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Healthcare providers' attitudes towards delay in cancer treatment during COVID-19 pandemic.
Kaur, Anahat; Pergolotti, Mackenzi; Battisti, Nicolo; Krok-Schoen, Jessica L; Cabrera Chien, Leana; Canin, Beverly; Malone, Mariuxi Viteri; MacKenzie, Amy; Ali, Imran; Streck, Brennan; Shahrokni, Armin; Plotkin, Elana; Boehmer, Leigh B; BrintzenhofeSzoc, Karlynn.
  • Kaur A; Albert Einstein College of Medicine, Jacobi Medical Center, New York, United States of America. Electronic address: dr.anahatkaur@gmail.com.
  • Pergolotti M; ReVital Cancer Rehabilitation, Select Medical, United States of America.
  • Battisti N; The Royal Marsden NHS Foundation Trust, United Kingdom.
  • Krok-Schoen JL; School of Health and Rehabilitation Sciences, Ohio State University, United States of America.
  • Cabrera Chien L; City of Hope Comprehensive Cancer Center, United States of America.
  • Canin B; Cancer and Aging Research Group, United States of America.
  • Malone MV; Florida Cancer Specialists and Research Institute, United States of America.
  • MacKenzie A; Thomas Jefferson University, United States of America.
  • Ali I; Icahn School of Medicine, Mount Sinai, United States of America.
  • Streck B; Cancer and Aging Research Group, United States of America.
  • Shahrokni A; Jersey Shore University Medical Center, United States of America.
  • Plotkin E; Association of Community Cancer Centers, United States of America.
  • Boehmer LB; Association of Community Cancer Centers, United States of America.
  • BrintzenhofeSzoc K; Kent School of Social Work and Family Science, University of Louisville, United States of America.
J Geriatr Oncol ; 14(2): 101438, 2023 03.
Article in English | MEDLINE | ID: covidwho-2180511
ABSTRACT

INTRODUCTION:

The COVID-19 pandemic has created unprecedented obstacles leading to delays in treatment for older adults with cancer. Due to limited resources at the height of the pandemic, healthcare providers were constantly faced with ethical dilemmas regarding postponing or rescheduling care for their patients. MATERIALS AND

METHODS:

Two survey-based studies were conducted at different time-points during the pandemic looking at factors affecting oncology care providers' attitudes towards delay in treatment for older adults with cancer. Eligible participants were recruited by email sent through professional organizations' listservs, email blasts, and social media. Change in provider attitude over time was analyzed by comparing responses from the 2020 and 2021 surveys. Data analysis included descriptive statistics and chi-squares.

RESULTS:

In 2020, 17.5% of respondents were strongly considering/considering postponing cancer treatment for younger patients (age 30 and below), while 46.2% were considering delaying treatment for patients aged >85. These responses were in stark contrast to the results of the 2021 survey, where only 1.4% of respondents strongly considered postponing treatment for younger patients, and 13.5% for patients aged >85.

DISCUSSION:

All recommendations to postpone treatment for older adults with cancer must be made after mutual discussion with the patient. Throughout the COVID-19 pandemic, oncology care providers had to consider multiple factors while treating patients, frequently making most decisions without appropriate institutional support.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Neoplasms Type of study: Observational study / Randomized controlled trials Limits: Aged / Humans Language: English Journal: J Geriatr Oncol Year: 2023 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Neoplasms Type of study: Observational study / Randomized controlled trials Limits: Aged / Humans Language: English Journal: J Geriatr Oncol Year: 2023 Document Type: Article