Survey of cancer care providers' attitude toward care for older adults with cancer during the COVID-19 pandemic.
Survey of cancer care providers' attitude toward care for older adults with cancer during the COVID-19 pandemic.
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DOI：
10.1016/j.jgo.2020.09.028
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发表时间：
2021-03
影响因子：
3
通讯作者：
Shahrokni A
中科院分区：
文献类型：
--
作者：
BrintzenhofeSzoc K;Krok-Schoen JI;Pisegna JL;MacKenzie AR;Canin B;Plotkin E;Boehmer LM;Shahrokni A
目标：在2019冠状病毒病大流行期间，老年癌症患者的护理变得更具挑战性。我们试图研究癌症护理提供者对大流行期间与这些患者护理相关的障碍和促进因素的态度。材料与方法：癌症和衰老研究小组宣传委员会的成员，沿着社区癌症中心协会，开发了这项调查，分发给负责直接护理癌症患者的多学科医疗保健提供者。参与者是通过四个专业组织的邮件列表、电子邮件爆炸和社交媒体上的消息招募的。结果：274名受访者提供了完整的数据。只有15.4%的人获得了专门针对2019冠状病毒病大流行期间老年癌症患者管理的书面指南。年龄排在第五位，是推迟治疗的原因，其次是合并症、癌症分期、虚弱和体能状态。在患者、医护人员和机构层面发现了向远程保健过渡的障碍。提供者报告说，老年癌症患者在获得基本需求方面的障碍增加。大多数受访者（86.3%）同意，在所有情况下，关于不复苏命令的决策都应该是与患者和医疗保健代理人讨论的结果。报告的前五个问题与患者安全、治疗延迟、医护人员心理健康和倦怠以及家人和自我的人身安全有关。结论：这些发现要求在COVID-19大流行期间为老年癌症患者和医疗保健提供者分配资源和支持。
Objectives: Care for older adults with cancer became more challenging during the COVID-19 pandemic. We sought to examine cancer care providers' attitudes toward the barriers and facilitators related to the care for these patients during the pandemic. Materials and Methods: Members of the Advocacy Committee of the Cancer and Aging Research Group, along with the Association of Community Cancer Centers, developed the survey distributed to multidisciplinary healthcare providers responsible for the direct care of patients with cancer. Participants were recruited by email sent through four professional organizations' listservs, email blasts, and messages through social media. Results: Complete data was available from 274 respondents. Only 15.4% had access to written guidelines that specifically address the management of older adults with cancer during the COVID-19 pandemic. Age was ranked fifth as the reason for postponing treatment following comorbid conditions, cancer stage, frailty, and performance status. Barriers to the transition to telehealth were found at the patient-, healthcare worker-, and institutional-levels. Providers reported increased barriers in accessing basic needs among older adults with cancer. Most respondents agreed (86.3%) that decision making about Do Not Resuscitate orders should be the result of discussion with the patient and the healthcare proxy in all situations. The top five concerns reported were related to patient safety, treatment delays, healthcare worker mental health and burnout, and personal safety for family and self. Conclusion: These findings demand resources and support allocation for older adults with cancer and healthcare providers during the COVID-19 pandemic.
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影响因子：
45.3
作者：
Hurria, Arti;Levit, Laura A.;Cohen, Harvey J.
通讯作者：
Cohen, Harvey J.
影响因子：
3.8
作者：
Griffiths R;Gleeson M;Knopf K;Danese M
通讯作者：
Danese M
影响因子：
5.8
作者：
Al-Shamsi, Humaid O.;Alhazzani, Waleed;Xie, Conghua
通讯作者：
Xie, Conghua
DOI：
10.6004/jnccn.2020.7572
发表时间：
2020-05-01
影响因子：
13.4
作者：
Cinar, Pelin;Kubal, Timothy;Liu, Catherine
通讯作者：
Liu, Catherine
影响因子：
3
作者：
MacKenzie, Amy R.;Barsevick, Andrea M.;Chapman, Andrew E.
通讯作者：
Chapman, Andrew E.