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Conceptual Framework for Cancer Care During a Pandemic Incorporating Evidence From the COVID-19 Pandemic
With successive infection waves and the spread of more infectious variants, the COVID-19 pandemic continues to have major impacts on health care. To achieve best outcomes for patients with cancer during a pandemic, efforts to minimize the increased risk of severe pandemic infection must be carefully...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9470141/ https://www.ncbi.nlm.nih.gov/pubmed/35917484 http://dx.doi.org/10.1200/GO.22.00043 |
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author | Milch, Vivienne Nelson, Anne E. Austen, Melissa Hector, Debra Turnbull, Scott Sathiaraj, Rahul Der Vartanian, Carolyn Wang, Rhona Anderiesz, Cleola Keefe, Dorothy |
author_facet | Milch, Vivienne Nelson, Anne E. Austen, Melissa Hector, Debra Turnbull, Scott Sathiaraj, Rahul Der Vartanian, Carolyn Wang, Rhona Anderiesz, Cleola Keefe, Dorothy |
author_sort | Milch, Vivienne |
collection | PubMed |
description | With successive infection waves and the spread of more infectious variants, the COVID-19 pandemic continues to have major impacts on health care. To achieve best outcomes for patients with cancer during a pandemic, efforts to minimize the increased risk of severe pandemic infection must be carefully balanced against unintended adverse impacts of the pandemic on cancer care, with consideration to available health system capacity. Cancer Australia's conceptual framework for cancer care during a pandemic provides a planning resource for health services and policy-makers that can be broadly applied globally and to similar pandemics. METHODS: Evidence on the impact of the COVID-19 pandemic on cancer care and health system capacity to June 2021 was reviewed, and the conceptual framework was developed and updated. RESULTS: Components of health system capacity vary during a pandemic, and capacity relative to pandemic numbers and severity affects resources available for cancer care delivery. The challenges of successive pandemic waves and high numbers of pandemic cases necessitate consideration of changing health system capacity in decision making about cancer care. Cancer Australia’s conceptual framework provides guidance on continuation of care across the cancer pathway, in the face of challenges to health systems, while minimizing infection risk for patients with cancer and unintended consequences of delays in screening, diagnosis, and cancer treatment and backlogs because of service interruption. CONCLUSION: Evidence from the COVID-19 pandemic supports continuation of cancer care wherever possible during similar pandemics. Cancer Australia's conceptual framework, underpinned by principles for optimal cancer care, informs decision making across the cancer care continuum. It incorporates consideration of changes in health system capacity and capacity for cancer care, in relation to pandemic progression, enabling broad applicability to different global settings. |
format | Online Article Text |
id | pubmed-9470141 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-94701412022-09-14 Conceptual Framework for Cancer Care During a Pandemic Incorporating Evidence From the COVID-19 Pandemic Milch, Vivienne Nelson, Anne E. Austen, Melissa Hector, Debra Turnbull, Scott Sathiaraj, Rahul Der Vartanian, Carolyn Wang, Rhona Anderiesz, Cleola Keefe, Dorothy JCO Glob Oncol REVIEW ARTICLES With successive infection waves and the spread of more infectious variants, the COVID-19 pandemic continues to have major impacts on health care. To achieve best outcomes for patients with cancer during a pandemic, efforts to minimize the increased risk of severe pandemic infection must be carefully balanced against unintended adverse impacts of the pandemic on cancer care, with consideration to available health system capacity. Cancer Australia's conceptual framework for cancer care during a pandemic provides a planning resource for health services and policy-makers that can be broadly applied globally and to similar pandemics. METHODS: Evidence on the impact of the COVID-19 pandemic on cancer care and health system capacity to June 2021 was reviewed, and the conceptual framework was developed and updated. RESULTS: Components of health system capacity vary during a pandemic, and capacity relative to pandemic numbers and severity affects resources available for cancer care delivery. The challenges of successive pandemic waves and high numbers of pandemic cases necessitate consideration of changing health system capacity in decision making about cancer care. Cancer Australia’s conceptual framework provides guidance on continuation of care across the cancer pathway, in the face of challenges to health systems, while minimizing infection risk for patients with cancer and unintended consequences of delays in screening, diagnosis, and cancer treatment and backlogs because of service interruption. CONCLUSION: Evidence from the COVID-19 pandemic supports continuation of cancer care wherever possible during similar pandemics. Cancer Australia's conceptual framework, underpinned by principles for optimal cancer care, informs decision making across the cancer care continuum. It incorporates consideration of changes in health system capacity and capacity for cancer care, in relation to pandemic progression, enabling broad applicability to different global settings. Wolters Kluwer Health 2022-08-02 /pmc/articles/PMC9470141/ /pubmed/35917484 http://dx.doi.org/10.1200/GO.22.00043 Text en © 2022 by American Society of Clinical Oncology https://creativecommons.org/licenses/by-nc-nd/4.0/Creative Commons Attribution Non-Commercial No Derivatives 4.0 License http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | REVIEW ARTICLES Milch, Vivienne Nelson, Anne E. Austen, Melissa Hector, Debra Turnbull, Scott Sathiaraj, Rahul Der Vartanian, Carolyn Wang, Rhona Anderiesz, Cleola Keefe, Dorothy Conceptual Framework for Cancer Care During a Pandemic Incorporating Evidence From the COVID-19 Pandemic |
title | Conceptual Framework for Cancer Care During a Pandemic Incorporating Evidence From the COVID-19 Pandemic |
title_full | Conceptual Framework for Cancer Care During a Pandemic Incorporating Evidence From the COVID-19 Pandemic |
title_fullStr | Conceptual Framework for Cancer Care During a Pandemic Incorporating Evidence From the COVID-19 Pandemic |
title_full_unstemmed | Conceptual Framework for Cancer Care During a Pandemic Incorporating Evidence From the COVID-19 Pandemic |
title_short | Conceptual Framework for Cancer Care During a Pandemic Incorporating Evidence From the COVID-19 Pandemic |
title_sort | conceptual framework for cancer care during a pandemic incorporating evidence from the covid-19 pandemic |
topic | REVIEW ARTICLES |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9470141/ https://www.ncbi.nlm.nih.gov/pubmed/35917484 http://dx.doi.org/10.1200/GO.22.00043 |
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