Dramatic Changes in Oncology Care Pathways During the COVID ‐19 Pandemic: The French ONCOCARE‐COV Study
| Autor: | Olivier Bouché, Claire Carlier, Christine Essner, Adeline Debreuve-Theresette, Mathias Brugel, Yacine Merrouche, Marie Françoise Beck |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Oncology
medicine.medical_specialty Cancer Research Coronavirus disease 2019 (COVID-19) medicine.medical_treatment MEDLINE Medical Oncology 03 medical and health sciences COVID-19 Testing 0302 clinical medicine Neoplasms Internal medicine Pandemic Humans Mass Screening Medicine Tumor board 030212 general & internal medicine Pandemics Patient Care Team Infection Control SARS-CoV-2 business.industry COVID-19 Outbreak Telemedicine Relative stability Radiation therapy 030220 oncology & carcinogenesis Cancer management Critical Pathways France Brief Communications business |
| Zdroj: | The Oncologist Oncologist |
| ISSN: | 1549-490X 1083-7159 |
| DOI: | 10.1002/onco.13578 |
| Popis: | The coronavirus disease 2019 (COVID-19) pandemic may have affected cancer management. We aimed to evaluate changes in every oncology care pathway essential step, from screening to treatment, during the pandemic. Monthly oncological activity differences between 2019 and 2020 (screening tests, histopathological analyzes, multidisciplinary tumor board meetings (MTBMs), diagnostic announcement procedures (DAPs), and treatments were calculated in two French areas experiencing different pandemic intensity (Reims and Colmar). COVID-19 has had a dramatic impact in terms of screening (−86% to −100%), diagnosis (−39%), and surgical treatment (−30%). This global decrease in all essential oncology care pathway steps contrasted with the relative stability of chemotherapy (−9%) and radiotherapy use (−16%). Outbreak occurred earlier and with more intensity in Colmar but had a comparable impact in both areas regarding MTMBs and DAPs. The current ONCOCARE-COV study is still in progress and with a longer follow-up to analyze postlockdown situation. |
| Databáze: | OpenAIRE |
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