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Showing content from https://pubmed.ncbi.nlm.nih.gov/36682216/ below:

Healthcare providers' attitudes towards delay in cancer treatment during COVID-19 pandemic

Affiliations

• ¹ Albert Einstein College of Medicine, Jacobi Medical Center, New York, United States of America. Electronic address: dr.anahatkaur@gmail.com.
• ² ReVital Cancer Rehabilitation, Select Medical, United States of America.
• ³ The Royal Marsden NHS Foundation Trust, United Kingdom.
• ⁴ School of Health and Rehabilitation Sciences, Ohio State University, United States of America.
• ⁵ City of Hope Comprehensive Cancer Center, United States of America.
• ⁶ Cancer and Aging Research Group, United States of America.
• ⁷ Florida Cancer Specialists and Research Institute, United States of America.
• ⁸ Thomas Jefferson University, United States of America.
• ⁹ Icahn School of Medicine, Mount Sinai, United States of America.
• ¹⁰ Jersey Shore University Medical Center, United States of America.
• ¹¹ Association of Community Cancer Centers, United States of America.
• ¹² Kent School of Social Work and Family Science, University of Louisville, United States of America.

• PMID: 36682216
• PMCID: PMC9842617
• DOI: 10.1016/j.jgo.2023.101438

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Anahat Kaur et al. J Geriatr Oncol. 2023 Mar.

• ¹ Albert Einstein College of Medicine, Jacobi Medical Center, New York, United States of America. Electronic address: dr.anahatkaur@gmail.com.
• ² ReVital Cancer Rehabilitation, Select Medical, United States of America.
• ³ The Royal Marsden NHS Foundation Trust, United Kingdom.
• ⁴ School of Health and Rehabilitation Sciences, Ohio State University, United States of America.
• ⁵ City of Hope Comprehensive Cancer Center, United States of America.
• ⁶ Cancer and Aging Research Group, United States of America.
• ⁷ Florida Cancer Specialists and Research Institute, United States of America.
• ⁸ Thomas Jefferson University, United States of America.
• ⁹ Icahn School of Medicine, Mount Sinai, United States of America.
• ¹⁰ Jersey Shore University Medical Center, United States of America.
• ¹¹ Association of Community Cancer Centers, United States of America.
• ¹² Kent School of Social Work and Family Science, University of Louisville, United States of America.

• PMID: 36682216
• PMCID: PMC9842617
• DOI: 10.1016/j.jgo.2023.101438

Item in Clipboard

Introduction: The COVID-19 pandemic has created unprecedented obstacles leading to delays in treatment for older adults with cancer. Due to limited resources at the height of the pandemic, healthcare providers were constantly faced with ethical dilemmas regarding postponing or rescheduling care for their patients.

Materials and methods: Two survey-based studies were conducted at different time-points during the pandemic looking at factors affecting oncology care providers' attitudes towards delay in treatment for older adults with cancer. Eligible participants were recruited by email sent through professional organizations' listservs, email blasts, and social media. Change in provider attitude over time was analyzed by comparing responses from the 2020 and 2021 surveys. Data analysis included descriptive statistics and chi-squares.

Results: In 2020, 17.5% of respondents were strongly considering/considering postponing cancer treatment for younger patients (age 30 and below), while 46.2% were considering delaying treatment for patients aged >85. These responses were in stark contrast to the results of the 2021 survey, where only 1.4% of respondents strongly considered postponing treatment for younger patients, and 13.5% for patients aged >85.

Discussion: All recommendations to postpone treatment for older adults with cancer must be made after mutual discussion with the patient. Throughout the COVID-19 pandemic, oncology care providers had to consider multiple factors while treating patients, frequently making most decisions without appropriate institutional support.

Keywords: COVID-19; Delay in care; Geriatric oncology; Older adults; Provider survey; cancer.

Copyright © 2023 Elsevier Ltd. All rights reserved.

PubMed Disclaimer

Declaration of Competing Interest All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest.

• Survey of cancer care providers' attitude toward care for older adults with cancer during the COVID-19 pandemic.

  BrintzenhofeSzoc K, Krok-Schoen JI, Pisegna JL, MacKenzie AR, Canin B, Plotkin E, Boehmer LM, Shahrokni A. BrintzenhofeSzoc K, et al. J Geriatr Oncol. 2021 Mar;12(2):196-205. doi: 10.1016/j.jgo.2020.09.028. Epub 2020 Oct 5. J Geriatr Oncol. 2021. PMID: 33144071 Free PMC article.

• Experiences of healthcare providers of older adults with cancer during the COVID-19 pandemic.

  Krok-Schoen JL, Pisegna JL, BrintzenhofeSzoc K, MacKenzie AR, Canin B, Plotkin E, Boehmer LM, Shahrokni A. Krok-Schoen JL, et al. J Geriatr Oncol. 2021 Mar;12(2):190-195. doi: 10.1016/j.jgo.2020.09.021. Epub 2020 Sep 18. J Geriatr Oncol. 2021. PMID: 32978104 Free PMC article.

• Differences in urban and suburban/rural settings regarding care provision and barriers of cancer care for older adults during COVID-19.

  Pisegna JL, BrintzenhofeSzoc K, Shahrokni A, Canin B, Plotkin E, Boehmer LM, Chien L, Malone MV, MacKenzie AR, Krok-Schoen JL. Pisegna JL, et al. Support Care Cancer. 2022 Dec 23;31(1):78. doi: 10.1007/s00520-022-07544-y. Support Care Cancer. 2022. PMID: 36562819 Free PMC article.

• Healthcare providers' experiences of continuing care for older adults with cancer during the COVID-19 pandemic.

  Pergolotti M, Pisegna J, Chien LC, BrintzenhofeSzoc K, Kaur A, Battisti N, Canin B, Malone MV, Shahrokni A, Plotkin E, Boehmer LM, Ali I, Krok-Schoen JL. Pergolotti M, et al. J Cancer Surviv. 2024 Jun;18(3):1051-1058. doi: 10.1007/s11764-023-01356-7. Epub 2023 Mar 22. J Cancer Surviv. 2024. PMID: 36947288 Free PMC article.

• The Needs of Older Adult Cancer Survivors During COVID-19: Implications for Oncology Nursing.

  Kilgour HM, Galica J, Oliffe JL, Haase KR. Kilgour HM, et al. Semin Oncol Nurs. 2021 Dec;37(6):151229. doi: 10.1016/j.soncn.2021.151229. Epub 2021 Oct 11. Semin Oncol Nurs. 2021. PMID: 34776292 Free PMC article. Review.

• Cancer care physicians' attitudes toward do not resuscitate orders during the COVID-19 pandemic.

  Kaur A, Streck B, Pergolotti M, Battisti NML, Krok-Schoen JL, Cabrera Chien L, Canin B, Ali I, Malone MV, MacKenzie A, Shahrokni A, Plotkin E, Boehmer LB, BrintzenhofeSzoc K. Kaur A, et al. J Geriatr Oncol. 2024 May;15(4):101717. doi: 10.1016/j.jgo.2024.101717. Epub 2024 Feb 10. J Geriatr Oncol. 2024. PMID: 38342736 Free PMC article. No abstract available.

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