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Impact of the Early Phase of the Coronavirus Disease 2019 (COVID-19) Pandemic on the Quality of Cancer Care Delivered at a Comprehensive Cancer Centre /

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Impact of the Early Phase of the Coronavirus Disease 2019 (COVID-19) Pandemic on the Quality of Cancer Care Delivered at a Comprehensive Cancer Centre // Melanie Lynn Powis.
作者:	Powis, Melanie Lynn,
面頁冊數:	1 electronic resource (270 pages)
附註:	Source: Dissertations Abstracts International, Volume: 86-05, Section: B.
提要註:	Background: The impact of the COVID pandemic on the quality of cancer care delivered remains to be comprehensively evaluated. Objective: Evaluate the quality of cancer care delivered during the early phase of the pandemic at Princess Margaret Cancer Centre with a focus on gastrointestinal cancers. Design: Scoping literature review, cross-sectional survey and retrospective, comparative cohort study. Methods: A scoping review of COVID-related practice changes was undertaken. Patient perceptions of the quality of gastrointestinal cancer care they received during COVID were evaluated using an electronic survey (n=358). Clinical outcomes (all-cause mortality and disease progression) and quality measure performance for a cohort of newly diagnosed patients with colon, rectal or anal cancer during the early phase of the pandemic (02/20-12/20; n=294) were compared to those seen during the same period in the year prior (02/19-12/19; n=335). Results: Similar to the published literature, we found that during the early phase of the pandemic at PM there were fewer new consults, treatment interruptions were common, patient volumes were lower, a greater proportion of patients were diagnosed in the emergency department, fewer patients had surgery, and a greater proportion received short-course radiotherapy for rectal cancer. Most respondents, however, rated the overall quality of their cancer care as excellent or very good, and indicated that they were very likely to recommend PM to family or friends. COVID cohort performance was worse for quality measures related to receipt of appropriate oncology consultations for colon and anal cancer, and receipt of appropriate treatment for rectal and anal cancer, and more patients experienced a 30-day post-surgical readmission. The mean overall quality performance was lower in the COVID cohort than the comparator; however, only stage of disease was associated with score. No significant association between group and time to either all-cause mortality or disease progression was observed. Conclusion: While performance on some quality measures was impacted at the onset of the COVID pandemic, this has not translated into poor patient perceptions of their care, or poorer 2-year clinical outcomes. However, given the observed reduction in new patient consults, impacts of deferred cancer care on prognosis may be more distal.
Contained By:	Dissertations Abstracts International86-05B.
標題:	Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30818462
ISBN:	9798342746625

Impact of the Early Phase of the Coronavirus Disease 2019 (COVID-19) Pandemic on the Quality of Cancer Care Delivered at a Comprehensive Cancer Centre /
Powis, Melanie Lynn,

Impact of the Early Phase of the Coronavirus Disease 2019 (COVID-19) Pandemic on the Quality of Cancer Care Delivered at a Comprehensive Cancer Centre /Melanie Lynn Powis. - 1 electronic resource (270 pages)

Source: Dissertations Abstracts International, Volume: 86-05, Section: B.

Background: The impact of the COVID pandemic on the quality of cancer care delivered remains to be comprehensively evaluated. Objective: Evaluate the quality of cancer care delivered during the early phase of the pandemic at Princess Margaret Cancer Centre with a focus on gastrointestinal cancers. Design: Scoping literature review, cross-sectional survey and retrospective, comparative cohort study. Methods: A scoping review of COVID-related practice changes was undertaken. Patient perceptions of the quality of gastrointestinal cancer care they received during COVID were evaluated using an electronic survey (n=358). Clinical outcomes (all-cause mortality and disease progression) and quality measure performance for a cohort of newly diagnosed patients with colon, rectal or anal cancer during the early phase of the pandemic (02/20-12/20; n=294) were compared to those seen during the same period in the year prior (02/19-12/19; n=335). Results: Similar to the published literature, we found that during the early phase of the pandemic at PM there were fewer new consults, treatment interruptions were common, patient volumes were lower, a greater proportion of patients were diagnosed in the emergency department, fewer patients had surgery, and a greater proportion received short-course radiotherapy for rectal cancer. Most respondents, however, rated the overall quality of their cancer care as excellent or very good, and indicated that they were very likely to recommend PM to family or friends. COVID cohort performance was worse for quality measures related to receipt of appropriate oncology consultations for colon and anal cancer, and receipt of appropriate treatment for rectal and anal cancer, and more patients experienced a 30-day post-surgical readmission. The mean overall quality performance was lower in the COVID cohort than the comparator; however, only stage of disease was associated with score. No significant association between group and time to either all-cause mortality or disease progression was observed. Conclusion: While performance on some quality measures was impacted at the onset of the COVID pandemic, this has not translated into poor patient perceptions of their care, or poorer 2-year clinical outcomes. However, given the observed reduction in new patient consults, impacts of deferred cancer care on prognosis may be more distal.

English

ISBN: 9798342746625Subjects--Topical Terms:

186574
Nursing.
Subjects--Index Terms:

Cancer care

Impact of the Early Phase of the Coronavirus Disease 2019 (COVID-19) Pandemic on the Quality of Cancer Care Delivered at a Comprehensive Cancer Centre /
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