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Childhood cancer survivorship care during the COVID-19 pandemic: an international report of practice implications and provider concerns

SR. van den Oever, SMF. Pluijm, R. Skinner, A. Glaser, RL. Mulder, S. Armenian, E. Bardi, C. Berger, MJ. Ehrhardt, J. Gilleland Marchak, GM. Haeusler, JD. Hartogh, L. Hjorth, T. Kepak, I. Kriviene, T. Langer, M. Maeda, C. Márquez-Vega, G. Michel,...

. 2022 ; 16 (6) : 1390-1400. [pub] 20220112

Jazyk angličtina Země Spojené státy americké

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc22032534
E-zdroje Online Plný text

NLK ProQuest Central od 2007-06-01 do Před 1 rokem
CINAHL Plus with Full Text (EBSCOhost) od 2011-03-01 do Před 1 rokem
Medline Complete (EBSCOhost) od 2011-03-01 do Před 1 rokem
Nursing & Allied Health Database (ProQuest) od 2007-06-01 do Před 1 rokem
Health & Medicine (ProQuest) od 2007-06-01 do Před 1 rokem
Psychology Database (ProQuest) od 2007-06-01 do Před 1 rokem

PURPOSE: Long-term follow-up (LTFU) care is essential to optimise health outcomes in childhood cancer survivors (CCS). We aimed to assess the impact of the COVID-19 pandemic on LTFU services and providers. METHODS: A COVID-19 working group within the International Late Effects of Childhood Cancer Guideline Harmonization Group (IGHG) distributed a questionnaire to LTFU service providers in 37 countries across Europe, Asia, North America, Central/South America, and Australia. The questionnaire assessed how care delivery methods changed during the pandemic and respondents' level of worry about the pandemic's impact on LTFU care delivery, their finances, their health, and that of their family and friends. RESULTS: Among 226 institutions, providers from 178 (79%) responded. Shortly after the initial outbreak, 42% of LTFU clinics closed. Restrictions during the pandemic resulted in fewer in-person consultations and an increased use of telemedicine, telephone, and email consultations. The use of a risk assessment to prioritise the method of LTFU consultation for individual CCS increased from 12 to 47%. While respondents anticipated in-person consultations to remain the primary method for LTFU service delivery, they expected significantly increased use of telemedicine and telephone consultations after the pandemic. On average, respondents reported highest levels of worry about psychosocial well-being of survivors. CONCLUSIONS: The pandemic necessitated changes in LTFU service delivery, including greater use of virtual LTFU care and risk-stratification to identify CCS that need in-person evaluations. IMPLICATIONS FOR CANCER SURVIVORS: Increased utilisation of virtual LTFU care and risk stratification is likely to persist post-pandemic.

City of Hope Comprehensive Cancer Center Duarte CA USA

Danish Cancer Society Research Center Copenhagen Denmark

Department for Pediatric Hematology and Oncology CHU Nord University Hospital Saint Etienne Saint Priest en Jarez France

Department of Clinical Medicine Faculty of Health Aarhus University and University Hospital Aarhus Denmark

Department of Epidemiology and Cancer Control St Jude Children's Research Hospital Memphis TN USA

Department of Health Sciences and Medicine University of Lucerne Frohburgstrasse 3 PO Box 4466 6002 Lucerne Switzerland

Department of Oncology St Jude Children's Research Hospital Memphis TN USA

Department of Paediatric Bone Marrow Transplantation Oncology and Haematology Medical University of Wroclaw Wroclaw Poland

Department of Paediatrics Amsterdam UMC Amsterdam The Netherlands

Department of Paediatrics Skåne University Hospital Clinical Sciences Lund University Lund Sweden

Department of Pediatric Hematology and Oncology University Hospitals Leuven Leuven Belgium

Department of Pediatric Oncology Hospital Virgen del Rocío Sevilla Spain

Department of Pediatrics and Adolescent Medicine Kepler University Clinic Linz Austria

Department of Pediatrics at Emory University School of Medicine Aflac Cancer and Blood Disorders Center at Children's Healthcare of Atlanta Atlanta GA USA

Department of Pediatrics Clinical Hospital Centre Rijeka and School of Medicine of the University of Rijeka Rijeka Croatia

Department of Pediatrics Nippon Medical School Tokyo Japan

Division of Haematology Oncology The Hospital for Sick Children Toronto Canada

Dutch Childhood Cancer Parent Organization VOKK Netherlands Department VOX Survivors Nieuwegein The Netherlands

Epidemiology and Biostatistics Unit and DOPO Clinic IRCCS Istituto Giannina Gaslini Genova Italy

Faculty of Medicine University of Ljubljana Vrazov trg 2 Ljubljana Slovenia

Great North Children's Hospital and Translational and Clinical Research Institute Newcastle University Centre for Cancer Newcastle University Newcastle upon Tyne UK

Hospital Tunku Azizah Kuala Lumpur Malaysia

Leeds Institute of Medical Research University of Leeds Leeds LS2 9JT UK

Murdoch Childrens Research Institute Melbourne VIC Australia

Paediatric Integrated Cancer Centre Victoria Australia

Paediatric Oncology Tata Memorial Hospital Mumbai India

Pediatric Hematology and Oncology Hospital for Children and Adolescents University Hospital of Schleswig Holstein Campus Luebeck Luebeck Germany

Princess Máxima Center for Pediatric Oncology Heidelberglaan 25 3584 CS Utrecht the Netherlands

Radiotherapy department Institute of Oncology Zaloska 2 1000 Ljubljana Slovenia

Republican Siauliai County Hospital Siauliai Lithuania

Royal Childrens Hospital Melbourne VIC Australia

St Anna Childrens Hospital Vienna Austria

U1059 Sainbiose University Jean Monnet Saint Etienne France

University Hospital Brno and International Clinical Research Center Masaryk University Brno Czech Republic

Vilnius University Siauliai Academy Siauliai Lithuania

Citace poskytuje Crossref.org

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