Needs of cancer patients during the SARS-CoV-2 Omicron lockdown: A population-based survey in Shanghai, China

Chen, Minxing; Li, Ruijia; Ding, Gang; Jin, Chunlin

doi:10.5582/bst.2022.01251

Cited by 6 publications

(5 citation statements)

References 31 publications

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“…Pressure on patients and healthcare providers, institutions, and systems imposed by the COVID-19 pandemic has been repeatedly and widely reported, both in China and worldwide 16 , 23 , 24 . Our findings regarding unmet needs in healthcare services during the lockdown in Shanghai are consistent with previously published estimates 10 , 25 , 26 . Several reasons have been cited for declining healthcare utilization during the COVID-19 pandemic.…”

Section: Discussionsupporting

confidence: 92%

“…To reduce the spread of the pandemic, Shanghai announced a phased lockdown in late March followed by a city-wide lockdown beginning on April 3. Mitigation measures included movement restrictions, home confinement, and suspension of all non-essential production and commercial activities 9 , 10 . The lockdown in Shanghai—China’s most populous city—represented the most extensive lockdown since the Wuhan shutdown in the initial phase of the pandemic in 2020.…”

Section: Introductionmentioning

confidence: 99%

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Dynamic zero-COVID policy and healthcare utilization patterns in China during the Shanghai COVID-19 Omicron outbreak

Xiao,

Liu,

Unger

2023

Commun Med

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Background In April 2022, an outbreak of the SARS-CoV-2 virus Omicron variant in Shanghai precipitated an extensive lockdown. We assessed changes in healthcare utilization during this outbreak and investigated the relationship between the stringency of mitigation strategies and disruptions in healthcare utilization. Methods Using provincial-level data from routine health information systems covering all hospitals across Mainland China, we conducted an interrupted time series analysis to examine changes in healthcare utilization during the Shanghai outbreak. Linear regression was used to evaluate the direction and magnitude of the association between the relative changes in the move-out movement index, a proxy for the stringency in population-level mitigation strategies, and the estimated relative changes in healthcare utilization. Results Overall, there were 22.9 billion outpatient visits and 1.2 billion discharged inpatients during the study period from January 2016 to May 2022, including 9.1 billion (39.7%) and 0.46 billion (38.2%) in the post-COVID-19 period (January 2020–May 2022), respectively. From March through May 2022, the outbreak resulted in an accumulative loss of 23.5 million (47%) outpatient visits and 0.6 million (55%) discharged inpatients in Shanghai, and a loss of 150.3 million (14%) outpatient visits and 3.6 million (7%) discharged inpatients in other regions. We find that for every 10-percentage point reduction in the relative change of move-out index, a 2.7 (95% CI: 2.0–3.4) percentage point decline in the relative change of outpatient visits, and a 4.3 (95% CI: 3.5–5.2) percentage points decline in the relative change of inpatient discharges. Conclusions The Shanghai COVID-19 Omicron outbreak associates with a substantial reduction in outpatient visits and inpatient discharges within Shanghai and other regions in China. The stringency of the COVID-19 lockdown policies associates with more profound reductions in healthcare utilization.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Dynamic zero-COVID policy and healthcare utilization patterns in China during the Shanghai COVID-19 Omicron outbreak

Xiao,

Liu,

Unger

2023

Commun Med

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“…The findings of this study highlighted a significant concern among family caregivers regarding the nutritional status of patients with cancer, which was at times compromised due to supply issues during the lockdown in Shanghai. Like other work emphasised the importance of nutrition needs of patients with cancer during the lockdown (Chen et al, 2022), this study also suggested that the unmet food and nutrition needs of patients with cancer was one of the most significant factors contributing to family caregivers' stress during the same period. Family caregivers' feelings may reflect not only their concerns about the biological and medical needs of patients with cancer, but also a shared belief worldwide as well as is evident in Chinese culture that providing nutritious food is an expression of love, caring and filial piety.…”

Section: Discussionsupporting

confidence: 68%

“…Although a few studies have investigated the needs and psychosocial concerns of patients with cancer during the COVID‐19 crisis (Chen et al, 2022; Xu et al, 2022), little is known about the experience of family caregivers supporting their significant others during the lockdown period. With many patients with cancer being immunocompromised, the pandemic might add concerns for both the patients and their family caregivers about increasing risks of contraction and severe consequences that could follow when they were confined in the hospital.…”

Section: Introductionmentioning

confidence: 99%

Family caregivers' lived experience of caring for hospitalised patients with cancer during the COVID‐19 lockdown: A descriptive phenomenological study

Ma¹,

Zhao²,

et al. 2023

Journal of Clinical Nursing

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AimsThis study aimed to capture and explore family caregivers' lived experience of caring for hospitalised patients with cancer during the lockdown.BackgroundThe unprecedented lockdown episodes due to COVID‐19 have brought significant changes in the hospital visiting policies and caregiving practices. As part of the precautionary measures for hospital visits, the bedside companion was restricted to one caregiver for patients with cancer in Shanghai hospitals.DesignThis study adopted a descriptive phenomenological approach.MethodsData were collected among 20 family caregivers recruited from the Oncology department of a tertiary hospital in Shanghai in May 2022, using purposive sampling method and followed by unstructured, open‐ended interviews. Colaizzi's seven‐step data analysis method was used to analyse the data to reveal the emergent themes and subthemes of the phenomenon.ResultsFour themes were generated on family caregivers' lived experience of caring for hospitalised patients with cancer during the lockdown, including (1) Feeling scared for the patient; (2) Living a life feeling trapped under COVID‐19 surveillance; (3) Feeling neglected and unseen; (4) Growing resilience and appreciation.ConclusionsThe lockdown exacerbated the burden of family caregivers when they cared for the hospitalised patients with cancer during the lockdown period. However, positive reframing of the lived experience facilitated their coping with the challenging situation.Relevance to Clinical PracticeFindings from this study highlighted the potential proactive roles the healthcare providers could play in improving family caregivers' health and supporting them during and beyond the COVID‐19 pandemic.Reporting MethodThe study adhered to relevant EQUATOR guidelines; the study was reported according to the COREQ checklist.Patient or Public ContributionFamily caregivers of patients with cancer were involved in data collection and member‐checking of the transcripts and interpretations of their experiences.

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“…Patients were identified and recruited based on their health status at follow-up visits in the past year. The patient is in a stable survivorship phase and is not in urgent need of surgery or radiotherapy ( 29 ). The study received ethical approval from the Shanghai Health and Health Development Research Center (Shanghai Institute of Medical Science and Technology Information) under protocol number SHDRC2022005.…”

Section: Methodsmentioning

confidence: 99%

Unmet supportive care needs and associated factors: Evidence from 4195 cancer survivors in Shanghai, China

Chen

et al. 2022

Front. Oncol.

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BackgroundCancer survivors at different stages of life often have different needs that make it challenging for services to provide satisfactory care. Few studies have considered whether services are truly meeting the needs of cancer patients by exploring and identifying their perspectives on unmet needs.ObjectiveThe aim of this study was to identify the unmet needs of cancer survivors and to further determine the potential impact of socio-demographic factors.MethodsA cross-sectional study that included 4195 cancer patients was conducted in Shanghai, China. Using Maslow’s hierarchy of needs theory as a conceptual framework, the questionnaire included five dimensions: information, life and finances, continuing care, emotions, and self-actualization. Correlation analysis and ordered logistic regression analysis was used to explore the relationship between demographic sociological factors and unmet needs for supportive care.ResultsThe most common unmet supportive care needs include information needs (2.91 ± 1.32), self-actualization needs (2.69 ± 1.32) and continuing care needs (2.59 ± 1.30). Unmet needs for life and finances were more pronounced among cancer participants in the 45-69 age group. After adjusting for confounders, we found that each 6-month increase in the time since diagnosis was associated with a 0.8% (OR: 0.992, 95% CI: 0.985-0.998) reduction in high need for continuing care and a 0.9% (OR:0.991, 95% CI: 0.983-0.999) reduction in high need for self-actualization, respectively.ConclusionsInformation needs are the most important concern among the diverse unmet needs of cancer survivors. Time since diagnosis is associated with unmet supportive care needs of cancer survivors. The findings highlight the large gap between actual health services and patients’ unmet need for supportive care, which will provide the basis for a patient-centered supportive care system for cancer survivors.

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Needs of cancer patients during the SARS-CoV-2 Omicron lockdown: A population-based survey in Shanghai, China

Cited by 6 publications

References 31 publications

Dynamic zero-COVID policy and healthcare utilization patterns in China during the Shanghai COVID-19 Omicron outbreak

Dynamic zero-COVID policy and healthcare utilization patterns in China during the Shanghai COVID-19 Omicron outbreak

Family caregivers' lived experience of caring for hospitalised patients with cancer during the COVID‐19 lockdown: A descriptive phenomenological study

Unmet supportive care needs and associated factors: Evidence from 4195 cancer survivors in Shanghai, China

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