Cancer survivorship care during COVID-19—perspectives and recommendations from the MASCC survivorship study group

Chan, Alexandre; Ashbury, Fredrick D.; Fitch, Margaret I.; Koczwara, Bogda; Chan, Raymond Javan

doi:10.1007/s00520-020-05544-4

Cited by 75 publications

(104 citation statements)

References 16 publications

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“…This seems reasonable in light of their urgent need for scans, blood monitoring, chemotherapy, surgery, and transplants, which, if delayed inde nitely, could mean loss of the window to treat. Health professionals should do their best to ensure continuity of care for these patients (ACV, 2020;Chan et al, 2020) while taking a proactive approach to diminish their challenges in accessing healthcare services (Paterson et al, 2020) in order to avoid that cancer patients pay the price for this pandemic.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, the request to stay at home in self-isolation shall be read not only as a restrictive measure but also as a protective recommendation (ESMO, 2020;NCCN, 2020). Despite efforts of oncology clinicians in providing cancer treatment safely in the face of uncertainty and rapid change (Cinar et al, 2020;Combs et al, 2020; Meattini et al, 2020; Russano, Citarella, Vincenzi, Tonini, & Santini, 2020; Trapani, Marra, & Curigliano, 2020;Ueda et al, 2020;Valenza et al, 2020), cancer patients and survivors had to face several challenges in accessing healthcare services, especially those travelling to receive care (ACV, 2020;Chan et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

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Living with cancer in the COVID-19 pandemic: An Italian survey on self-isolation at home

Biagioli

Albanesi

Belloni

et al. 2020

Preprint

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Objective: To investigate the perception of self-isolation at home in patients with cancer during the lockdown period because of the COVID-19 outbreak in Italy.Methods: A cross-sectional descriptive study was conducted through an online survey from March 29th to May 3rd, 2020. Perception of self-isolation was assessed in patients with cancer during quarantine at home using the ISOLA scale, after evaluation of its psychometric properties. Content analysis was used to analyse two open-ended questions.Results: Participants were 195 adult patients with cancer (female = 76%; mean age = 50.3 ± 11.2; haematological malignancy = 51.3%). They reported moderate isolation-related suffering (M = 2.64 ± 0.81), problems in the relationship with others (M = 3.31 ± 1.13), and difficulties in the relationship with oneself (M = 3.14 ± 1.06). Patients who experienced significantly more social problems were the older ones, with lower education, and living without minor children. Overall, four main categories emerged from the qualitative content analysis: 1) Lack of freedom and social life, 2) Uncertainty and worries, 3) Feeling supported, and 4) Dealing with isolation.Conclusion: Living with cancer in the COVID-19 pandemic was often perceived as an isolating experience, primarily in terms of detachment from loved ones.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Living with cancer in the COVID-19 pandemic: An Italian survey on self-isolation at home

Biagioli

Albanesi

Belloni

et al. 2020

Preprint

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“…Calvillo-Argüelles et al [6] and Dietz et al [8] point out that the current recommendation based on available evidence is the temporary modi cation or postponement of routine surveillance and follow-up of asymptomatic cancer survivors. Chan et al [7] and Koczwara [11] indicate that survivors have seen signi cant delays and cancellations of follow-up appointments and the replacement of most in person interactions with telehealth. However, Chan et al [7] have noted that many barriers continue to impede widespread implementation of telehealth and great disparities exist in how patient needs are being triaged amid the pandemic.…”

Section: Survivorship Care Deliverymentioning

confidence: 99%

Systematic rapid living review of the impact of the COVID-19 pandemic on cancer survivors: update to August 27th, 2020

Jammu

Chasen

Lofters

et al. 2020

Preprint

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Background: The COVID-19 pandemic has resulted in drastic changes in the global healthcare delivery landscape and has had practical repercussions for cancer survivors. This systematic rapid living review has been undertaken to synthesize the available knowledge regarding the impact of the COVID-19 pandemic in a timely manner. This initial rapid review will present the findings of literature published up to August 27, 2020.Design: A systematic search of PubMed, Scopus and Google Scholar databases was conducted to identify all articles, available in English language, regarding the impact of the COVID-19 pandemic on cancer survivors published between December 2019 and August 27, 2020. The search strategy employed the following search strings: “covid-19 OR coronavirus OR sars-cov-2” with “cancer survivors OR cancer survivorship”.Results: The database search yielded 1639 articles, of which 19 were included. Of the 19 selected articles, there were 12 expert opinions articles, two literature reviews, two prospective cohort studies, one retrospective cohort study, one descriptive study and one pooled meta-analysis that comment on the impact of the COVID-19 pandemic on the physical wellbeing (16 articles), psychosocial wellbeing (15 articles) and financial wellbeing of cancer survivors (3 articles).Conclusions: Limited definitive evidence exists regarding the impact of the COVID-19 pandemic on cancer survivors. Currently available literature provides preliminary indications of wide-ranging impacts of the pandemic on cancer survivors with respect to the requirement to adapt to new means of healthcare delivery as well as their physical, psychosocial and economic wellbeing. The pandemic has left survivors dealing with the consequences of rigorous cancer treatment in the context of new challenges related to social isolation, financial hardship and uncertainty with respect to their ongoing care. Additional rigorously designed research initiatives are required to elucidate the impact of the pandemic on cancer survivors.

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“…Face to face appointments have been generally postponed except for critical conditions. Due to the increased risk of infection, hospital visits were considerably limited [1,2]. Similar changes have occurred in the follow-up procedures of patients treated with hematopoietic stem cell transplantation (HSCT).…”

Section: Introductionmentioning

confidence: 99%

Screening Supportive Care Needs, Compliance to Exercise Program, Quality of Life, and Anxiety Level During the COVID-19 Pandemic in Individuals Treated with Hematopoietic Stem Cell Transplantation

Kabak

Uysal

Düger

2020

Preprint

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Purpose: Primary aim was to address supportive care needs, compliance to exercise program, quality of life level (QOL), and anxiety level during the COVID-19 pandemic in individuals treated with hematopoietic stem cell transplantation (HSCT). Secondary aim was to investigate differences in outcome measures in terms of gender and to determine associated factors with supportive care needs and compliance to exercise program during pandemic.Methods: The present study included individuals treated with HSCT and previously consulted to physical therapy. Data were collected by interviewing with participants on phone. Supportive care needs were assessed by using Supportive Care Needs Survey-Short Form 29TR. Compliance to the exercise program was recorded as percentage of walking duration to the recommended duration during the last week. The European Cancer Research and Treatment Organization Quality of Life Questionnaire-Cancer30 was used to assess QOL. The State-Trait Anxiety Inventory-I and Visual Analogue Scale were used to assess anxiety level. Results: Totally 106 individuals were included. The psychological and physical supportive care needs were predominant in participants. Compliance to exercise program was low during the pandemic. Anxiety level was low, yet anxiety about COVID-19 was moderate severity in participants. Supportive care needs were correlated with anxiety level, performance level, duration after HSCT, and QOL (p˂0.05). Compliance to exercise program was associated with performance level and QOL (p˂0.05). Conclusion: Our results offer supportive telehealth interventions should be considered during the COVID-19 pandemic for individuals treated with HSCT to decrease unmet supportive care needs and anxiety, to increase QOL, and to reduce isolation related physical inactivity.

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Cancer survivorship care during COVID-19—perspectives and recommendations from the MASCC survivorship study group

Cited by 75 publications

References 16 publications

Living with cancer in the COVID-19 pandemic: An Italian survey on self-isolation at home

Living with cancer in the COVID-19 pandemic: An Italian survey on self-isolation at home

Systematic rapid living review of the impact of the COVID-19 pandemic on cancer survivors: update to August 27th, 2020

Screening Supportive Care Needs, Compliance to Exercise Program, Quality of Life, and Anxiety Level During the COVID-19 Pandemic in Individuals Treated with Hematopoietic Stem Cell Transplantation

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