{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:23:40Z","timestamp":1792027420196,"version":"4.4.0"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T00:00:00Z","timestamp":1673222400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>The majority of patients undergoing mastectomy before the COVID\u201019 pandemic were admitted for 23\u2010h\u00a0observation to the hospital. Indications for observation included drain care education, pain control and observation for possible early surgical complications. This study compared the rates of outpatient mastectomy before, during, and after the COVID\u201019 pandemic and indirectly evaluated the safety of same\u2010day discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed patients undergoing mastectomy using Current Procedural Terminology code 19303.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 357 patients were included: 113 were treated pre\u2010COVID\u201019, 82 patients during COVID\u201019 and 162 post\u2010COVID\u201019. The rate of outpatient mastectomies tripled during the pandemic from 17% to 51% (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001); after the pandemic remain high at 48%. The rate of bilateral mastectomies decreased during the pandemic to 30% from 48% prepandemic (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015). Pectoralis muscle block utilization increased during the COVID\u201019 period from 36% to 59% (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002). No difference in complication rates, including surgical site infections, hematomas, and readmissions, pre and during COVID.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The rate of outpatient mastectomy increased during the COVID\u201019 pandemic. During this timeframe, perioperative complications did not increase, suggesting the safety of this practice.<\/jats:p>\n                    <jats:p>After the pandemic, the rate of outpatient mastectomy continued to be significantly higher than pre\u2010COVID.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jso.27195","type":"journal-article","created":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T10:13:44Z","timestamp":1673259224000},"page":"761-767","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Outcomes of the same\u2010day discharge following mastectomy before, during and after COVID\u201019 pandemic"],"prefix":"10.1002","volume":"127","author":[{"given":"Yuliya","family":"Olimpiadi","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Surgical Oncology, Winship Cancer Institute Emory University  Atlanta Georgia 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