Perspective of Oncology Patients During COVID-19 Pandemic: A Prospective Observational Study From India

Bibliographic Details
Title: Perspective of Oncology Patients During COVID-19 Pandemic: A Prospective Observational Study From India
Authors: Joydeep Ghosh, Sandip Ganguly, Debapriya Mondal, Prashant Pandey, Deepak Dabkara, Bivas Biswas
Source: JCO Global Oncology, Vol , Iss 6, Pp 844-851 (2020)
Publisher Information: American Society of Clinical Oncology, 2020.
Publication Year: 2020
Collection: LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Subject Terms: Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
More Details: PURPOSE The coronavirus disease 2019 (COVID-19) pandemic has imposed a unique challenge to oncology patients and their treatment. There is no study related to the patients’ preference for systemic therapy during this pandemic. We have conducted a prospective study to analyze that aspect. METHODS All consecutive patients who visited during the lockdown period from April 1-10, 2020, for systemic chemotherapy were included in the study for a questionnaire-based survey to evaluate the willingness to continue chemotherapy during this pandemic and factors influencing the decisions. RESULTS A total of 302 patients were included (median age, 56 years; range, 21-77 years). Most common sites of cancer were breast (n = 114), lung (n = 44), ovary (n = 34), and colon (n = 20). Home address was within the city for 125 patients (42%), outside the city for 138 (46%), and outside the state for 37 (12%). Treatment was curative in 150 patients and palliative in 152. Educational status was primary and above for 231 patients and no formal schooling for 71. A total of 203 patients wanted to continue chemotherapy, 40 wanted to defer, and 56 wanted the physician to decide. Knowledge about COVID-19 strongly correlated with intent of treatment (P = .01), disease status (P = .02), knowledge about immunosuppression (P < .001), home location (P = .02), and education status (P = .003). The worry about catching SARS-CoV-2 was high in those with controlled disease (P = .06) and knowledge about immunosuppression (P = .02). Worry about disease progression was more with palliative intent (P < .001). CONCLUSION This study shows that oncology patients in our country are more worried about disease progression than the SARS-CoV-2 and wish to continue chemotherapy during this pandemic. The treatment guidelines in the COVID-19 scenario should incorporate patients’ perspectives.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2687-8941
Relation: https://doaj.org/toc/2687-8941
DOI: 10.1200/GO.20.00172
Access URL: https://doaj.org/article/5e385878c41e426e9adfad6efdb1fedb
Accession Number: edsdoj.5e385878c41e426e9adfad6efdb1fedb
Database: Directory of Open Access Journals
More Details
ISSN:26878941
DOI:10.1200/GO.20.00172
Published in:JCO Global Oncology
Language:English