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Impact of COVID-19 on cancer care pathways in a comprehensive cancer center in northern Italy
The COVID-19 pandemic burdened health care systems worldwide. Health services were reorganized with the dual purpose of ensuring the most adequate continuity of care and, simultaneously, the safety of patients and health professionals. The provision of care to patients within cancer care pathways (c...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10275360/ https://www.ncbi.nlm.nih.gov/pubmed/37333533 http://dx.doi.org/10.3389/fpubh.2023.1187912 |
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author | Cigarini, Francesca Daolio, Jessica Caviola, Giada Pellegri, Carlotta Cavuto, Silvio Guberti, Monica Mazzini, Elisa Cerullo, Loredana |
author_facet | Cigarini, Francesca Daolio, Jessica Caviola, Giada Pellegri, Carlotta Cavuto, Silvio Guberti, Monica Mazzini, Elisa Cerullo, Loredana |
author_sort | Cigarini, Francesca |
collection | PubMed |
description | The COVID-19 pandemic burdened health care systems worldwide. Health services were reorganized with the dual purpose of ensuring the most adequate continuity of care and, simultaneously, the safety of patients and health professionals. The provision of care to patients within cancer care pathways (cCPs) was not touched by such reorganization. We investigated whether the quality of care provided by a local comprehensive cancer center has been maintained using cCP indicators. A retrospective single-cancer center study was conducted on eleven cCPs from 2019 to 2021 by comparing three timeliness indicators, five care indicators and three outcome indicators yearly calculated on incident cases. Comparisons of indicators between 2019 and 2020, and 2019 and 2021, were performed to assess the performance of cCP function during the pandemic. Indicators displayed heterogeneous significant changes attributed to all cCPs over the study period, affecting eight (72%), seven (63%) and ten (91%) out of eleven cCPs in the comparison between 2019 and 2020, 2020 and 2021, and 2019 and 2021, respectively. The most relevant changes were attributed to a negative increase in time-to-treatment surgery-related indicators and to a positive increase in the number of cases discussed by cCP team members. No variations were found attributed to outcome indicators. Significant changes did not account for clinical relevance once discussed by cCP managers and team members. Our experience demonstrated that the CP model constitutes an appropriate tool for providing high levels of quality care, even in the most critical health situations. |
format | Online Article Text |
id | pubmed-10275360 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-102753602023-06-17 Impact of COVID-19 on cancer care pathways in a comprehensive cancer center in northern Italy Cigarini, Francesca Daolio, Jessica Caviola, Giada Pellegri, Carlotta Cavuto, Silvio Guberti, Monica Mazzini, Elisa Cerullo, Loredana Front Public Health Public Health The COVID-19 pandemic burdened health care systems worldwide. Health services were reorganized with the dual purpose of ensuring the most adequate continuity of care and, simultaneously, the safety of patients and health professionals. The provision of care to patients within cancer care pathways (cCPs) was not touched by such reorganization. We investigated whether the quality of care provided by a local comprehensive cancer center has been maintained using cCP indicators. A retrospective single-cancer center study was conducted on eleven cCPs from 2019 to 2021 by comparing three timeliness indicators, five care indicators and three outcome indicators yearly calculated on incident cases. Comparisons of indicators between 2019 and 2020, and 2019 and 2021, were performed to assess the performance of cCP function during the pandemic. Indicators displayed heterogeneous significant changes attributed to all cCPs over the study period, affecting eight (72%), seven (63%) and ten (91%) out of eleven cCPs in the comparison between 2019 and 2020, 2020 and 2021, and 2019 and 2021, respectively. The most relevant changes were attributed to a negative increase in time-to-treatment surgery-related indicators and to a positive increase in the number of cases discussed by cCP team members. No variations were found attributed to outcome indicators. Significant changes did not account for clinical relevance once discussed by cCP managers and team members. Our experience demonstrated that the CP model constitutes an appropriate tool for providing high levels of quality care, even in the most critical health situations. Frontiers Media S.A. 2023-06-02 /pmc/articles/PMC10275360/ /pubmed/37333533 http://dx.doi.org/10.3389/fpubh.2023.1187912 Text en Copyright © 2023 Cigarini, Daolio, Caviola, Pellegri, Cavuto, Guberti, Mazzini and Cerullo. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Cigarini, Francesca Daolio, Jessica Caviola, Giada Pellegri, Carlotta Cavuto, Silvio Guberti, Monica Mazzini, Elisa Cerullo, Loredana Impact of COVID-19 on cancer care pathways in a comprehensive cancer center in northern Italy |
title | Impact of COVID-19 on cancer care pathways in a comprehensive cancer center in northern Italy |
title_full | Impact of COVID-19 on cancer care pathways in a comprehensive cancer center in northern Italy |
title_fullStr | Impact of COVID-19 on cancer care pathways in a comprehensive cancer center in northern Italy |
title_full_unstemmed | Impact of COVID-19 on cancer care pathways in a comprehensive cancer center in northern Italy |
title_short | Impact of COVID-19 on cancer care pathways in a comprehensive cancer center in northern Italy |
title_sort | impact of covid-19 on cancer care pathways in a comprehensive cancer center in northern italy |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10275360/ https://www.ncbi.nlm.nih.gov/pubmed/37333533 http://dx.doi.org/10.3389/fpubh.2023.1187912 |
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