BMC Health Services Research,
Год журнала:
2022,
Номер
22(1)
Опубликована: Ноя. 23, 2022
Women
undergoing
treatment
for
breast
cancer
require
frequent
clinic
visits
maintenance
of
therapy.
With
COVID-19
causing
health
care
disruptions,
it
is
important
to
learn
about
how
this
population's
access
has
changed.
This
study
compares
self-reported
utilization
and
changes
in
factors
related
among
women
treated
at
a
center
the
mid-South
US
before
during
pandemic.Participants
(N
=
306)
part
longitudinal
improve
adjuvant
endocrine
therapy
(AET)
adherence
completed
pre-intervention
baseline
surveys
their
prior
AET
initiation.
Questions
impact
were
added
after
pandemic
started
assessing
financial
loss
care.
Participants
categorized
into
three
time
periods
based
on
survey
completion
date:
(1)
pre-COVID
(December
2018
March
2020),
(2)
early
COVID
(April
2020
-
December
later
(January
2021
June
2021).
Negative
binomial
regression
analyses
used
compare
different
phases
controlling
patient
characteristics.Adjusted
indicated
office
declined
from
pre-COVID,
with
an
adjusted
average
17.7
visits,
12.1
period
(p
0.01)
9.9
<
0.01).
Hospitalizations
0.45
admissions
0.21
COVID,
vaccines
became
available
0.05).
Among
participants,
proportion
reporting
changes/gaps
insurance
coverage
increased
9.5%
participants
early-COVID
14.8%
later-COVID
The
due
was
similar
both
(34.3%
early-
37.7%
later-COVID,
p
0.72).
delaying
or
refilling
prescriptions
decreased
15.2%
4.9%
0.04).COVID-19
caused
disruptions
routine
cancer.
Patients
reported
having
fewer
start
that
continued
decrease
even
available.
Fewer
patients
in-person
as
progressed.
Current Oncology,
Год журнала:
2022,
Номер
29(6), С. 4199 - 4211
Опубликована: Июнь 10, 2022
Background:
Patients
have
had
their
cancer
care
either
postponed
or
changed
to
telehealth
visits
reduce
exposure
COVID-19.
However,
it
is
unclear
how
these
changes
may
affected
experiences.
We
aim
identify
patient
characteristics
that
affect
experiences
and
evaluate
preferences
for
using
in
the
future.
Methods:
who
completed
Outpatient
Cancer
Care
(OCC)
Patient
Experience
Survey
were
invited
participate.
They
comepleted
modified
OCC
Survey,
which
focused
on
during
pandemic.
Linear
logistic
regression
analyses
used
influenced
future
use.
Results:
Perceived
ease
of
participation
a
significant
predictor
change
patients’
ratings
experience.
found
patients
lower
if
they
older,
female,
non-white;
resided
an
urban
area;
no
previous
experience;
education;
poorer
mental
health.
Conclusions:
To
optimize
improve
equitable
access
high-quality
pandemic
beyond,
clinicians
policymakers
will
need
consider
self-reported
personal
characteristics.
Cancers,
Год журнала:
2024,
Номер
16(3), С. 602 - 602
Опубликована: Янв. 31, 2024
Little
is
known
about
how
health-related
quality
of
life
(HRQoL)
in
breast
cancer
cases
differed
from
that
controls
during
and
after
the
COVID-19
pandemic.
This
study
used
data
an
ongoing,
nationwide
HRQoL
survey
4279
newly
diagnosed
2911
to
investigate
patients
fared
different
phases
pandemic
compared
controls.
Responders
2020–2022
were
categorized
into
three
COVID-19-related
phases:
social
restrictions
phase,
high
infection
rate
post-pandemic
phase.
Across
phases,
had
significantly
worse
scores
most
domains
Apart
slightly
more
insomnia
phase
for
both
controls,
better
functioning
young
post-COVID-19
case-control
differences
remained
consistent
across
phases.
When
assessed
as
one
period,
women
those
living
with
children
<18
years
age
worst
among
cases,
while
single
In
contrast,
exhibited
than
without
children.
summary,
did
not
appear
fare
differently
terms
However,
their
other
cases.
Journal of Cancer Survivorship,
Год журнала:
2022,
Номер
17(4), С. 974 - 985
Опубликована: Дек. 13, 2022
Abstract
Purpose
Breast
cancer
(BC)
survivors
are
increasingly
interested
in
learning
about
healthy
lifestyles
to
reduce
the
risk
of
BC
recurrence
and
mortality.
The
DianaWeb
study,
a
community-based
participatory
research,
offers
patients
specific
interactive
website
help
them
adopting
maintain
correct
lifestyles,
line
with
World
Cancer
Research
Fund
recommendations.
However,
limit
spread
COVID-19
pandemic,
most
countries
introduced
restrictions
which,
inevitably,
caused
sudden
lifestyle
changes.
current
study
aimed
at
evaluating
changes
before,
during,
after
first
two
waves
pandemic.
Methods
We
used
data
224
enrolled
study.
evaluated
adherence
physical
activity
(PA)
guidelines,
Mediterranean
diet
(MD),
WCRF
recommendations,
baseline,
during
estimated
association
between
PA,
MD,
sociodemographic
characteristics,
years
from
enrolment
type
breast
cancer.
Results
As
expected,
confinement
periods,
we
observed
significant
decrease
walking
percentage
performing
vigorous
PA.
In
post-quarantine,
total
weekly
energy
expenditure
increased
significantly.
participating
for
more
than
3
were
likely
be
active.
There
no
MD
adherence.
Conclusions
Our
results
show
that
proposed
was
useful
achieving
durable
changes,
have
not
been
undermined
either
Implications
Survivors
Patient
education
is
essential
guiding
toward
improving
their
health
outcomes;
therefore,
an
like
one
by
may
improve
lifestyles.
Supportive Care in Cancer,
Год журнала:
2022,
Номер
30(12), С. 9869 - 9875
Опубликована: Окт. 15, 2022
Abstract
Purpose
During
the
COVID-19
pandemic,
teleconsultations
have
increasingly
been
used
to
reduce
physical
contact
and
thus
risk
of
infection.
This
study
investigated
how
patients
with
cancer
experienced
pandemic
they
perceived
change
from
in-person
consultations
telephone
in
an
oncology
outpatient
clinic.
The
aim
was
provide
insights
that
could
optimize
future
use
care.
Methods
qualitative
included
15
colorectal,
breast,
gynecological,
lung,
or
prostate
treated
at
clinic
Department
Clinical
Oncology
Palliative
Care,
Zealand
University
Hospital,
Denmark
June
July
2020.
Data
were
collected
through
semi-structured
individual
interviews
analyzed
by
thematic
analysis.
Results
Patients
social,
psychological,
organizational
consequences
related
their
Not
all
comfortable
consultations.
Six
themes
identified:
(1)
double
burden
as
a
consequence
simultaneous
(2)
parameters
for
patient
satisfaction
consultations,
(3)
importance
relatives
attending
(4)
loss
information
nuances
during
(5)
impact
physicians’
language
communicative
skills
(6)
patients’
suggestions
Conclusion
Beyond
it
is
important
hospitals
offering
involve
preferences,
consider
which
solution
suitable,
technology
use,
prepare
relatives,
physicians
necessary
skills.
International Journal of Environmental Research and Public Health,
Год журнала:
2023,
Номер
20(5), С. 4163 - 4163
Опубликована: Фев. 25, 2023
Cancer
patients
are
at
a
high
risk
for
COVID
infection
and
its
corresponding
impacts
on
treatment
delay,
social
isolation,
psychological
distress.
Hispanic
breast
cancer
may
be
more
vulnerable
due
to
lack
of
resources
language
barriers,
widening
disparities
in
care.
This
qualitative
study
explored
the
challenges
obstacles
care
during
pandemic
among
27
females
from
United
States–Mexico
border
region.
Data
were
collected
via
individual
in-depth
interviews
analyzed
using
thematic
analysis.
The
majority
participants
interviewed
Spanish.
More
than
half
(55.6%,
n
=
15)
diagnosed
with
within
prior
year
interview.
One-third
(33.3%,
9)
reported
that
somewhat
greatly
impacted
their
Study
findings
revealed
potential
barriers
multiple
levels
(e.g.,
medical,
psychosocial,
financial
level)
pandemic.
Five
major
themes
include:
(1)
delays
testing
access
care;
(2)
fear
infection;
(3)
isolation
reduced
support;
(4)
navigating
treatments
alone;
(5)
hardships.
Our
highlight
importance
health
practitioners
understand
various
encountered
by
underserved
COVID.
Screening
distress
exploring
approaches
expand
support
address
these
discussed.
The
COVID-19
pandemic
resulted
in
a
lapse
routine
health
care
and
cancer
screenings
for
many
individuals.
This
study
sought
to
improve
our
understanding
of
the
impact
on
women
being
treated
breast
cancer,
both
general,
specifically
related
their
diagnosis.Semi-structured
interviews
were
conducted
between
August
2021
February
2022
with
who
receiving
neoadjuvant
chemotherapy
early-stage
at
Stefanie
Spielman
Comprehensive
Breast
Center
Columbus,
Ohio.
Interviews
recorded
transcribed
verbatim.
Transcripts
coded
using
deductive
dominant
thematic
analysis
inductive
coding
that
allowed
categorization
data
as
well
identification
emergent
themes.Data
collected
from
19
revealed
posed
important
challenges
patients
including
fear
infection
feelings
isolation.
Most
interviewees
noted
they
had
been
vaccinated
against
because
desire
protect
themselves
others
getting
sick.
Some
also
expressed
concerns
about
having
delayed
screening
mammograms
due
pandemic.
Several
described
unexpected
positive
aspects
such
able
spend
more
time
family
ability
continue
working
option
work
home
during
treatment.Our
findings
provide
insight
patients.
We
highlight
positives
have
reported
pandemic,
need
address
screening.
Journal of Cancer Survivorship,
Год журнала:
2022,
Номер
17(5), С. 1488 - 1498
Опубликована: Июль 19, 2022
Abstract
Purpose
Positive
health
behaviours
(sufficient
exercise,
healthy
diet,
limiting
alcohol,
and
not
smoking)
can
improve
multiple
outcomes
after
a
cancer
diagnosis.
Observational
studies
suggest
that
were
negatively
impacted
for
some
but
all
individuals
living
with
beyond
cancer.
The
aim
of
this
study
was
to
qualitatively
explore
the
impact
pandemic
on
people
in
population.
Methods
Thirty
participants
purposively
sampled
characteristics
including
diagnostic
group
(breast,
prostate,
colorectal
cancers),
gender,
time
since
diagnosis,
age.
Semi-structured
interviews
conducted
discuss
behaviours.
Thematic
analysis
secondary
Ideal
Types
conducted.
Results
Five
themes
covered
changes
food,
weight
management,
relationship
exercise.
“types”
identified,
representing
orientations
“gift
time”
provided
by
had
an
behaviours,
trends
towards
increases
drinking,
eating
unhealthy
exercising
less.
Conclusions
COVID-19
engagement
positive
among
study.
Strict
restrictions
routines
resulted
adjusting
how
they
managed
their
alcohol
intake,
exercise
typology
identified
within
helps
define
different
orientation
could
underpin
responses
individual
LWBC.
Implications
survivors
Alongside
providing
understanding
experiences
LWBC
during
pandemic,
proposed
suggests
how,
further
development,
future
behaviour
interventions
be
targeted
based
health,
rather
than
demographic
or
clinical
variables.
International Journal of Environmental Research and Public Health,
Год журнала:
2024,
Номер
21(3), С. 317 - 317
Опубликована: Март 9, 2024
The
dynamics
of
the
COVID-19
pandemic
have
significantly
changed
since
its
initial
outbreak.
This
study
aimed
to
investigate
quality
life
(QoL)
patients
with
cancer
receiving
chemotherapy
in
specific
context
Thailand
during
pandemic.
A
cross-sectional
was
conducted
415
cancer.
Instruments
used
were
a
demographic
and
clinical
characteristics
form,
Edmonton
Symptom
Assessment
Scale
(cancer
symptom
burden),
Strategies
Used
by
People
Promote
Health
(self-care
self-efficacy),
Thai
version
Brief
Form
WHO
Quality
Life
Assessment.
Data
analyzed
using
descriptive
inferential
statistics.
participants
had
an
average
age
56
years.
They
reported
moderate
level
QoL
across
all
domains
for
overall
results
multiple
linear
regression
model
indicated
that
positive
self-care
self-efficacy,
being
married,
having
health
insurance,
stage
chemotherapy,
reduced
burden
significant
predictors
(adjusted
R2
=
0.4940).
Positive
self-efficacy
also
emerged
as
primary
predictor,
positively
influencing
(p
<
0.001).
These
findings
emphasize
significance
enhancing
undergoing
Integrating
interventions
bolster
into
care
plans
these
can
help
them
manage
their
symptoms,
cope
side
effects
treatment,
enhance
well-being.