RT Journal Article SR Electronic T1 The Impact of the COVID-19 Pandemic on Breast Reconstruction Practices in the United States JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 1903 OP 1908 DO 10.21873/anticanres.14956 VO 41 IS 4 A1 WALTER J. JOSEPH A1 SAMYD S. BUSTOS A1 JOSEPH E. LOSEE A1 J. PETER RUBIN A1 CAROLYN DE LA CRUZ YR 2021 UL http://ar.iiarjournals.org/content/41/4/1903.abstract AB Background/Aim: We employed a survey to the American Society of Plastic Surgeons (ASPS) to investigate the management of breast reconstruction across the US during the COVID-19 pandemic. Patients and Methods: An electronic survey on breast reconstruction practice demographics, COVID-19-related restrictions on breast reconstruction, and pertinent dates of restrictions was employed. Results: A total of 228 responses were obtained. Demographics were balanced for geography with most respondents located in either urban or suburban settings (91.2%). The majority proceeded with mastectomy/reconstruction as originally planned (39.0%), followed by hormonal/chemotherapy only (22.6%). The most common reconstructive option was tissue expander/implant-based reconstruction (47.7%). Most institutions implemented restrictions between March 11-20th (59%). Almost all respondents (91.8%) reported mandatory pre-operative SARS-Cov-2 testing once cases resumed. Conclusion: COVID-19 has forced the breast surgical team to adapt to new conditions to the detriment of women with breast cancer requiring reconstruction. Varying restrictions have limited access to breast reconstruction, carrying consequences yet to be determined.