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Erschienen in: Supportive Care in Cancer 4/2021

18.08.2020 | COVID-19 | Original Article Zur Zeit gratis

Oncology patients’ perceptions of and experiences with COVID-19

verfasst von: Christine Miaskowski, Steven M. Paul, Karin Snowberg, Maura Abbott, Hala Borno, Susan Chang, Lee May Chen, Bevin Cohen, Bruce A. Cooper, Marilyn J. Hammer, Stacey A. Kenfield, Angela Laffan, Jon D. Levine, Rachel Pozzar, Katy K. Tsai, Erin L. Van Blarigan, Katherine Van Loon

Erschienen in: Supportive Care in Cancer | Ausgabe 4/2021

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Abstract

Purpose

No information is available on cancer patients’ knowledge of and experiences with COVID-19. We undertook an evaluation of differences in COVID-19 symptom occurrence rates, COVID-19 testing rates, clinical care activities, knowledge of COVID-19, and use of mitigation procedures between patients who were and were not receiving active cancer treatment.

Methods

Patients enrolled were > 18 years of age; had a diagnosis of cancer; and were able to complete the emailed study survey online.

Results

Of the 174 patients who participated, 27.6% (n = 48) were receiving active treatment, 13.6% were unemployed because of COVID-19, 12.2% had been tested for COVID-19, and 0.6% had been hospitalized for COVID-19. Patients who were not on active treatment reported a higher mean number of COVID-19 symptoms (3.1 (± 4.2) versus 1.9 (± 2.6)), and patients who reported a higher number of COVID-19 symptoms were more likely to be tested. Over 55% of the patients were confident that their primary care provider could diagnose COVID-19, and the majority of the patients had high levels of adherence with the use of precautionary measures (e.g., social distancing, use of face coverings).

Conclusion

The high level of COVID-19 symptoms and the significant overlap of COVID-19 and cancer-related symptoms pose challenges for clinicians who are assessing and triaging oncology patients for COVID-19 testing. For patients on active treatment, clinicians face challenges with how to assess and manage symptoms that, prior to COVID-19, would be ascribed to acute toxicities associated with cancer treatments or persistent symptoms in cancer survivors.
Literatur
5.
Zurück zum Zitat Kuderer NM, Choueiri TK, Shah DP, Shyr Y, Rubinstein SM, Rivera DR, Shete S, Hsu CY, Desai A, de Lima Lopes G Jr, Grivas P, Painter CA, Peters S, Thompson MA, Bakouny Z, Batist G, Bekaii-Saab T, Bilen MA, Bouganim N, Larroya MB, Castellano D, Del Prete SA, Doroshow DB, Egan PC, Elkrief A, Farmakiotis D, Flora D, Galsky MD, Glover MJ, Griffiths EA, Gulati AP, Gupta S, Hafez N, Halfdanarson TR, Hawley JE, Hsu E, Kasi A, Khaki AR, Lemmon CA, Lewis C, Logan B, Masters T, McKay RR, Mesa RA, Morgans AK, Mulcahy MF, Panagiotou OA, Peddi P, Pennell NA, Reynolds K, Rosen LR, Rosovsky R, Salazar M, Schmidt A, Shah SA, Shaya JA, Steinharter J, Stockerl-Goldstein KE, Subbiah S, Vinh DC, Wehbe FH, Weissmann LB, Wu JT, Wulff-Burchfield E, Xie Z, Yeh A, Yu PP, Zhou AY, Zubiri L, Mishra S, Lyman GH, Rini BI, Warner JL, Covid CC (2020) Clinical impact of COVID-19 on patients with cancer (CCC19): a cohort study. Lancet 395(10241):1907–1918. https://doi.org/10.1016/S0140-6736(20)31187-9CrossRefPubMedPubMedCentral Kuderer NM, Choueiri TK, Shah DP, Shyr Y, Rubinstein SM, Rivera DR, Shete S, Hsu CY, Desai A, de Lima Lopes G Jr, Grivas P, Painter CA, Peters S, Thompson MA, Bakouny Z, Batist G, Bekaii-Saab T, Bilen MA, Bouganim N, Larroya MB, Castellano D, Del Prete SA, Doroshow DB, Egan PC, Elkrief A, Farmakiotis D, Flora D, Galsky MD, Glover MJ, Griffiths EA, Gulati AP, Gupta S, Hafez N, Halfdanarson TR, Hawley JE, Hsu E, Kasi A, Khaki AR, Lemmon CA, Lewis C, Logan B, Masters T, McKay RR, Mesa RA, Morgans AK, Mulcahy MF, Panagiotou OA, Peddi P, Pennell NA, Reynolds K, Rosen LR, Rosovsky R, Salazar M, Schmidt A, Shah SA, Shaya JA, Steinharter J, Stockerl-Goldstein KE, Subbiah S, Vinh DC, Wehbe FH, Weissmann LB, Wu JT, Wulff-Burchfield E, Xie Z, Yeh A, Yu PP, Zhou AY, Zubiri L, Mishra S, Lyman GH, Rini BI, Warner JL, Covid CC (2020) Clinical impact of COVID-19 on patients with cancer (CCC19): a cohort study. Lancet 395(10241):1907–1918. https://​doi.​org/​10.​1016/​S0140-6736(20)31187-9CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC (2020) Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease (COVID-19) epidemic among the general population in china. Int J Environ Res Public Health 17(5). https://doi.org/10.3390/ijerph17051729 Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC (2020) Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease (COVID-19) epidemic among the general population in china. Int J Environ Res Public Health 17(5). https://​doi.​org/​10.​3390/​ijerph17051729
13.
Zurück zum Zitat Czeisler M, Tynan MA, Howard ME, Honeycutt S, Fulmer EB, Kidder DP, Robbins R, Barger LK, Facer-Childs ER, Baldwin G, Rajaratnam SMW, Czeisler CA (2020) Public attitudes, behaviors, and beliefs related to COVID-19, stay-at-home orders, nonessential business closures, and public health guidance - United States, New York City, and Los Angeles, May 5-12, 2020. MMWR Morb Mortal Wkly Rep 69(24):751–758. https://doi.org/10.15585/mmwr.mm6924e1CrossRefPubMedPubMedCentral Czeisler M, Tynan MA, Howard ME, Honeycutt S, Fulmer EB, Kidder DP, Robbins R, Barger LK, Facer-Childs ER, Baldwin G, Rajaratnam SMW, Czeisler CA (2020) Public attitudes, behaviors, and beliefs related to COVID-19, stay-at-home orders, nonessential business closures, and public health guidance - United States, New York City, and Los Angeles, May 5-12, 2020. MMWR Morb Mortal Wkly Rep 69(24):751–758. https://​doi.​org/​10.​15585/​mmwr.​mm6924e1CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat Dai M, Liu D, Liu M, Zhou F, Li G, Chen Z, Zhang Z, You H, Wu M, Zheng Q, Xiong Y, Xiong H, Wang C, Chen C, Xiong F, Zhang Y, Peng Y, Ge S, Zhen B, Yu T, Wang L, Wang H, Liu Y, Chen Y, Mei J, Gao X, Li Z, Gan L, He C, Li Z, Shi Y, Qi Y, Yang J, Tenen DG, Chai L, Mucci LA, Santillana M, Cai H (2020) Patients with cancer appear more vulnerable to SARS-CoV-2: a multicenter study during the COVID-19 outbreak. Cancer Discov 10(6):783–791. https://doi.org/10.1158/2159-8290.Cd-20-0422CrossRefPubMedPubMedCentral Dai M, Liu D, Liu M, Zhou F, Li G, Chen Z, Zhang Z, You H, Wu M, Zheng Q, Xiong Y, Xiong H, Wang C, Chen C, Xiong F, Zhang Y, Peng Y, Ge S, Zhen B, Yu T, Wang L, Wang H, Liu Y, Chen Y, Mei J, Gao X, Li Z, Gan L, He C, Li Z, Shi Y, Qi Y, Yang J, Tenen DG, Chai L, Mucci LA, Santillana M, Cai H (2020) Patients with cancer appear more vulnerable to SARS-CoV-2: a multicenter study during the COVID-19 outbreak. Cancer Discov 10(6):783–791. https://​doi.​org/​10.​1158/​2159-8290.​Cd-20-0422CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Karnofsky D (1977) Performance scale. Factors that influence the therapeutic response in cancer: a comprehensive treatise. Plenum Press, New York Karnofsky D (1977) Performance scale. Factors that influence the therapeutic response in cancer: a comprehensive treatise. Plenum Press, New York
20.
Zurück zum Zitat Tenforde MW, Billig Rose E, Lindsell CJ, Shapiro NI, Files DC, Gibbs KW, Prekker ME, Steingrub JS, Smithline HA, Gong MN, Aboodi MS, Exline MC, Henning DJ, Wilson JG, Khan A, Qadir N, Stubblefield WB, Patel MM, Self WH, Feldstein LR (2020) Characteristics of adult outpatients and inpatients with COVID-19 - 11 academic medical centers, United States, March-May 2020. MMWR Morb Mortal Wkly Rep 69(26):841–846. https://doi.org/10.15585/mmwr.mm6926e3CrossRefPubMedPubMedCentral Tenforde MW, Billig Rose E, Lindsell CJ, Shapiro NI, Files DC, Gibbs KW, Prekker ME, Steingrub JS, Smithline HA, Gong MN, Aboodi MS, Exline MC, Henning DJ, Wilson JG, Khan A, Qadir N, Stubblefield WB, Patel MM, Self WH, Feldstein LR (2020) Characteristics of adult outpatients and inpatients with COVID-19 - 11 academic medical centers, United States, March-May 2020. MMWR Morb Mortal Wkly Rep 69(26):841–846. https://​doi.​org/​10.​15585/​mmwr.​mm6926e3CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Lau J, Knudsen J, Jackson H, Wallach AB, Bouton M, Natsui S, Philippou C, Karim E, Silvestri DM, Avalone L, Zaurova M, Schatz D, Sun V, Chokshi DA (2020) Staying connected in the COVID-19 pandemic: telehealth at the largest safety-net system in the United States. Health Aff (Millwood):101377hlthaff202000903. doi:https://doi.org/10.1377/hlthaff.2020.00903 Lau J, Knudsen J, Jackson H, Wallach AB, Bouton M, Natsui S, Philippou C, Karim E, Silvestri DM, Avalone L, Zaurova M, Schatz D, Sun V, Chokshi DA (2020) Staying connected in the COVID-19 pandemic: telehealth at the largest safety-net system in the United States. Health Aff (Millwood):101377hlthaff202000903. doi:https://​doi.​org/​10.​1377/​hlthaff.​2020.​00903
24.
Zurück zum Zitat Al-Shamsi HO, Alhazzani W, Alhuraiji A, Coomes EA, Chemaly RF, Almuhanna M, Wolff RA, Ibrahim NK, Chua MLK, Hotte SJ, Meyers BM, Elfiki T, Curigliano G, Eng C, Grothey A, Xie C (2020) A practical approach to the management of cancer patients during the novel coronavirus disease 2019 (COVID-19) pandemic: An international collaborative group. Oncologist. 25:e936–e945. https://doi.org/10.1634/theoncologist.2020-0213CrossRefPubMedPubMedCentral Al-Shamsi HO, Alhazzani W, Alhuraiji A, Coomes EA, Chemaly RF, Almuhanna M, Wolff RA, Ibrahim NK, Chua MLK, Hotte SJ, Meyers BM, Elfiki T, Curigliano G, Eng C, Grothey A, Xie C (2020) A practical approach to the management of cancer patients during the novel coronavirus disease 2019 (COVID-19) pandemic: An international collaborative group. Oncologist. 25:e936–e945. https://​doi.​org/​10.​1634/​theoncologist.​2020-0213CrossRefPubMedPubMedCentral
Metadaten
Titel
Oncology patients’ perceptions of and experiences with COVID-19
verfasst von
Christine Miaskowski
Steven M. Paul
Karin Snowberg
Maura Abbott
Hala Borno
Susan Chang
Lee May Chen
Bevin Cohen
Bruce A. Cooper
Marilyn J. Hammer
Stacey A. Kenfield
Angela Laffan
Jon D. Levine
Rachel Pozzar
Katy K. Tsai
Erin L. Van Blarigan
Katherine Van Loon
Publikationsdatum
18.08.2020
Verlag
Springer Berlin Heidelberg
Schlagwort
COVID-19
Erschienen in
Supportive Care in Cancer / Ausgabe 4/2021
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-020-05684-7

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