1. Childhood cancer survivorship care during the COVID-19 pandemic
- Author
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van den Oever, Selina R, Pluijm, Saskia M F, Skinner, Rod, Glaser, Adam, Mulder, Renée L, Armenian, Saro, Bardi, Edit, Berger, Claire, Ehrhardt, Matthew J, Gilleland Marchak, Jordan, Haeusler, Gabrielle M, Hartogh, Jaap den, Hjorth, Lars, Kepak, Tomas, Kriviene, Izolda, Langer, Thorsten, Maeda, Miho, Márquez-Vega, Catalina, Michel, Gisela, Muraca, Monica, Najib, Mohamed, Nathan, Paul C, Panasiuk, Anna, Prasad, Maya, Roganovic, Jelena, Uyttebroeck, Anne, Winther, Jeanette F, Zadravec Zaletel, Lorna, van Dalen, Elvira C, van der Pal, Helena J H, Hudson, Melissa M, Kremer, Leontien C M, IGHG COVID-19 working group, Paediatric Oncology, CCA - Cancer Treatment and Quality of Life, ARD - Amsterdam Reproduction and Development, and Paediatrics
- Subjects
Paediatric oncology ,Oncology (nursing) ,Long-term follow-up care ,COVID-19 ,BIOMEDICINA I ZDRAVSTVO. Kliničke medicinske znanosti. Pedijatrija ,Article ,Oncology ,Cancer Survivors ,Neoplasms ,BIOMEDICINE AND HEALTHCARE. Clinical Medical Sciences. Pediatrics ,Humans ,Survivors ,Child ,Childhood cancer ,Pandemics - Abstract
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., + ID der Publikation: unilu_56897 + Sprache: Englisch + Letzte Aktualisierung: 2022-01-24 15:04:24
- Published
- 2022