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The Impact of Changes in Service Delivery in Patients With Colorectal Cancer During the Initial Phase of the COVID-19 Pandemic

BACKGROUND: The Coronavirus disease 2019 (COVID-19) pandemic has imposed significant changes in cancer service delivery resulting in increased anxiety and distress in both patients and clinicians. We aimed to investigate how these changes have been perceived by patients diagnosed with colorectal can...

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Autores principales: Kamposioras, Konstantinos, Saunders, Mark, Jonathan Lim, Kok Haw, Marti, Kalena, Anderson, Daniel, Cutting, Mark, McCool, Danielle, Connell, Jacqueline, Simpson, Lilly, Hasan, Jurjees, Braun, Michael, Lavin, Victoria, Mullamitha, Saifee, Barriuso, Jorge
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7718777/
https://www.ncbi.nlm.nih.gov/pubmed/33384244
http://dx.doi.org/10.1016/j.clcc.2020.11.006
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author Kamposioras, Konstantinos
Saunders, Mark
Jonathan Lim, Kok Haw
Marti, Kalena
Anderson, Daniel
Cutting, Mark
McCool, Danielle
Connell, Jacqueline
Simpson, Lilly
Hasan, Jurjees
Braun, Michael
Lavin, Victoria
Mullamitha, Saifee
Barriuso, Jorge
author_facet Kamposioras, Konstantinos
Saunders, Mark
Jonathan Lim, Kok Haw
Marti, Kalena
Anderson, Daniel
Cutting, Mark
McCool, Danielle
Connell, Jacqueline
Simpson, Lilly
Hasan, Jurjees
Braun, Michael
Lavin, Victoria
Mullamitha, Saifee
Barriuso, Jorge
author_sort Kamposioras, Konstantinos
collection PubMed
description BACKGROUND: The Coronavirus disease 2019 (COVID-19) pandemic has imposed significant changes in cancer service delivery resulting in increased anxiety and distress in both patients and clinicians. We aimed to investigate how these changes have been perceived by patients diagnosed with colorectal cancer and identify determinants of increased anxiety. PATIENTS AND METHODS: An anonymized 32-item survey in the specialized lower gastrointestinal cancer outpatient clinics at a tertiary cancer center in North West England between May 18 and July 1, 2020. Self-reported anxiety was based on the General Anxiety Disorder-7 screening tool. RESULTS: Of 143 participants who completed the survey (response rate, 67%), 115 (82%) were male, and the median age group was 61 to 70 years. A total of 112 (78%) participants had telephone consultation (83% met needs), and 57 (40%) had radiologic scan results discussed over the phone (96% met needs). In total, 23 (18%) participants were considered to have anxiety (General Anxiety Disorder-7 score ≥ 5), with 7 (5.5%) scoring for moderate or severe anxiety. Those concerned about getting COVID-19 infection, and worried COVID-19 would have effect on their mental health, and affect their experience of cancer care, were most likely to have anxiety (P < .05, multivariate analysis). The majority did not feel they needed support during this phase of the pandemic. Participants felt that friends and family had been very supportive, but less so the primary care services (P < .05). CONCLUSIONS: The findings of this survey suggest that some of the service changes implemented may have already improved the overall experience of cancer care among patients with colorectal cancer at our institute. Reassuringly, the incidence of participants with moderate to severe anxiety levels during the peak of COVID-19 in the United Kingdom was much lower than anticipated. Importantly, patients were much more concerned about their cancer treatment than COVID-19, emphasizing the need to continue to provide comprehensive cancer care even with a “second wave” of COVID-19.
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spelling pubmed-77187772020-12-07 The Impact of Changes in Service Delivery in Patients With Colorectal Cancer During the Initial Phase of the COVID-19 Pandemic Kamposioras, Konstantinos Saunders, Mark Jonathan Lim, Kok Haw Marti, Kalena Anderson, Daniel Cutting, Mark McCool, Danielle Connell, Jacqueline Simpson, Lilly Hasan, Jurjees Braun, Michael Lavin, Victoria Mullamitha, Saifee Barriuso, Jorge Clin Colorectal Cancer Original Study BACKGROUND: The Coronavirus disease 2019 (COVID-19) pandemic has imposed significant changes in cancer service delivery resulting in increased anxiety and distress in both patients and clinicians. We aimed to investigate how these changes have been perceived by patients diagnosed with colorectal cancer and identify determinants of increased anxiety. PATIENTS AND METHODS: An anonymized 32-item survey in the specialized lower gastrointestinal cancer outpatient clinics at a tertiary cancer center in North West England between May 18 and July 1, 2020. Self-reported anxiety was based on the General Anxiety Disorder-7 screening tool. RESULTS: Of 143 participants who completed the survey (response rate, 67%), 115 (82%) were male, and the median age group was 61 to 70 years. A total of 112 (78%) participants had telephone consultation (83% met needs), and 57 (40%) had radiologic scan results discussed over the phone (96% met needs). In total, 23 (18%) participants were considered to have anxiety (General Anxiety Disorder-7 score ≥ 5), with 7 (5.5%) scoring for moderate or severe anxiety. Those concerned about getting COVID-19 infection, and worried COVID-19 would have effect on their mental health, and affect their experience of cancer care, were most likely to have anxiety (P < .05, multivariate analysis). The majority did not feel they needed support during this phase of the pandemic. Participants felt that friends and family had been very supportive, but less so the primary care services (P < .05). CONCLUSIONS: The findings of this survey suggest that some of the service changes implemented may have already improved the overall experience of cancer care among patients with colorectal cancer at our institute. Reassuringly, the incidence of participants with moderate to severe anxiety levels during the peak of COVID-19 in the United Kingdom was much lower than anticipated. Importantly, patients were much more concerned about their cancer treatment than COVID-19, emphasizing the need to continue to provide comprehensive cancer care even with a “second wave” of COVID-19. Elsevier Inc. 2021-06 2020-12-05 /pmc/articles/PMC7718777/ /pubmed/33384244 http://dx.doi.org/10.1016/j.clcc.2020.11.006 Text en © 2020 Elsevier Inc. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Original Study
Kamposioras, Konstantinos
Saunders, Mark
Jonathan Lim, Kok Haw
Marti, Kalena
Anderson, Daniel
Cutting, Mark
McCool, Danielle
Connell, Jacqueline
Simpson, Lilly
Hasan, Jurjees
Braun, Michael
Lavin, Victoria
Mullamitha, Saifee
Barriuso, Jorge
The Impact of Changes in Service Delivery in Patients With Colorectal Cancer During the Initial Phase of the COVID-19 Pandemic
title The Impact of Changes in Service Delivery in Patients With Colorectal Cancer During the Initial Phase of the COVID-19 Pandemic
title_full The Impact of Changes in Service Delivery in Patients With Colorectal Cancer During the Initial Phase of the COVID-19 Pandemic
title_fullStr The Impact of Changes in Service Delivery in Patients With Colorectal Cancer During the Initial Phase of the COVID-19 Pandemic
title_full_unstemmed The Impact of Changes in Service Delivery in Patients With Colorectal Cancer During the Initial Phase of the COVID-19 Pandemic
title_short The Impact of Changes in Service Delivery in Patients With Colorectal Cancer During the Initial Phase of the COVID-19 Pandemic
title_sort impact of changes in service delivery in patients with colorectal cancer during the initial phase of the covid-19 pandemic
topic Original Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7718777/
https://www.ncbi.nlm.nih.gov/pubmed/33384244
http://dx.doi.org/10.1016/j.clcc.2020.11.006
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