Cancer care during and after the pandemic

Neal, Richard D; Nekhlyudov, Larissa; Wheatstone, Pete; Koczwara, Bogda

doi:10.1136/bmj.m2622

Cited by 20 publications

(20 citation statements)

References 11 publications

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“…Efforts should rstly be placed on restoring cancer services with the prioritisation of screening, early detection and diagnosis according to patients COVID-19 and cancer risk. As primary care is focal to diagnosis, it is vital that patients with symptoms are encouraged, and therefore feel comfortable with seeking medical help and are assessed in a timely manner [41]. Remote consulting comes with many communication challenges for example, 'missed cues.'…”

Section: Discussionmentioning

confidence: 99%

Cancer Services During the COVID-19 Pandemic: Systematic Review of Patients’ and Caregivers’ Experiences

Dhada

Stewart

Cheema

et al. 2021

Preprint

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Background Cancer patients have faced intersecting crises in the face of COVID-19 pandemic. This review aimed to examine patients’ and caregivers’ experiences of accessing cancer services during the COVID-19 pandemic and perceived impact of the pandemic on their psychological wellbeing.Methods A protocol-led (CRD42020214906) systematic review was conducted by searching six databases including EMBASE, MEDLINE and CINAHL for articles published in English-language between 1/2020-12/2020. Data were extracted using a pilot-tested, structured data extraction form. Thematic synthesis of data was undertaken and reported as per the PRISMA guideline. Results A total of 1110 articles were screened of which 19 studies met the inclusion criteria. Studies originated from 10 different countries including the US, UK, India and China. Several themes were identified which were categorised into seven categories. Postponement and delays in cancer screening and treatment, drug shortages and inadequate nursing care were commonly experienced by patients. Hospital closures, resource constraints, national lockdowns and patient reluctance to use health services because of infection worries contributed to the delay. Financial and social distress, isolation; and spiritual distress due to the uncertainty of rites as well as fulfilment of last wishes were also commonly reported. Caregivers felt anxious about infecting cancer patients with COVID-19. Conclusions Patients and caregivers experienced extensive impact of COVID-19 on cancer screening, treatment and care, and their own psychological wellbeing. Patient and caregiver views and preferences should be incorporated in ensuring resilient cancer services that can minimise the impact of ongoing and future pandemic on cancer care and mitigate patient fears. Protocol Registration Published protocol registered with Centre for Review and Dissemination CRD42020214906 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=214906)

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Section: Discussionmentioning

confidence: 99%

Cancer Services During the COVID-19 Pandemic: Systematic Review of Patients’ and Caregivers’ Experiences

Dhada

Stewart

Cheema

et al. 2021

Preprint

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“…Postponement of screening procedure would not only conserve resources and manpower for these facilities but also minimize patient exposure to the health care environment [13] until a time where infection spread is under control [13][14][15][16]. This also reserves facilities for patients with symptoms requiring assessment for monitoring progression or new diagnosis of cancer [17][18][19].…”

Section: Routine Precautions For Outpatientsmentioning

confidence: 99%

Cancer or COVID-19? A Review of Guidelines for Safe Cancer Care in the Wake of the Pandemic

Gundavda

2020

SN Compr. Clin. Med.

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In the wake of the COVID-19 pandemic, due to reasons beyond control, health care workers have struggled to deliver treatment for the patients with cancer. The concern for otherwise healthy patients with curable cancers that require timely intervention or therapy is the risk of contracting COVID-19 may outweigh the benefits of cancer treatment. Lack of international guidelines leaves health care providers with a case-to-case approach for delivering optimal cancer care in the wake of the pandemic. Transition to telemedicine has somewhat bridged the gap for in-office visits, but there is a continuing challenge of delays in cancer screening or significant decline of new diagnoses of cancers due to the pandemic. We aim to propose a balance in risk from treatment delay versus risks from COVID-19 with emphasis on treatment modality (surgery, radiation, and systemic therapy) as well as supportive care for cancer patients, and therefore have reviewed the publications and recommendations from international societies and study groups available as of October 2020.

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“…Since then, COVID-19 has caused serious health concerns in the treatment of cancer patients [4][5][6][7]. Quarantine protocols have been issued by the South Korean Government, including the Central Disaster and Safety Countermeasures Headquarters [3].…”

Section: Introductionmentioning

confidence: 99%

“…The guideline presented here was developed to help oncologists manage cancer patients who have a high mortality rate. Other countries have developed COVID-19-specific cancer guidelines [7][8][9]. The difference in situation and management in South Korea prompted the development of guidelines specifically for South Korean oncologists.…”

Section: Introductionmentioning

confidence: 99%

Guidelines for Cancer Care during the COVID-19 Pandemic in South Korea

et al. 2021

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At the end of 2019, the cause of pneumonia outbreaks in Wuhan, China, was identified as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. In February 2020, the World Health Organization named the disease cause by SARS-CoV-2 as coronavirus disease 2019 (COVID-19). In response to the pandemic, the Korean Cancer Association formed the COVID-19 task force to develop practice guidelines. This special article introduces the clinical practice guidelines for cancer patients which will help oncologists best manage cancer patients during the COVID-19 pandemic.

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Cancer care during and after the pandemic

Abstract: From ordeal to opportunity through innovation and cooperation

Cited by 20 publications

References 11 publications

Cancer Services During the COVID-19 Pandemic: Systematic Review of Patients’ and Caregivers’ Experiences

Cancer Services During the COVID-19 Pandemic: Systematic Review of Patients’ and Caregivers’ Experiences

Cancer or COVID-19? A Review of Guidelines for Safe Cancer Care in the Wake of the Pandemic

Guidelines for Cancer Care during the COVID-19 Pandemic in South Korea

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Cancer care during and after the pandemic

Abstract: From ordeal to opportunity through innovation and cooperation

Cited by 20 publications

References 11 publications

Cancer Services During the COVID-19&nbsp;Pandemic: Systematic Review of Patients’ and Caregivers’ Experiences

Cancer Services During the COVID-19&nbsp;Pandemic: Systematic Review of Patients’ and Caregivers’ Experiences

Cancer or COVID-19? A Review of Guidelines for Safe Cancer Care in the Wake of the Pandemic

Guidelines for Cancer Care during the COVID-19 Pandemic in South Korea

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Product

Resources

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Cancer Services During the COVID-19 Pandemic: Systematic Review of Patients’ and Caregivers’ Experiences

Cancer Services During the COVID-19 Pandemic: Systematic Review of Patients’ and Caregivers’ Experiences