restrictions persist for 3 months, rate of restriction is constant, 1000 new breast cancer cases are typically diagnosed per month. Those numbers do not include patients who are not diagnosed because of lack of screening.

b

Represents patients already diagnosed before the pandemic whose surgeries were postponed. Assumes 950 breast surgeries per month (1000 breast cancers diagnosed per month – 5% stage IV cases for which surgery is not performed), with 92% of eligible surgeries being scheduled and completed within 1 month of the decision to operate.

c

Assumes that 475 stages I–III breast cancers continue to be diagnosed while imaging is on hold and an equal number of patients are starting neoadjuvant therapy as others are completing neoadjuvant therapy.