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    Impact of the COVID-19 Pandemic on Cancer Care: A Global Collaborative Study

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    Author
    Jazieh, Abdul Rahman
    Akbulut, Hakan
    Curigliano, Giuseppe
    Rogado, Alvaro
    Alsharm, Abdullah Ali
    Razis, Evangelia D.
    Mula-Hussain, Layth
    Errihani, Hassan
    Khattak, Adnan
    De Guzman, Roselle B.
    Mathias, Clarissa
    Alkaiyat, Mohammad Omar Farouq
    Jradi, Hoda
    Rolfo, Christian
    Show allShow less

    Date
    2020-09-01
    Journal
    JCO Global Oncology
    Publisher
    American Society of Clinical Oncology
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1200/GO.20.00351
    Abstract
    PURPOSE: The COVID-19 pandemic affected health care systems globally and resulted in the interruption of usual care in many health care facilities, exposing vulnerable patients with cancer to significant risks. Our study aimed to evaluate the impact of this pandemic on cancer care worldwide. METHODS: We conducted a cross-sectional study using a validated web-based questionnaire of 51 items. The questionnaire obtained information on the capacity and services offered at these centers, magnitude of disruption of care, reasons for disruption, challenges faced, interventions implemented, and the estimation of patient harm during the pandemic. RESULTS: A total of 356 centers from 54 countries across six continents participated between April 21 and May 8, 2020. These centers serve 716,979 new patients with cancer a year. Most of them (88.2%) reported facing challenges in delivering care during the pandemic. Although 55.34% reduced services as part of a preemptive strategy, other common reasons included an overwhelmed system (19.94%), lack of personal protective equipment (19.10%), staff shortage (17.98%), and restricted access to medications (9.83%). Missing at least one cycle of therapy by > 10% of patients was reported in 46.31% of the centers. Participants reported patient exposure to harm from interruption of cancer-specific care (36.52%) and noncancer-related care (39.04%), with some centers estimating that up to 80% of their patients were exposed to harm. CONCLUSION: The detrimental impact of the COVID-19 pandemic on cancer care is widespread, with varying magnitude among centers worldwide. Additional research to assess this impact at the patient level is required.
    Keyword
    Cancer--Patients
    Cancer--Treatment
    COVID-19
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/13873
    ae974a485f413a2113503eed53cd6c53
    10.1200/GO.20.00351
    Scopus Count
    Collections
    UMB Coronavirus Publications
    UMB Open Access Articles

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