Serveur d'exploration sur la COVID chez les séniors

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Impact of COVID-19 pandemic on lung cancer treatment scheduling.

Identifieur interne : 000508 ( Main/Exploration ); précédent : 000507; suivant : 000509

Impact of COVID-19 pandemic on lung cancer treatment scheduling.

Auteurs : Kohei Fujita [Japon] ; Takanori Ito [Japon] ; Zentaro Saito [Japon] ; Osamu Kanai [Japon] ; Koichi Nakatani [Japon] ; Tadashi Mio [Japon]

Source :

RBID : pubmed:32790028

Descripteurs français

English descriptors

Abstract

The current coronavirus disease 2019 (COVID-19) pandemic is associated with a heavy burden on the mental and physical health of patients, regional healthcare resources, and global economic activity. Many patients with lung cancer are thought to be affected by this situation. Therefore, in this study, we aimed to evaluate the impact of COVID-19 pandemic on lung cancer treatment scheduling. We retrospectively reviewed the medical records of lung cancer patients who were undergoing anticancer treatment at the National Hospital Organization Kyoto Medical Center (600 beds) in Kyoto, Japan, between 1 March 2020 and 31 May 2020. After the medical records were reviewed, the patients were assigned to one of two groups, depending on whether their lung cancer treatment schedule was delayed. We assessed the characteristics, types of histopathology and treatment, and the reason for the delay. A total 15 (9.1%) patients experienced a delay in lung cancer treatment during the COVID-19 pandemic. Patients with a treatment delay received significantly more immune checkpoint inhibitor (ICI) monotherapy than patients without a treatment delay (P = 0.0057). On the contrary, no patients receiving molecular targeted agents experienced a treatment delay during the COVID-19 pandemic period (P = 0.0027). The treatments of most of the patients were delayed at their request. We determined that 9.1% lung cancer patients suffered anxiety and requested a treatment delay during the COVID-19 pandemic. Oncologists should bear in mind that patients with cancer have more anxiety than expected under unprecedented circumstances such as the COVID-19 pandemic.

DOI: 10.1111/1759-7714.13615
PubMed: 32790028
PubMed Central: PMC7436133


Affiliations:


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Le document en format XML

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<div type="abstract" xml:lang="en">The current coronavirus disease 2019 (COVID-19) pandemic is associated with a heavy burden on the mental and physical health of patients, regional healthcare resources, and global economic activity. Many patients with lung cancer are thought to be affected by this situation. Therefore, in this study, we aimed to evaluate the impact of COVID-19 pandemic on lung cancer treatment scheduling. We retrospectively reviewed the medical records of lung cancer patients who were undergoing anticancer treatment at the National Hospital Organization Kyoto Medical Center (600 beds) in Kyoto, Japan, between 1 March 2020 and 31 May 2020. After the medical records were reviewed, the patients were assigned to one of two groups, depending on whether their lung cancer treatment schedule was delayed. We assessed the characteristics, types of histopathology and treatment, and the reason for the delay. A total 15 (9.1%) patients experienced a delay in lung cancer treatment during the COVID-19 pandemic. Patients with a treatment delay received significantly more immune checkpoint inhibitor (ICI) monotherapy than patients without a treatment delay (P = 0.0057). On the contrary, no patients receiving molecular targeted agents experienced a treatment delay during the COVID-19 pandemic period (P = 0.0027). The treatments of most of the patients were delayed at their request. We determined that 9.1% lung cancer patients suffered anxiety and requested a treatment delay during the COVID-19 pandemic. Oncologists should bear in mind that patients with cancer have more anxiety than expected under unprecedented circumstances such as the COVID-19 pandemic.</div>
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<Citation>World Health Organization. Coronavirus disease (COVID-19) situation reports. 2020. [Cited 23 Jul 2020.] Available from URL: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports/.</Citation>
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<Reference>
<Citation>Johns Hopkins University and Medicine. Coronavirus Resource Center. 2020. [Cited 23 Jul 2020.] Available from URL: https://coronavirus.jhu.edu/map.html. Accessed at July 23, 2020.</Citation>
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<Reference>
<Citation>Ministry of Health, Labour and Welfare of Japan. Coronavirus Diseases (COVID-19) situation. 2020. [Cited 23 Jul 2020.] Available from URL: https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/newpage_00032.html.</Citation>
</Reference>
<Reference>
<Citation>Tian J, Yuan X, Xiao J et al. Clinical characteristics and risk factors associated with COVID-19 disease severity in patients with cancer in Wuhan, China: A multicentre, retrospective, cohort study. Lancet Oncol 2020; 21: 893-903.</Citation>
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<Reference>
<Citation>Liang W, Guan W, Chen R e a. Cancer patients in SARS-CoV-2 infection: A nationwide analysis in China. Lancet Oncol 2020; 21: 335-7.</Citation>
</Reference>
<Reference>
<Citation>Yu J, Ouyang W, Chua MLK, Xie C. SARS-CoV-2 transmission in patients with cancer at a tertiary care hospital in Wuhan, China. JAMA Oncol 2020; 6: 1108.</Citation>
</Reference>
<Reference>
<Citation>Ouyang W, Hu J, Zhang H, Xie C. The management of patients with lung cancer during the outbreak of coronavirus disease 2019. J Thorac Oncol 2020; 15: e106-7.</Citation>
</Reference>
<Reference>
<Citation>Mauri D, Kamposioras K, Tolia M, Alongi F, Tzachanis D, International Oncology Panel and European Cancer Patient Coalition Collaborators. Summary of international recommendations in 23 languages for patients with cancer during the COVID-19 pandemic. Lancet Oncol 2020; 21: 759-60.</Citation>
</Reference>
<Reference>
<Citation>Goldstein DA, Ratain MJ, Saltz LB. Weight-based dosing of pembrolizumab every 6 weeks in the time of COVID-19. JAMA Oncol 2020 May 27. https://doi.org/10.1001/jamaoncol.2020.2493 [Epub ahead of print].</Citation>
</Reference>
<Reference>
<Citation>Robilotti EV, Babady NE, Mead PA et al. Determinants of COVID-19 disease severity in patients with cancer. Nat Med 2020 Jun 24. https://doi.org/10.1038/s41591-020-0979-0 [Epub ahead of print].</Citation>
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<name sortKey="Kanai, Osamu" sort="Kanai, Osamu" uniqKey="Kanai O" first="Osamu" last="Kanai">Osamu Kanai</name>
<name sortKey="Mio, Tadashi" sort="Mio, Tadashi" uniqKey="Mio T" first="Tadashi" last="Mio">Tadashi Mio</name>
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