Abstract:Background: The COVID-19 pandemic poses significant challenges for the management of patients with cancer. In our institution we adapted our delivery of outpatient systemic anti-cancer therapy (SACT) by introducing a number of 'risk-reducing' measures including pre-assessment screening. We sought to evaluate our patients' experiences of this and to gain an insight into their perception of the risks associated with COVID-19. This is a cohort of patients who are at risk of increased morbidity and mortality and o… Show more
“…There were similar studies on the same dataset that we selected only one of them for the next phase. Finally, 34 articles [ 6 – 8 , 18 – 47 ] were included in this systematic review and of them, 16 articles [ 6 , 8 , 20 , 22 , 26 – 29 , 31 , 35 , 36 , 39 – 42 , 44 – 46 ] were considered for meta-analysis. Fig.…”
Section: Resultsmentioning
confidence: 99%
“…Eighteen of 34 studies had specified that patients with breast cancer were one of cancer types under study [ 18 , 19 , 22 , 24 , 25 , 28 – 30 , 32 , 33 , 38 , 40 , 41 , 43 – 47 ]. Hospital Anxiety and Depression Scale (HADS) was the most used questionnaire in the studies ( n = 10, 29.4%) [ 6 , 22 , 26 , 27 , 29 , 31 , 36 , 42 , 46 ]. Generalized Anxiety Disorder 7-item (GAD-7) [ 20 , 28 , 30 , 39 , 40 , 44 , 48 ], Self-Rating Anxiety Scale (SAS) [ 8 , 18 , 19 , 35 , 45 ] and Patient Health Questionnaire (PHQ-9) [ 20 , 40 , 44 , 48 ] were the other frequently used questionnaires.…”
“…There were similar studies on the same dataset that we selected only one of them for the next phase. Finally, 34 articles [ 6 – 8 , 18 – 47 ] were included in this systematic review and of them, 16 articles [ 6 , 8 , 20 , 22 , 26 – 29 , 31 , 35 , 36 , 39 – 42 , 44 – 46 ] were considered for meta-analysis. Fig.…”
Section: Resultsmentioning
confidence: 99%
“…Eighteen of 34 studies had specified that patients with breast cancer were one of cancer types under study [ 18 , 19 , 22 , 24 , 25 , 28 – 30 , 32 , 33 , 38 , 40 , 41 , 43 – 47 ]. Hospital Anxiety and Depression Scale (HADS) was the most used questionnaire in the studies ( n = 10, 29.4%) [ 6 , 22 , 26 , 27 , 29 , 31 , 36 , 42 , 46 ]. Generalized Anxiety Disorder 7-item (GAD-7) [ 20 , 28 , 30 , 39 , 40 , 44 , 48 ], Self-Rating Anxiety Scale (SAS) [ 8 , 18 , 19 , 35 , 45 ] and Patient Health Questionnaire (PHQ-9) [ 20 , 40 , 44 , 48 ] were the other frequently used questionnaires.…”
“…A 24-question semi-structured questionnaire was designed to measure clinical and sociodemographic variables and the exposure level to COVID-19. This questionnaire was designed considering possible risk factors related to elevated rates of emotional distress in cancer patients and based on previous clinical evidence (Agua et al, 2020;Letaief-Ksontini et al, 2020;Lou et al, 2020;Swainston et al, 2020;van de Poll-Franse et al, 2020;Gultekin et al, 2021;Mogami et al, 2021). The HADS (Hospital Anxiety and Depression Scale) questionnaire was used to measure variables related to psychological symptomatology.…”
Section: Data Collectionmentioning
confidence: 99%
“…The studied populations are heterogeneous (patients with cancer under active treatment or follow-up, long survivors, different types of tumors or tumor stage, etc. ), which make it difficult to compare or extrapolate conclusions (Agua et al, 2020;Letaief-Ksontini et al, 2020;Miaskowski et al, 2020;Swainston et al, 2020;. In this regard, rates of depression and anxiety in cancer patients reported during the COVID-19 pandemic vary widely between 11.8-35.3 and 9.9-69.2%, respectively (Agua et al, 2020;Letaief-Ksontini et al, 2020;Lou et al, 2020;van de Poll-Franse et al, 2020;Gultekin et al, 2021;Mogami et al, 2021).…”
Background: The COVID-19 pandemic has caused mental health problems worldwide. The psychopathological implications of COVID-19 in cancer patients have rarely been addressed. Considering the increased vulnerability of oncology patients, this issue needs to be addressed to improve the long-term mental health status of these patients.Methods: We conducted a prospective study in outpatients under active cancer treatment during the first wave of the COVID-19 pandemic. A semi-structured 24-question survey was designed to measure baseline sociodemographic, psychosocial and COVID-19 exposure characteristics. The Hospital Anxiety and Depression Scale was used to measure psychological symptoms. A descriptive and analytical univariate analysis of the variables studied was performed. We used the Z-score to compare different populations (experimental and historical control cohort).Results: 104 patients were included, the majority of which were women (64.4%), were above 65 years of age (57.7%), had either lung and breast cancer (56.7%), had advanced disease (64%) and were undergoing chemotherapy (63.5%). 51% of them expressed greater fear of cancer than of COVID-19 infection or both.In relation to HADS, 52.8% of emotional distress, 42.3% of anxiety and 58.6% of depression rates were detected. The main factors related with higher rates of psychological symptomatology were history of previous psychotropic drug consumption and the adoption of additional infection prevention measures because they considered themselves at risk of severe COVID-19 infection (p = 0.008; p = 0.003 for emotional distress, p = 0.026; p = 0.004 for anxiety, and p = 0.013; p = 0.008 for depression). Tumor type, stage, oncologic treatment or rescheduling of cancer treatments were not related to higher levels of psychological symptomatology.Comparison of our results with another population of similar characteristics was not significant (Z score = −1.88; p = 0.060).Conclusions: We detected high rates of emotional distress during the first wave of the COVID-19 pandemic among cancer patients in active treatment (52.8%). This was higher and clinically relevant than observed in a comparable population (42.5%), although not significant. Cancer itself is the main factor of concern for cancer patients, above and beyond the emotional distress generated by COVID-19 pandemic.
“…In a previous study, female participants had higher post-traumatic stress than males conducted in China during the COVID-19 outbreak [48]. Regarding the cancer population, while some studies have reported that female cancer patients had higher depression and anxiety than male during the pandemic [7,8], there has been no difference between males and females in another study [49]. Since the STAI-I was not an outcome measure in these studies, it is difficult to compare our results with these studies.…”
Purpose The primary aim was to assess supportive care needs, compliance with home exercise program, quality of life level (QOL), and anxiety level during the COVID-19 pandemic in individuals treated with hematopoietic stem cell transplantation (HSCT). The secondary aim was to investigate demographic and medical factors associated with the recorded outcomes. Methods The present study included individuals treated with HSCT and previously referred to physical therapy. The data were collected by interviews with the participants on the phone. Supportive care needs were assessed using the Supportive Care Needs Survey-Short Form 29 TR . Compliance with the exercise program was recorded as the number of patients regularly performed strengthening and stretching exercises and the ratio of the walking duration to the recommended duration. The European Cancer Research and Treatment Organization Quality of Life Questionnaire-Cancer30 was used to assess the QOL. The State-Trait Anxiety Inventory-I and the Visual Analogue Scale were used to assess anxiety level. Results The present study included 101 individuals treated with HSCT. The psychological and physical supportive care needs were predominant in participants. Compliance with exercise program was low. General anxiety level was low, yet anxiety about COVID-19 was moderate level in participants. Supportive care needs were related to female gender, performance level, time since HSCT, and QOL level (p ˂ 0.05). Anxiety level was correlated with supportive care needs, COVID-19-related anxiety, and QOL (p ˂ 0.05). Compliance with exercise program was associated with age, performance level, and QOL (p ˂ 0.05). Conclusion Our results offer that supportive telehealth interventions should be considered during the COVID-19 pandemic for individuals treated with HSCT to decrease unmet supportive care needs and isolation-related physical inactivity.
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