Systemic treatment of patients with solid tumors during the COVID-19 (SARS-CoV-2) pandemic — comprehensive recommendations of the Polish Society of Clinical Oncology

Wysocki, Piotr J.; Kwinta, Łukasz; Potocki, Paweł; Konopka, Kamil; Streb, Joanna; Wojtukiewicz, Marek Z.; Radecka, Barbara; Tomczak, Piotr; Jarząb, Michał; Kawecki, Andrzej; Krzakowski, Maciej

doi:10.5603/ocp.2020.0012

Cited by 9 publications

(9 citation statements)

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“…Moreover, COVID-19 affects physical and mental health in medical professionals and oncological patients [ 7 , 8 , 9 ]. The oncological treatment and diagnostic guidelines had to be reviewed and tailored to the new reality [ 10 ]. Since the beginning of the pandemic, the invention of the vaccine has been the main focus of research.…”

Section: Introductionmentioning

confidence: 99%

Attitudes of Patients with Cancer towards Vaccinations—Results of Online Survey with Special Focus on the Vaccination against COVID-19

et al. 2021

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Recently developed COVID-19 vaccines significantly reduce the risk of severe coronavirus disease, which is essential in the particularly vulnerable cancer patient population. There is a growing anti-vaccine concern that may affect the success of the fight against the SARS-CoV2 pandemic. To evaluate opinions and attitudes toward vaccination, we conducted an anonymous online survey among Polish patients diagnosed with cancer. We analyzed how socio-demographic factors, type of cancer, comorbidities, previous influenza vaccinations, and information sources affect the general willingness and opinions about vaccinations, emphasizing vaccination against COVID-19. Six hundred thirty-five patients (80.2% female) participated in the study. A positive attitude towards vaccination was presented by 73.7%, neutral by 17.8%, while negative by 8.5%. Willingness to get vaccinated was declared by 60.3%, 23.5% were unwilling, and 16.2% were undecided. Significant predictors of willingness were education, marital status, active anti-cancer treatment, previous influenza vaccination, and positive attitude towards vaccinations. Patients with cancer have concerns regarding safety, effectiveness, and the process of development of the COVID-19 vaccine. Overall, patients with cancer present positive attitudes towards COVID-19 vaccination but required sufficient information on its efficacy and side effects.

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Section: Introductionmentioning

confidence: 99%

Attitudes of Patients with Cancer towards Vaccinations—Results of Online Survey with Special Focus on the Vaccination against COVID-19

et al. 2021

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“…Regarding systemic treatment, changes consisted of delaying treatment, modifying chemotherapy regimens, prolonging intervals between treatment cycles or even terminating therapy. 2–6 One of the most important changes was the transformation of some hospitals into locales dedicated only to patients infected with SARS-CoV-2. As a result, many patients with cancer were forced to change their location of receiving systemic treatment.…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 on anxiety levels among patients with cancer actively treated with systemic therapy

et al. 2020

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BackgroundLife-threatening diseases have a negative impact on emotional well-being and psychosocial functioning. This study aimed to assess the relationship between the level of anxiety caused by a neoplasm and the threat of coronavirus infection among patients with cancer actively treated with systemic therapy during the COVID-19 pandemic. Additionally, we searched for clinical factors associated with a higher level of anxiety.MethodsIn this multicentre, prospective, non-interventional study conducted in Poland, we enrolled 306 actively treated patients with cancer and collected their clinical data, including age, gender, cancer type and treatment intention. The fear/anxiety of SARS-CoV-2 were rated in Fear of COVID-19 Scale (SRA-FCV-19S) and Numerical Anxiety Scale (SRA-NAS). The fear and anxiety associated with cancer (CRA) were rated with the NAS (CRA-NAS).ResultsThe mean level of SRA-FCV-19S was 18.5±7.44, which was correlated with the SRA-NAS (r=0.741, p<0.001). SRA-FCV-19S was significantly higher in women versus men (20.18±7.56 vs 16.54±6.83; p<0.001) and was tumour type-dependent (p=0.037), with the highest anxiety observed in patients with breast cancer (17.63±8.75). In the multivariate analysis, only the female gender was significantly associated with higher SRA. CRA-NAS was higher in women versus men (7.07±2.99 vs 5.47±3.01; p<0.001), in patients treated with curative versus palliative intention (7.14±3.06 vs 5.99±3.06; p=0.01) and in individuals aged ≤65 years versus >65 years (6.73±2.96 vs 5.66±3.24; p=0.007).ConclusionsFor an actively treated patient with cancer, cancer remains the main life-threatening disease during the COVID-19 pandemic. The need for more attentive psychological care should be provided especially to female patients, patients with breast cancer, those under 65 years of age and treated with curative intention, as these factors are associated with a higher level of anxiety.

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“…However, in palliative treatment, it is possible to modify the patterns and doses depending on the individual situation. Decisions should be made by multidisciplinary teams [4][5][6]. According to the respondents, almost 3/4 of the scheduled visits (71.0%) were made on time and 24.8% were postponed, which indicates the good capacity of the Polish cancer center.…”

Section: Discussionmentioning

confidence: 99%

The impact of COVID-19 pandemic on cancer patients

Kufel-Grabowska¹,

Bartoszkiewicz²,

Litwiniuk³

2021

Polish Archives of Internal Medicine

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This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (CC BY-NC-SA 4.0), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited, distributed under the same license, and used for noncommercial purposes only.

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Systemic treatment of patients with solid tumors during the COVID-19 (SARS-CoV-2) pandemic — comprehensive recommendations of the Polish Society of Clinical Oncology

Cited by 9 publications

References 29 publications

Attitudes of Patients with Cancer towards Vaccinations—Results of Online Survey with Special Focus on the Vaccination against COVID-19

Attitudes of Patients with Cancer towards Vaccinations—Results of Online Survey with Special Focus on the Vaccination against COVID-19

Impact of COVID-19 on anxiety levels among patients with cancer actively treated with systemic therapy

The impact of COVID-19 pandemic on cancer patients

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