Delayed access or provision of care in Italy resulting from fear of COVID-19

Lazzerini, Marzia; Barbi, Egidio; Apicella, Andrea; Marchetti, Federico; Cardinale, Fabio; Trobia, Gianluca

doi:10.1016/s2352-4642(20)30108-5

Cited by 1,109 publications

(1,331 citation statements)

References 3 publications

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“…Those working in more resource‐limited settings will have fewer options, but we urge them to prioritize continuing therapy as much as possible for children with highly curable cancers. Also, to work with their public health colleagues to send a clear message to parents and communities, fear of COVID‐19 infection should not prevent seeking medical assessment if they have serious concerns about their child's health 21 …”

Section: Discussionmentioning

confidence: 99%

“…We are concerned that children with the early clinical signs of cancer may remain in the community and not be referred or present for investigation due to travel restrictions, fear of presenting to hospital or family financial issues. Sadly, there is already evidence of delayed presentation of acute illness in children in high‐prevalence areas 21 …”

Section: Recommendations For Adapting the Diagnosis And Treatment Formentioning

confidence: 99%

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The COVID‐19 pandemic: A rapid global response for children with cancer from SIOP, COG, SIOP‐E, SIOP‐PODC, IPSO, PROS, CCI, and St Jude Global

Sullivan

Bouffet

Rodríguez‐Galindo

et al. 2020

Pediatric Blood & Cancer

144

135

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Section: Discussionmentioning

confidence: 99%

Section: Recommendations For Adapting the Diagnosis And Treatment Formentioning

confidence: 99%

The COVID‐19 pandemic: A rapid global response for children with cancer from SIOP, COG, SIOP‐E, SIOP‐PODC, IPSO, PROS, CCI, and St Jude Global

Sullivan

Bouffet

Rodríguez‐Galindo

et al. 2020

Pediatric Blood & Cancer

144

135

View full text Add to dashboard Cite

show abstract

“…All parents who were surveyed reported avoiding hospitals for fear of infection with COVID-19. 8 In light of this, patients and their primary care physicians should be reminded that Otolaryngology -Head and Neck Surgery clinics are still open and consider patient safety the highest priority. This can be done through a variety of platforms such as social media, phone calls, emails, virtual town halls, and online patient portals just to name a few.…”

Section: Reasons For the Surge And Ways To Prevent Itmentioning

confidence: 99%

Surge after the surge: Anticipating the increased volume and needs of patients with head and neck cancer after the peak in COVID‐19

2020

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The novel coronavirus disease 2019 (COVID-19) pandemic continues to have extensive effects on public health as it spreads rapidly across the globe.Patients with head and neck cancer are a particularly susceptible population to these effects, and we expect there to be a potential surge in patients presenting with head and neck cancers after the surge in COVID-19. Furthermore, the impact of social distancing measures could result in a shift toward more advanced disease at presentation. With appropriate anticipation, multidisciplinary head and cancer teams could potentially minimize the impact of this surge and plan for strategies to provide optimal care for patients with head and neck cancer.

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“…Understanding the behaviour of populations during a pandemic is key to ensuring the maintenance of health during future public health emergencies and in the instance of a second wave of COVID-19. Hospital avoidance during the COVID-19 pandemic has been reported with a signi cant decrease in attendance at emergency departments among paediatric populations with potential increased morbidity and mortality outcomes (4,5). While this decrease can be partially explained by fewer social interactions resulting in a lower risk of contracting some infectious diseases as well as a reduction in minor accidents and injuries, it is also likely as a result of a shift in health-seeking behaviour of parents (6, 7).…”

Section: Introductionmentioning

confidence: 99%

Understanding the Impact of Public Health Advice on Paediatric Healthcare Use During COVID-19: A Cross-sectional Survey of Parents

Nicholson

McDonnell

Conlon

et al. 2020

Preprint

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Background Hospital avoidance during the COVID-19 pandemic has been reported with a significant decrease in attendance at emergency departments among paediatric populations with potential increased morbidity and mortality outcomes. The present study sought to understand parents’ experiences of healthcare during the initial public health stages of the COVID-19 pandemic.Methods A cross-sectional survey of parents of children under the age of 16 (N = 1044). The survey collected demographic information to profile parents and children, capture relevant health information such as pre-existing conditions and/or chronic illness or disability, and health service usage during the pandemic. Descriptive statistics, chi-square tests and regression analyses were used to determine the factors that influenced avoidance and hesitancy. Results23% of parents stated that they were much more hesitant to access health services upon implementation of the initial public health restrictions. Parents with a higher perception of risk of their children contracting COVID-19 (χ2 (3) =33.8618, p< 0.000), and stronger levels of concern regarding the effects of COVID-19 (χ2 (3) =23.9189, p< 0.000) were more likely to be hesitant. Stress also appeared to be a factor in hesitancy with higher than normal stress levels significantly associated with hesitancy (RRR= 2.31, CI: 1.54 - 3.47), while those with severe/extremely severe stress were over three times more likely to be hesitant (RRR:3.37, CI:1.81 - 6.27). Approximately one third of the sample required healthcare for their children during the public health restrictions to delay the spread of COVID-19, however, one in five of these parents avoided accessing such healthcare when needed. Of those that required healthcare, parents who avoided were more likely to report that the services were needed more by others (χ2 (1) 20.3470, p<0.000). Those who felt that the government advice was to stay away from health services were 1.7 times more likely to be much more hesitant (RRR:1.71, CI; 1.10 – 2.67).ConclusionThe misinterpretation of government public health advice, stress and the perception of risk each contributed to parental avoidance of or hesitancy to utilize healthcare services during the public health measures imposed to combat COVID-19.

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Delayed access or provision of care in Italy resulting from fear of COVID-19

Cited by 1,109 publications

References 3 publications

The COVID‐19 pandemic: A rapid global response for children with cancer from SIOP, COG, SIOP‐E, SIOP‐PODC, IPSO, PROS, CCI, and St Jude Global

The COVID‐19 pandemic: A rapid global response for children with cancer from SIOP, COG, SIOP‐E, SIOP‐PODC, IPSO, PROS, CCI, and St Jude Global

Surge after the surge: Anticipating the increased volume and needs of patients with head and neck cancer after the peak in COVID‐19

Understanding the Impact of Public Health Advice on Paediatric Healthcare Use During COVID-19: A Cross-sectional Survey of Parents

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