Long‐COVID and long‐term cancer survivorship—Shared lessons and opportunities

Harada, Taku; Schmitz, Kathryn H.; Helsper, Charles W.; Campbell, Grace; Nekhlyudov, Larissa

doi:10.1111/ecc.13712

Cited by 4 publications

(2 citation statements)

References 55 publications

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“…The symptoms reported by patients with long COVID often overlap considerably with those experienced by cancer survivors and those occurring during chemotherapy, radiotherapy, targeted therapy, and immunotherapy [11,258]. NICE defines the long-term effects of COVID-19 syndrome as symptoms that persist or develop after acute COVID-19 infection and cannot be explained by an alternative diagnosis.…”

Section: Clinical Manifestation Of Long Covid In Cancer Patientsmentioning

confidence: 99%

Long COVID in Children, Adults, and Vulnerable Populations: A Comprehensive Overview for an Integrated Approach

Calcaterra,

Zanelli,

Foppiani

et al. 2024

Diseases

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Long COVID affects both children and adults, including subjects who experienced severe, mild, or even asymptomatic SARS-CoV-2 infection. We have provided a comprehensive overview of the incidence, clinical characteristics, risk factors, and outcomes of persistent COVID-19 symptoms in both children and adults, encompassing vulnerable populations, such as pregnant women and oncological patients. Our objective is to emphasize the critical significance of adopting an integrated approach for the early detection and appropriate management of long COVID. The incidence and severity of long COVID symptoms can have a significant impact on the quality of life of patients and the course of disease in the case of pre-existing pathologies. Particularly, in fragile and vulnerable patients, the presence of PASC is related to significantly worse survival, independent from pre-existing vulnerabilities and treatment. It is important try to achieve an early recognition and management. Various mechanisms are implicated, resulting in a wide range of clinical presentations. Understanding the specific mechanisms and risk factors involved in long COVID is crucial for tailoring effective interventions and support strategies. Management approaches involve comprehensive biopsychosocial assessments and treatment of symptoms and comorbidities, such as autonomic dysfunction, as well as multidisciplinary rehabilitation. The overall course of long COVID is one of gradual improvement, with recovery observed in the majority, though not all, of patients. As the research on long-COVID continues to evolve, ongoing studies are likely to shed more light on the intricate relationship between chronic diseases, such as oncological status, cardiovascular diseases, psychiatric disorders, and the persistent effects of SARS-CoV-2 infection. This information could guide healthcare providers, researchers, and policymakers in developing targeted interventions.

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Section: Clinical Manifestation Of Long Covid In Cancer Patientsmentioning

confidence: 99%

Long COVID in Children, Adults, and Vulnerable Populations: A Comprehensive Overview for an Integrated Approach

Calcaterra,

Zanelli,

Foppiani

et al. 2024

Diseases

View full text Add to dashboard Cite

show abstract

“…Long covid appears to be siloed by society, despite the detrimental impacts it has on population health, including health professionals (Marshall-Andon et al 2021, Rogers et al, 2022. The condition affects many organs, causing multidimensional clusters of symptoms of varying severity and duration which may unpredictably fluctuate (Brown and O'Brien, 2021) with studies suggesting that individuals with long covid may have a lower quality of life than those surviving cancer ( Harada et al, 2022). The Office for National Statistics (2022) estimates two million people in England are experiencing long covid symptoms four weeks post infection, with one in five facing a debilitating symptom impacting on their activities of daily living.…”

Section: Introductionmentioning

confidence: 99%

Long Covid, a contemporary sequela: considerations for advanced clinical practice

Hall

Lavery

2023

International Journal for Advancing Practice

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The prevalence of ‘long Covid’ (LC) and the requirement for the provision of LC care have been universally recognised. As a result, advance care practitioners (ACPs) need to gain a more thorough understanding of the model of care delivery of post-COVID-19 syndrome, its patho-physiological impacts and its multisystemic effects. Research has identified key areas in which ACPs can develop their knowledge base and inform their current practice; these include LC dysautonomia, mast cell activation syndrome and increased atopy. Evidence-based treatment options are accompanied by risk factors such as occupation, menopause, gender and age. Advancements in practice inform the assessment and chronic management of LC and provide opportunities for ACPs to evaluate caseload acuity to improve patient-related outcomes.

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The Impact of Long COVID on Employment and Well-Being: A Qualitative Study of Patient Perspectives

MacEwan,

Rahurkar,

Tarver

et al. 2024

J GEN INTERN MED

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Background Exploring the experiences of Long COVID patients who face challenges with employment may inform improvements in how healthcare systems can provide holistic care for this patient population. Objective Understand perspectives about the impact of Long COVID on employment and well-being among patients seeking healthcare for Long COVID. Design Qualitative study involving one-on-one interviews. Participants Eligible participants were 18 years of age or older, spoke English, self-reported as doing well in daily life before having COVID-19, and reported that COVID-19 was still having a significant impact on their life three or more months following an acute infection. Approach Participants were recruited from a post-COVID recovery clinic at an academic medical center. Interviews were conducted from August to September 2022. Key Results Among all participants (N = 21), most described that they were not able to work at a capacity equivalent to their norm pre-COVID-19. For those who continued working after their COVID-19 infection, the effort and energy required for work left little capacity to participate in other life activities and made it difficult to attend recommended healthcare appointments. Participants reported financial impacts of changes in employment including loss of income and changes in insurance, which were compounded by high healthcare costs. Changes in employment resulted in emotional repercussions including feelings of loss of self-identity and fear of judgement at work. Participants discussed issues surrounding access to strategies to address challenges posed by the impact of Long COVID on employment, including strategies learned from healthcare providers to cope with Long COVID symptoms at work and efforts to seek disability benefits or workplace accommodations. Conclusions Patients with Long COVID may face significant challenges due to changes in their ability to work. Healthcare providers can support these patients by connecting them to financial assistance resources, facilitating appropriate mental health treatment, and expediting workplace accommodation requests.

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Long‐COVID and long‐term cancer survivorship—Shared lessons and opportunities

Cited by 4 publications

References 55 publications

Long COVID in Children, Adults, and Vulnerable Populations: A Comprehensive Overview for an Integrated Approach

Long COVID in Children, Adults, and Vulnerable Populations: A Comprehensive Overview for an Integrated Approach

Long Covid, a contemporary sequela: considerations for advanced clinical practice

The Impact of Long COVID on Employment and Well-Being: A Qualitative Study of Patient Perspectives

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