P55-2 An analysis of trends in tele-prescription of anticancer agents during the COVID-19 pandemic
P55-2 An analysis of trends in tele-prescription of anticancer agents during the COVID-19 pandemic
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DOI：
10.1016/j.annonc.2022.05.313
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发表时间：
2022-07-21
影响因子：
50.5
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中科院分区：
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背景COVID-19影响了癌症治疗策略。ASCO、ESMO和JSMO等多个学术团体已就COVID-19大流行下的癌症治疗发表声明，推荐包括口服药物和减少就诊频率的治疗方案。此外，2020年4月10日，日本厚生劳动省宣布，在线和电话医疗和药物咨询将纳入健康保险范围。在日本，有一些关于远程医疗治疗精神疾病和癫痫的报告，但在肿瘤学领域没有报告。本研究的目的是通过阐明口服抗癌药物处方的趋势来收集COVID-19大流行下安全治疗的数据。MethodsWe调查了2019年4月至2021年6月期间来我院（日本宫城名取县宫城癌症中心）并接受至少一次口服或外用药物处方的5483名患者。此外，年龄，性别，居住地（按医疗区域），病人是否得到远程处方，处方药物的名称进行了调查和比较，每年。本研究获得了宫城癌症中心伦理审查委员会的批准（批准号：结果在所有接受院外处方的患者中，2020年4 - 6月和2021年4 - 6月接受远程处方的患者比例分别为5.8%和4.2%，宫城县首次发布紧急声明时最高。就病人的特征而言，于2020年接受远程处方的女性明显较多。老年患者与非老年患者之间无显著差异。有一种趋势，即居住在离我们医院较远的患者有更高比例的远程处方，但这并不具有统计学意义。
BackgroundThe COVID-19 has affected the cancer treatment strategy. Various academic societies, such as ASCO, ESMO, and JSMO, have issued statements on cancer treatment under the COVID-19 pandemic, recommending regimens that include oral agents and less frequent visits. Furthermore, on April 10, 2020, the Ministry of Health, Labour, and Welfare of Japan announced that medical treatment and medication counseling online and by telephone are covered by health insurance. In Japan, there are some reports of telemedicine in the treatment of psychiatric disorders and epilepsy, however, no reports in the field of oncology. The purpose of this study was to collect data for safe treatment under the COVID-19 pandemic by clarifying the trends of oral anticancer drug prescriptions.MethodsWe surveyed 5483 patients who came to our hospital (Miyagi Cancer Center, Natori, Miyagi, Japan) and received at least one prescription for oral or topical medication during April-June 2019-21. In addition, the age, gender, residence (by medical area), whether the patient got tele-prescriptions, and name of prescribed medication were surveyed and compared annually. This study was approved by the Miyagi Cancer Center Ethical Review Committee (Approval No.: 2021-014) and was supported by JSPS Grant-in-Aid for Encouragement of Scientists 21H04181.ResultsOf all patients who received out-of-hospital prescriptions, the proportion of patients who received tele-prescription in April-June 2020 and 2021 was 5.8% and 4.2%, respectively, and was highest when the first emergency declaration was issued in Miyagi Prefecture. Regarding the characteristics of patients, there were significantly more females who received tele-prescription in 2020. There was no significant difference between elderly and non-elderly patients. There was a tendency for patients living farther away from our hospital to have a higher proportion of tele-prescriptions, but this was not statistically significant.