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dc.contributorVall d'Hebron Barcelona Hospital Campus
dc.contributor.authorAmador, M.
dc.contributor.authorMatias-Guiu, X.
dc.contributor.authorSancho-Pardo, G.
dc.contributor.authorContreras Martinez, J.
dc.contributor.authorde la Torre-Montero, J. C.
dc.contributor.authorPeñuelas Saiz, Angeles
dc.date.accessioned2022-01-13T14:07:16Z
dc.date.available2022-01-13T14:07:16Z
dc.date.issued2021-06
dc.identifier.citationAmador M, Matias-Guiu X, Sancho-Pardo G, Contreras Martinez J, de la Torre-Montero JC, Peuelas Saiz A, et al. Impact of the COVID-19 pandemic on the care of cancer patients in Spain. ESMO Open. 2021 Jun;6(3):100157.
dc.identifier.issn2059-7029
dc.identifier.urihttp://hdl.handle.net/11351/6786
dc.descriptionCoronavirus SARS-CoV-2; COVID-19; 2019-nCoV; Cancer; Spain
dc.description.abstractBackground Studies evaluating the effects of the COVID-19 pandemic on public healthcare systems are limited, particularly in cancer management. As no such studies have been carried out in Spain, our objective is to describe and quantify the impact of the COVID-19 pandemic on cancer patients in Spanish hospitals during the first wave of the pandemic. Materials and methods This retrospective, multicenter, nationwide study collected information from hospital departments treating oncology patients. An electronic questionnaire comparing outcomes and management of oncohematological patients for the March-June 2019 and March-June 2020 periods was used. Results Information from 78 departments (36 tertiary hospitals) was analyzed. Forty-four departments implemented adapted protocols during March 2020. Most of these (n = 38/44; 86.4%) carried out COVID-19 triage, while 26 of 44 (59.1%) carried out onsite polymerase chain reaction tests for clinically suspected cases. A shift from in-person to telephone visits was observed in 43 of 44 (97.7%) departments. Comparing the March-June 2019 and March-June 2020 periods, the number of new patients decreased by 20.8% (from 160.2 to 126.4). Decreases were also seen in the mean number of total (2858.2 versus 1686.1) and cancer (465.5 versus 367.2) biopsies, as well as the mean number of bone marrow biopsies (30.5 versus 18.6). Concerning the number of patients visiting specific cancer care departments, a decrease from 2019 to 2020 was seen for mean number of chemotherapy treatments (712.7 versus 643.8) and radiation therapy (2169.9 versus 2139.9). Finally, a reduction from 2019 to 2020 of 12.9% (from 8.6 to 7.4) in the mean number of patients included in clinical trials was noted. Conclusions This study provides the first comprehensive data concerning the impact of COVID-19 on cancer care in Spain. The pandemic caused a 20.8% decrease in newly diagnosed patients, which may impact future outcomes. Measures must be taken to ensure cancer management receives priority in times of healthcare emergencies.
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofseriesESMO Open;6(3)
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.sourceScientia
dc.subjectCàncer - Diagnòstic - Espanya
dc.subjectPandèmia de COVID-19, 2020- - Espanya
dc.subjectAssistència hospitalària - Espanya
dc.subject.meshNeoplasms
dc.subject.meshPandemics
dc.subject.meshPatient Care
dc.subject.meshSpain
dc.titleImpact of the COVID-19 pandemic on the care of cancer patients in Spain
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.1016/j.esmoop.2021.100157
dc.subject.decsneoplasias
dc.subject.decspandemias
dc.subject.decsasistencia al paciente
dc.subject.decsEspaña
dc.relation.publishversionhttps://doi.org/10.1016/j.esmoop.2021.100157
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.organismesInstitut Català de la Salut
dc.contributor.authoraffiliation[Amador M] Spanish Association Against Cancer (AECC), C. del Teniente Cnel. Noreña, Madrid, Spain. [Matias-Guiu X] Pathology Department, Bellvitge University Hospital, Barcelona, Spain. [Sancho-Pardo G] Radiation Oncology Department, Santa Creu i Sant Pau Hospital, Barcelona, Spain. [Contreras Martinez J] Radiation Oncology Department, Malaga Regional Hospital, Malaga, Spain. [de la Torre-Montero JC] Comillas Pontifical University, San Juan de Dios Department of Health Sciences, Madrid, Spain. [Peñuelas Saiz A] Servei d’Oncologia-Hematologia-Radioteràpia, Vall d'Hebron Hospital Universitari, Barcelona, Spain
dc.identifier.pmid34015642
dc.identifier.wos000663044500048
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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