Psychosocial Implications of COVID-19 on Head and Neck Cancer

Dermody, Sarah M.; Shuman, Andrew G.

doi:10.3390/curroncol29020090

Cited by 6 publications

(4 citation statements)

References 37 publications

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“…The COVID-19 pandemic has been connected with numerous changes in treatment of many patient groups, such as for cancer [ 1 ] and psychiatry patients [ 2 ]. These pandemic effects on the availability and accessibility of healthcare appears to very intensively induce challenges in shared-decision-making (SDM) [ 3 , 4 ], moral distress for healthcare providers, and decisional problems for patients [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Differences in Stakeholders’ Perception of the Impact of COVID-19 on Clinical Care and Decision-Making

Haier

Beller

Adorjan

et al. 2022

Cancers

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Background: Pandemics are related to changes in clinical management. Factors that are associated with individual perceptions of related risks and decision-making processes focused on prevention and vaccination, but perceptions of other healthcare consequences are less investigated. Different perceptions of patients, nurses, and physicians on consequences regarding clinical management, decisional criteria, and burden were compared. Study Design: Cross-sectional OnCoVID questionnaire studies. Methods: Data that involved 1231 patients, physicians, and nurses from 11 German institutions that were actively involved in clinical treatment or decision-making in oncology or psychiatry were collected. Multivariate statistical approaches were used to analyze the stakeholder comparisons. Results: A total of 29.2% of professionals reported extensive changes in workload. Professionals in psychiatry returned severe impact of pandemic on all major aspects of their clinical care, but less changes were reported in oncology (p < 0.001). Both patient groups reported much lower recognition of treatment modifications and consequences for their own care. Decisional and pandemic burden was intensively attributed from professionals towards patients, but less in the opposite direction. Conclusions: All of the groups share concerns about the impact of the COVID-19 pandemic on healthcare management and clinical processes, but to very different extent. The perception of changes is dissociated in projection towards other stakeholders. Specific awareness should avoid the dissociated impact perception between patients and professionals potentially resulting in impaired shared decision-making.

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Section: Introductionmentioning

confidence: 99%

Differences in Stakeholders’ Perception of the Impact of COVID-19 on Clinical Care and Decision-Making

Haier

Beller

Adorjan

et al. 2022

Cancers

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“…35 However, the long-term impact of the pandemic, in relation to organic and mental burden among HN patients who suffered from delays is yet to be elucidated. 36 Until now, lessons learned to maximize outcomes have been described in the current literature. During the pandemic, Han et al proposed a paradigm shift in HN cancer management.…”

Section: Discussionmentioning

confidence: 99%

Trends of Microsurgical Head and Neck Free Flap Reconstruction and Safety during the COVID-19 Pandemic

Bustos,

Elmer,

Veeramani

et al. 2024

J Reconstr Microsurg Open

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Background: The COVID-19 pandemic poses unprecedented challenges among patients with head and neck (HN) cancer that require oncologic and reconstructive surgeries. This study aims to identify differences in postoperative outcomes for patients who underwent microsurgical HN free flap reconstruction prior to vs. during the COVID-19 pandemic. Methods: A retrospective observational study using the ACS-NSQIP 2019-2020 database to identify patients with HN cancer who underwent a vascularized free tissue transfer was undertaken. Two cohorts were created: pre- and during COVID-19. Fisher’s exact test and the unpaired student’s t-test were used to evaluate differences in sociodemographic and clinical characteristics between the cohorts. Multivariable logistic regression was used to assess differences in reoperation rates between groups, as well as to identify potential risk factors for reoperation. Results: A total of 763 patients were analyzed. The mean age of patients in the overall cohort was 63.6 SD 11.5 years. Most patients were white (62.7%). Overall, no statistically significant difference was evidenced between cohorts in terms of immediate postoperative outcomes. Similarly, reoperation rates were similar between groups(p>0.05). Dependent functional status(p=0.021) and postoperative infection(p<0.001) were found to be risk factors for reoperation after holding other factors constant. Conclusion: HN flap reconstruction can be performed safely during the COVID-19 era. Standardized protocols for patient selection must be strictly followed to avoid disease progression and optimize surgical outcomes. Further studies assessing long-term outcomes during the pandemic are of utmost importance to elucidate the true impact of the COVID-19 pandemic on this population.

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“…An explanation for the negative and positive effects of the COVID-19 pandemic among subgroups of HNC survivors might be an altered and unequal access to follow-up or supportive care during the COVID-19 pandemic [7,8,17,38,39]. Among colorectal cancer survivors in follow-up care during the COVID-19 pandemic, role, emotional and social functioning, fatigue, sleep disturbance, and anxiety was worse in those survivors who had hospital visits canceled, postponed, or changed into digital care, compared with survivors without changes in their cancer care planning [13].…”

Section: Discussionmentioning

confidence: 99%

The impact of the COVID-19 pandemic on health related quality of life in head and neck cancer survivors: an observational cohort study

Lissenberg‐Witte

Jansen

Jong

et al. 2023

Preprint

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Background:Physical, psychological, and social aspects of health-related quality of life (HRQOL) among head and neck cancer (HNC) survivors may be more affected during the COVID-19 pandemic than before the pandemic. However, the impact is not yet understood well.<br />Methods:Prospectively collected data from the NETherlands QUality of life and BIomedical Cohort study in HNC were used. All patients were diagnosed and treated before the COVID-19 pandemic. Patient reported outcome measures (PROMs) collected 24 and 36 months after treatment (M24 and M36) were compared between survivors who completed both assessments before the COVID-19 pandemic and those who completed M24 before but M36 during the pandemic. Personal, clinical, physical, psychological, social, and lifestyle characteristics of the survivors assessed at baseline or M24 were investigated as potential effect modifiers.<br />Results:In total, 318 HNC survivors were included, of which 199 completed both M24 and M36 before the COVID-19 pandemic and 119 completed M24 before but M36 during the pandemic. Changes in HRQOL between 24 and 36 months follow-up did not differ between the two groups for any of the PROMs. However, in some subgroups of HNC survivors the COVID-19 pandemic negatively affected the course of HRQOL for several PROMs while it positively affected the course of HRQOL for other PROMs.<br />Conclusions:The COVID-19 pandemic did not affect HRQOL in HNC survivors in general, but some subgroups were affected in a positive and others in a negative way.<br />Funding:This work was supported by the Dutch Cancer Society [grant number VU 2013–5930] and the Dutch Cancer Society, Alpe Young Investigator Grant [grant number 12820].

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Psychosocial Implications of COVID-19 on Head and Neck Cancer

Cited by 6 publications

References 37 publications

Differences in Stakeholders’ Perception of the Impact of COVID-19 on Clinical Care and Decision-Making

Differences in Stakeholders’ Perception of the Impact of COVID-19 on Clinical Care and Decision-Making

Trends of Microsurgical Head and Neck Free Flap Reconstruction and Safety during the COVID-19 Pandemic

The impact of the COVID-19 pandemic on health related quality of life in head and neck cancer survivors: an observational cohort study

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