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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

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    Authors
    Kamposioras, Konstantinos
    Saunders, Mark P
    Lim, Kok Haw Jonathan
    Marti, Kalena
    Anderson, Daniel
    Cutting, Mark
    McCool, Danielle
    Connell, Jacqueline
    Simpson, Lilly
    Hasan, Jurjees
    Braun, Michael S
    Lavin, Victoria
    Mullamitha, Saifee A
    Barriuso, Jorge
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    Affiliation
    Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester, United Kingdom.
    Issue Date
    2020
    
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    Abstract
    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.
    Citation
    Kamposioras K, Saunders M, Jonathan Lim KH, Marti K, Anderson D, Cutting M, et al. The Impact of Changes in Service Delivery in Patients With Colorectal Cancer During the Initial Phase of the COVID-19 Pandemic. Clin Colorectal Cancer. 2020.
    Journal
    Clinical Colorectal Cancer
    URI
    http://hdl.handle.net/10541/623724
    DOI
    10.1016/j.clcc.2020.11.006
    PubMed ID
    33384244
    Additional Links
    https://dx.doi.org/10.1016/j.clcc.2020.11.006
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.clcc.2020.11.006
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