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Resilience in the Face of Pandemic: The Impact of COVID-19 on the Psychologic Morbidity and Health-Related Quality of Life Among Women With Ovarian Cancer.
Javellana, Melissa; Hlubocky, Fay J; Somasegar, Sahana; Sorkin, Mia; Kurnit, Katherine C; Jani, Ina; Stock, Elizabeth; Mills, Kathryn; Lengyel, Ernst; Lee, Nita K.
  • Javellana M; The University of Chicago Medicine, Department of Gynecology/ Obstetrics, Section of Gynecologic Oncology, Chicago, IL.
  • Hlubocky FJ; The University of Chicago Medicine, Department of Gynecology/ Obstetrics, Section of Gynecologic Oncology, Chicago, IL.
  • Somasegar S; Department of Medicine, Section of Hematology/Oncology, MacLean Center for Clinical Medical Ethics, Cancer Research Center, Supportive Oncology Program, Chicago, IL.
  • Sorkin M; The University of Chicago Medicine, Department of Gynecology/ Obstetrics, Section of Gynecologic Oncology, Chicago, IL.
  • Kurnit KC; The University of Chicago Medicine, Department of Gynecology/ Obstetrics, Section of Gynecologic Oncology, Chicago, IL.
  • Jani I; The University of Chicago Medicine, Department of Gynecology/ Obstetrics, Section of Gynecologic Oncology, Chicago, IL.
  • Stock E; The University of Chicago Medicine, Department of Gynecology/ Obstetrics, Section of Gynecologic Oncology, Chicago, IL.
  • Mills K; The University of Chicago Medicine, Department of Gynecology/ Obstetrics, Section of Gynecologic Oncology, Chicago, IL.
  • Lengyel E; The University of Chicago Medicine, Department of Gynecology/ Obstetrics, Section of Gynecologic Oncology, Chicago, IL.
  • Lee NK; The University of Chicago Medicine, Department of Gynecology/ Obstetrics, Section of Gynecologic Oncology, Chicago, IL.
JCO Oncol Pract ; 18(6): e948-e957, 2022 06.
Article in English | MEDLINE | ID: covidwho-1705364
ABSTRACT

PURPOSE:

The COVID-19 pandemic has created new challenges for ovarian cancer survivors. This study aims to evaluate the psychologic morbidity and alterations in medical care caused by the pandemic.

METHODS:

Advanced-stage ovarian cancer survivors at our institution were contacted for participation in a cross-sectional telephone-based quantitative survey study assessing pandemic-related psychologic morbidity. Psychologic domains using validated measures were explored health-related quality of life (HRQOL; functional assessment of cancer therapy [FACT-G7]), anxiety (generalized anxiety disorder-7 [GAD7]), depression (Patient Health Questionnarie-2 [PHQ2]), global health Patient-Reported Outcomes Measurement Information System - Global Physical Health/Global Mental Health (PROMIS-GMH/GPH), resilience (brief resilience scale), and loneliness (English Longitudinal Study on Aging). Novel COVID-19 pandemic questions were drawn from a larger survey developed in our department.

RESULTS:

Fifty-nine percent (61 of 104) of contacted patients completed the survey. One quarter of respondents had high resilience, with only 10% reporting low resilience. Only one patient screened positive for depression, and two for anxiety. Increased loneliness was reported by 43% of respondents. Patients' overall HRQOL was good (median = 21; range = 6-28). Few patients experienced treatment delays, with only four experiencing chemotherapy interruption and two reporting surgical delays. Multiple regression analyses revealed that high FACT-G7 HRQOL was predicted by age > 65 years, high self-reported mental health, high resilience, and being off chemotherapy. Lower COVID-19 concern was predicted by recurrent cancer and high resilience.

CONCLUSION:

Despite the far-reaching impact of the COVID-19 pandemic, ovarian cancer survivors' HRQOL has been maintained. Older age, high resilience, high mental health, and being off chemotherapy predicted better HRQOL. Ovarian cancer survivors remain resilient in the face of the pandemic, and the support of clinicians to preserve this invaluable personal resource is critical for well-being.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Ovarian Neoplasms / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Aged / Female / Humans Language: English Journal: JCO Oncol Pract Year: 2022 Document Type: Article Affiliation country: Op.21.00514

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Ovarian Neoplasms / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Long Covid Limits: Aged / Female / Humans Language: English Journal: JCO Oncol Pract Year: 2022 Document Type: Article Affiliation country: Op.21.00514