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

Mackenzi Pergolotti1,2,3, Janell Pisegna4,5, Leana Cabrera Chien6, Karlynn BrintzenhofeSzoc7, Anahat Kaur8, Nicolo Battisti9, Beverly Canin10, Mariuxi Vietri Malone11, Armin Shahrokni12, Elana Plotkin13, Leigh M. Boehmer13, Imran Ali14, Jessica L. Krok-Schoen15,16
1ReVital Cancer Rehabilitation, Select Medical, Mechanicsburg, USA
2University of North Carolina, Chapel Hill, USA
3Colorado State University, Fort Collins, USA
4University of Colorado, Anschutz Medical Campus, Aurora, USA
5VA Eastern Colorado Healthcare System GRECC, Aurora, USA
6City of Hope Comprehensive Cancer Center, Duarte, USA
7Kent School of Social Work, University of Louisville, Louisville, USA
8Jacobi Medical Center, New York, USA
9The Royal Marsden NHS Foundation Trust, London, England
10Cancer and Aging Research Group, Duarte, USA
11Florida Cancer Specialists and Research Institute, Venice, USA
12Hackensack Meridian Jersey Shore University Medical Center, Neptune Township, USA
13Association of Community Cancer Centers, Rockville, USA
14Icahn School of Medicine, New York, USA
15School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, USA
16Comprehensive Cancer Center, The Ohio State University, Columbus, USA

Tóm tắt

The COVID-19 pandemic has caused great strain on older adults with cancer and their healthcare providers. This study explored healthcare providers’ reported changes in cancer care, clinical barriers to care, patient questions, and the overall experiences of caring for older adults with cancer during the COVID-19 crisis. The Advocacy Committee of the Cancer and Aging Research Group and the Association of Community Cancer Centers developed a survey for healthcare providers of adults with cancer, inquiring about their experiences during the pandemic. Responses from the survey’s four open-ended items were analyzed by four independent coders for identification of common themes using deductive and inductive methods. Participants (n = 137) represented a variety of demographic and clinical experiences. Six overall themes emerged, including (1) telehealth use, (2) concerns for patient mental health, (3) patient physical and social isolation, (4) patient fear of contracting COVID-19, (5) continued disruptions to cancer care, and (6) patients seeking guidance, particularly regarding COVID-19 vaccination. Questions fielded by providers focused on the COVID-19 vaccination’s safety and efficacy during older adults’ cancer treatment. Additional resources (e.g., technology support, established care guidelines, and sufficient staffing) are needed to support older adults with cancer and healthcare providers during the pandemic. Future research should explore universally effective in-person and virtual treatment strategies for older adults with cancer. Persistence of telehealth barriers, particularly a lack of infrastructure to support telehealth visits, social isolation, and restrictive visitor policies as a result of COVID-19, negatively impacted the mental health of older adults with cancer.

Tài liệu tham khảo

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