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Covid-19 related oncologist's concerns about breast cancer treatment delays and physician well-being (the CROWN study).
Yao, Katharine A; Attai, Deanna; Bleicher, Richard; Kuchta, Kristine; Moran, Meena; Boughey, Judy; Wilke, Lee G; Dietz, Jill R; Stevens, Randy; Pesce, Catherine; Kopkash, Katherine; Kurtzman, Scott; Sarantou, Terry; Victorson, David.
  • Yao KA; Division of Surgical Oncology, Department of Surgery, Clinical Professor of Surgery, Pritzker School of Medicine, NorthShore University HealthSystem, University of Chicago, 2650 Ridge Ave, Evanston, IL, 60201, USA. kyao@northshore.org.
  • Attai D; Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, Westwood, CA, USA.
  • Bleicher R; Division of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA.
  • Kuchta K; Biostatistical Core, NorthShore University HealthSystem Research Institute, Evanston, IL, USA.
  • Moran M; Yale Medicine, New Haven, CT, USA.
  • Boughey J; Department of Surgery, Mayo Clinic, Rochester, MN, USA.
  • Wilke LG; Department of Surgery, University of Wisconsin, Madison, WI, USA.
  • Dietz JR; Case Western Reserve University, Cleveland, OH, USA.
  • Stevens R; White Plains Hospital Center for Cancer Care, Westchester, NY, USA.
  • Pesce C; Division of Surgical Oncology, Department of Surgery, Clinical Professor of Surgery, Pritzker School of Medicine, NorthShore University HealthSystem, University of Chicago, 2650 Ridge Ave, Evanston, IL, 60201, USA.
  • Kopkash K; Division of Surgical Oncology, Department of Surgery, Clinical Professor of Surgery, Pritzker School of Medicine, NorthShore University HealthSystem, University of Chicago, 2650 Ridge Ave, Evanston, IL, 60201, USA.
  • Kurtzman S; Waterbury Hospital, Waterbury, CT, USA.
  • Sarantou T; Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA.
  • Victorson D; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Breast Cancer Res Treat ; 186(3): 625-635, 2021 Apr.
Article in English | MEDLINE | ID: covidwho-1053039
Semantic information from SemMedBD (by NLM)
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Study
Predicate
USES
Object
Prosthese
2. Physicians TREATS Patients
Subject
Physicians
Predicate
TREATS
Object
Patients
3. COVID-19 CAUSES patient care
Subject
COVID-19
Predicate
CAUSES
Object
patient care
4. Anxiety PROCESS_OF Physicians
Subject
Anxiety
Predicate
PROCESS_OF
Object
Physicians
5. COVID-19 PROCESS_OF Physicians
Subject
COVID-19
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PROCESS_OF
Object
Physicians
6. IMPACT gene ASSOCIATED_WITH Anxiety
Subject
IMPACT gene
Predicate
ASSOCIATED_WITH
Object
Anxiety
7. IMPACT gene ASSOCIATED_WITH Sleep disturbances
Subject
IMPACT gene
Predicate
ASSOCIATED_WITH
Object
Sleep disturbances
8. mental health PROCESS_OF Physicians
Subject
mental health
Predicate
PROCESS_OF
Object
Physicians
9. IMPACT gene ASSOCIATED_WITH COVID-19
Subject
IMPACT gene
Predicate
ASSOCIATED_WITH
Object
COVID-19
10. Study USES Prostheses, Dental, Fixed, Crown, Total, Temporary
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Study
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USES
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Prostheses, Dental, Fixed, Crown, Total, Temporary
11. Physicians TREATS Patients
Subject
Physicians
Predicate
TREATS
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Patients
12. COVID-19 CAUSES patient care
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COVID-19
Predicate
CAUSES
Object
patient care
13. Anxiety PROCESS_OF Physicians
Subject
Anxiety
Predicate
PROCESS_OF
Object
Physicians
14. COVID-19 PROCESS_OF Physicians
Subject
COVID-19
Predicate
PROCESS_OF
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Physicians
15. IMPACT gene ASSOCIATED_WITH Anxiety
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IMPACT gene
Predicate
ASSOCIATED_WITH
Object
Anxiety
16. IMPACT gene ASSOCIATED_WITH Sleep disturbances
Subject
IMPACT gene
Predicate
ASSOCIATED_WITH
Object
Sleep disturbances
17. mental health PROCESS_OF Physicians
Subject
mental health
Predicate
PROCESS_OF
Object
Physicians
18. IMPACT gene ASSOCIATED_WITH COVID-19
Subject
IMPACT gene
Predicate
ASSOCIATED_WITH
Object
COVID-19
ABSTRACT

PURPOSE:

To examine how treatment delays brought on by the COVID-19 pandemic impacted the physical and emotional well-being of physicians treating these patients.

METHODS:

A cross-sectional survey of physician breast specialists was posted from April 23rd to June 11th, 2020 on membership list serves and social media platforms of the National Accreditation Program for Breast Centers and the American Society of Breast Surgeons. Physician well-being was measured using 6 COVID-19 burnout emotions and the 4-item PROMIS short form for anxiety and sleep disturbance. We examined associations between treatment delays and physician well-being, adjusting for demographic factors, COVID-19 testing and ten COVID-19 pandemic concerns.

RESULTS:

870 physicians completed the survey, 61% were surgeons. The mean age of physicians was 52 and 548 (63.9%) were female. 669 (79.4%) reported some delay in patient care as a result of the COVID-19 pandemic. 384 (44.1%) and 529 (60.8%) of physicians scored outside normal limits for anxiety and sleep disturbance, respectively. After adjusting for demographic factors and COVID-19 testing, mean anxiety and COVID-19 burnout scores were significantly higher among physicians whose patients experienced either delays in surgery, adjuvant chemotherapy, radiation, breast imaging or specialty consultation. A multivariable model adjusting for ten physician COVID-19 concerns and delays showed that "delays will impact my emotional well-being" was the strongest concern associated with anxiety, sleep disturbance and COVID-19 burnout factors.

CONCLUSIONS:

Breast cancer treatment delays during the initial surge of the COVID-19 pandemic in the United States were associated with a negative impact on physician emotional wellness.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Breast Neoplasms / Burnout, Professional / Time-to-Treatment / Oncologists / COVID-19 Type of study: Prevalence study / Prognostic study / Qualitative research / Randomized controlled trials / Risk factors Limits: Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: Breast Cancer Res Treat Year: 2021 Document Type: Article Affiliation country: S10549-021-06101-1

Full text: Available Collection: International databases Database: MEDLINE Main subject: Breast Neoplasms / Burnout, Professional / Time-to-Treatment / Oncologists / COVID-19 Type of study: Prevalence study / Prognostic study / Qualitative research / Randomized controlled trials / Risk factors Limits: Female / Humans / Male / Middle aged Country/Region as subject: North America Language: English Journal: Breast Cancer Res Treat Year: 2021 Document Type: Article Affiliation country: S10549-021-06101-1