Health
Half of Breast Cancer Survivors Delayed Treatment Due to COVID-19
Results of an online survey of 609 breast cancer survivors in the United States suggest that nearly half of the patients experienced delays in treatment during the first weeks of the COVID-19 pandemic. A study by researchers at the University of Illinois at Chicago is published in the journal Breast cancer research and treatment..
“The motivation for this research is Cancer treatment We wanted to better understand what was happening because of the delays in the beginning of the pandemic and the cancellation of procedures,” said Associate Professor of Biomedical and Health Informatics at UIC University of Applied Health Sciences. Elizabeth Reportsky said.
Papautsky and co-author Tamara Hamlish cancer The University of Illinois Cancer Center Survival Program created a questionnaire asking about delays in care. They distributed the questionnaire to the United States milk Cancer survivor groups via social media and email. They used the National Cancer Institute’s definition of cancer survivors. This also includes people who have been diagnosed with cancer.
Between April 2nd and April 27th, researchers received 609 responses.
The questionnaire sought to identify what treatment was delayed, such as chemotherapy, radiation, cancer surgery, hormone therapy, or scheduled follow-up. There were also demographic questions about race, age, and stage of cancer.
63% of the respondents are currently receiving cancer treatment, with an average age of 47 years. Respondents were diverse: 78% were white, 17% were black, and 3% were Asian.
44% of respondents are researchers delay Under caution. The most commonly reported delay was regular follow-up visits. Respondents reported the highest delay rates for regular follow-up appointments (79%), breast reconstruction surgery (66%), imaging (60%), and laboratory tests (50%). About 30% of respondents reported delays in hospital or clinic-based cancer therapies, including radiation therapy (30%), infusion therapy (32%), and surgical tumor removal (26%).
“We predicted the usual racial differences seen in health care, and while black patients were affected disproportionately, our result was that COVID The caregivers were postponing visits and procedures altogether due to the increased burden of coping with COVID-19.”
“We were surprised to see it young woman Delays were more likely to occur, and these women are generally more likely to be younger, as they may be associated with the discontinuation of hormone therapy for ovarian suppression given to women with certain types of breast cancer.” Said Papautsky. In the study, the authors found that age was the only demographic variable that affected the likelihood of delayed care.
The survey also had a section for general comments. Many respondents said their treatment may have been corrected rather than completely canceled, the researchers said. One example they pointed out was that hormonal therapy may have been more spaced to reduce the number of visits.
“Overall, we Disaster preparedness It will provide important and time-sensitive care to patients with breast cancer, Hamlish said.
Elizabeth Lerner Papautsky et al, Patient Report Delays Breast Cancer Treatment During the COVID-19 Pandemic Breast cancer research and treatment (2020). DOI: 10.1007 / s10549-020-05828-7
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University of Illinois at Chicago
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