Impact of COVID-19 Pandemic on Health-Related Quality of Life in Uro-oncologic Patients: What Should We Wait For?
Impact of COVID-19 Pandemic on Health-Related Quality of Life in Uro-oncologic Patients: What Should We Wait For?
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DOI：
10.1016/j.clgc.2020.07.008
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发表时间：
2021-06-01
影响因子：
3.2
通讯作者：
Scarpa, Roberto M.
中科院分区：
文献类型：
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作者：
Greco, Francesco;Altieri, Vincenzo M.;Scarpa, Roberto M.
在过去的3个月里，我们经历了一个新时代的开始：新型冠状病毒的大流行。我们调查了肿瘤患者的健康相关的生活质量，他们的手术被推迟而没有重新安排。所有患者都感觉到他们的健康状况有所下降，86%的患者注意到焦虑和能量损失的普遍性。研究目的：探讨2019冠状病毒病（COVID-19）大流行期间，手术被推迟但未重新安排的泌尿系肿瘤患者的健康相关生活质量。患者和方法：从2020年3月1日至4月26日，我们的三级护理转诊医院大幅减少了重大泌尿外科手术。为了评估健康相关的生活质量结局，在因COVID-19紧急情况取消计划的外科手术后3周，向所有计划在我科接受大手术的患者发送SF-36问卷。结果：纳入分析的所有患者等待手术的中位（四分位数间距）时间为52.85（35-72）天。SF-36问卷测量了8个领域：身体功能（PF）、身体健康导致的角色限制（PH）、情绪问题导致的角色限制（RE）、精力/疲劳（EF）、情绪幸福感（EWB）、社会功能（SF）、身体疼痛（BP）、一般健康感知（GHP）。当考虑SF-36问卷测量的身体特征时，PF为91.5（50-100），PH为82.75（50-100），BP为79.56（45-90）。在情感和社会方面，RE为36.83（0-100），SF为37.98（12.5-90）。大多数患者报告能量损失（EF 35.28 [15-55]）和焦虑增加（EWB 47.18 [四分位距，2075]）。所有患者都感觉到他们的健康状况下降，GHP为49.47（15-85）。一般来说，86%的患者（n = 43）注意到几乎完整的身体功能，但显着的情绪变化，其特征是普遍的焦虑和能量损失。结论：新型冠状病毒影响了意大利的大多数手术室，这可能是导致肿瘤患者焦虑增加和健康状况下降的原因。如果没有任何有效的解决方案，我们应该期待一个新的医疗灾难-一个由泌尿肿瘤患者肿瘤进展和死亡率增加的风险引起的灾难。(C)2020爱思唯尔公司All rights reserved.
In the last 3 months, we have experienced the beginning of a new era: a pandemic of the novel coronavirus. We investigated the health-related quality of life of oncologic patients whose surgery was postponed without being rescheduled. All patients perceived a reduction of their health conditions, and 86% noted prevalence of anxiety and loss of energy. Without any effective solution, we should expect the risk of increasing tumor progression and mortality in uro-oncologic patients.Purpose: To investigate the health-related quality of life of uro-oncologic patients whose surgery was postponed without being rescheduled during the coronavirus disease 2019 (COVID-19) pandemic. Patients and Methods: From the March 1 to April 26, 2020, major urologic surgeries were drastically reduced at our tertiary-care referral hospital. In order to evaluate health-related quality-of-life outcomes, the SF-36 questionnaire was sent to all patients scheduled for major surgery at our department 3 weeks after the cancellation of the planned surgical procedures because of the COVID-19 emergency. Results: All patients included in the analysis had been awaiting surgery for a median (inter-quartile range) time of 52.85 (35-72) days. The SF-36 questionnaire measured 8 domains: physical functioning (PF), role limitations due to physical health (PH), role limitations due to emotional problems (RE), energy/fatigue (EF), emotional well-being (EWB), social functioning (SF), bodily pain (BP), general health perceptions (GHP). When considering physical characteristics as measured by the SF-36 questionnaire, PF was 91.5 (50-100) and PH was 82.75 (50-100) with a BP of 79.56 (45-90). For emotional and social aspects, RE was 36.83 (0-100) with a SF of 37.98 (12.5-90). Most patients reported loss of energy (EF 35.28 [15-55]) and increased anxiety (EWB 47.18 [interquartile range, 2075]). All patients perceived a reduction of their health conditions, with GHP of 49.47 (15-85). Generally, 86% of patients (n = 43) noted an almost intact physical function but a significant emotional alteration characterized by a prevalence of anxiety and loss of energy. Conclusion: The lockdown due to the novel coronavirus that has affected most operating rooms in Italy could be responsible for the increased anxiety and decrement in health status of oncologic patients. Without any effective solution, we should expect a new medical catastrophe-one caused by the increased risk of tumor progression and mortality in uro-oncologic patients. (C) 2020 Elsevier Inc. All rights reserved.