Cancer Patient-Reported Experience Measures (PREMs) Regarding the Policies Implemented to Contain the Spread of Sars-CoV-2 and Vaccination Campaign at Veneto Institute of Oncology

Abstract

The SARS-CoV-2 spread has impacted Healthcare systems. COVID-19 pandemic has had consequences for patients with cancer, being associated with delays in diagnosis, in treatment And follow-up care, increase in overall infection rates and higher mortality. A survey on COVID-19 and a vaccination-questionnaire were developed at different times of the outbreak, to evaluate cancer patient-reported experience measures (PREMs) on the policies implemented to reduce the infection from SARS-CoV-2 and on the timing and methods of COVID-19 vaccination. Patients and Methods:The survey was distributed to all patients accessing the Institute during the "first-wave" Of the pandemic, evaluating patients' concerns about the pandemic, the pandemics' consequences on their cancer care, and their perception Of the measures adopted to limit the infection spread. The vaccination-questionnaire was proposed to 10% of the first 5297 cancer patients vaccinated with two doses of the Pfizer-BioNTechCOVID-19 vaccine. This questionnaire aimed at assessing the degree Of satisfaction with the Institutional vaccination campaign and vaccination-related adverse events. Results: From May 18th 2020 to June 15th 2020 the survey was completed by 3238 patients. Most of the responders expressed concern on the pandemic yet acknowledging their oncological disease as a priority. Measures implemented were appreciated by patients. Telemedicine was positively evaluated and the absence of the caregiver during the visit did not determine discomfort for two thirds of patients. From March 6th 2021 to May 8th 2021 the vaccination-questionnaire was completed by 357 patients. The 98.8% were satisfied with the vaccination campaign. No serious vaccination-correlated adverse events were reported. No patient had to delay/discontinue chemotherapy due to vaccination. Conclusion: PREMs during COVID-19 pandemic and related vaccination can provide important information to help reorganization of the health care systems for cancer care. Patients' feedback on the organizational changes implemented in the emergency period are essential for healthcare improvement and to help informed choices that are consistent with patients' needs.

What do cancer patients experience of the simultaneous care clinic? Results of a cross‐sectional study on patient care satisfaction

“…Measuring patients' satisfaction is necessary to improve the provision of SCOC 17 . Involving patients in the organization reframing of services can lead to authentic personalized medicine, and help healthcare providers making choices which are both informed and consistent with patients' needs 18 …”

“…17 Involving patients in the organization reframing of services can lead to authentic personalized medicine, and help healthcare providers making choices which are both informed and consistent with patients' needs. 18 Patients with advanced cancer have a high burden of unmet needs, with special regard to symptoms control, psychological and emotional support and communication. 19,20 There is evidence showing that dissatisfaction with medical information and communication is associated with anxiety and depression which, in turn, contribute to the global burden of disability in patients with advanced cancer.…”

Antigen rapid diagnostic test monitoring for SARS‐CoV‐2 in asymptomatic and fully vaccinated cancer patients: Is it cost‐effective?

“…We found that with proper patient education, vaccination and clinical screening for symptoms or viral exposure, we maintained the outpatient clinical arena largely free of SARS-CoV-2, 12 with good patient's satisfaction. 26 Moreover, given the rapid and benign evolution of the infection, we recommend considering continuing with systemic anticancer treatment, especially in patients undergoing treatment with curative intent.…”