Impact of nationwide lockdown on cancer care during COVID-19 pandemic: A retrospective analysis from western India
| Autor: | Sonia Parikh, Ramidi G. Reddy, Philip G. Kuttikat, Apurva Patel, A. Harshavardhan, Satish Sharma, Shantanu Pendse, Aruj Dhyani, Ananya Pareek, Debajyoti Maji, Yuganshu Gupta, Harsha Panchal, Nikesh Agarwal |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Endocrinology Diabetes and Metabolism Transport India Young Adult 03 medical and health sciences 0302 clinical medicine Breast cancer ECOG score Risk Factors Neoplasms Internal medicine Internal Medicine medicine Chemotherapy Humans 030212 general & internal medicine Young adult Child Survival rate Multiple myeloma Aged Retrospective Studies Oncologists Aged 80 and over SARS-CoV-2 business.industry Medical record Head and neck cancer COVID-19 Cancer Retrospective cohort study General Medicine Middle Aged Prognosis medicine.disease Telemedicine Hospitalization Survival Rate Child Preschool 030220 oncology & carcinogenesis Quarantine Original Article Female business |
| Zdroj: | Diabetes & Metabolic Syndrome |
| ISSN: | 1871-4021 |
| Popis: | Background and aims COVID-19 has impacted healthcare system worldwide including cancer case. Aim of this study was to describe the experience of lockdown on cancer care concerning patient's visit and reception of treatment in western India. Methods This is a retrospective observational study conducted in patients with cancer attending a tertiary care center pre-lockdown and during lockdown (from January to May 2020). Data related to demographic parameters, type of tumor, type of treatment received and functional status of patients were retrieved from hospital medical records of patients. Results Of the 5258 patients included, 4363 visited hospital pre-lockdown (median age, 50 years) and 895 visited during the lockdown period (median age, 47 years). A total of 1168 and 106 patients visiting hospital before and during lockdown, respectively, had comorbidities. Breast cancer (25.6% and 29.7%), head and neck cancer (21.3% and 16.9%) were the most common type of solid tumors; leukemia (58.0% and 73.0%), lymphoma (18.8% and 13.5%) and multiple myeloma (18.6% and 12.2%) were the most common type of hematological malignancies observed in patients visiting pre-lockdown and during lockdown, respectively. Chemotherapy was most commonly received treatment (pre-lockdown, 71.8%; during lockdown, 45.9%). Other therapies reported includes supportive/palliative, targeted, hormonal, and immunotherapy. The majority of patients who visited the hospital pre-lockdown (68.4%) and during lockdown (62.8%) had 0 or 1 Eastern Cooperative Oncology Group (ECOG) score. Conclusion Overall observations highlight a substantial impact of an imposed nationwide lockdown during COVID-19 pandemic on cancer care of patients in terms of reduced patient visits and number of treatments received. |
| Databáze: | OpenAIRE |
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