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2020 ; 27
(2
): 71-74
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gab.com Text
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English Wikipedia
Impact of COVID-19 on Canadian medical oncologists and cancer care: Canadian
Association of Medical Oncologists survey report
#MMPMID32489248
Gill S
; Hao D
; Hirte H
; Campbell A
; Colwell B
Curr Oncol
2020[Apr]; 27
(2
): 71-74
PMID32489248
show ga
BACKGROUND: The covid-19 pandemic has presented unprecedented professional and
personal challenges for the oncology community. Under the auspices of the
Canadian Association of Medical Oncologists, we conducted an online national
survey to better understand the impact of the pandemic on the medical oncology
community in Canada. METHODS: An English-language multiple-choice survey,
including questions about demographics, covid-19 risk, use of personal protective
equipment (ppe), personal challenges, and chemotherapy management was distributed
to Canadian medical oncologists. The survey was open from 30 March to 4 April
2020, and attracted 159 responses. RESULTS: More than 70% of medical oncologists
expressed moderate-to-extreme concern about personally contracting covid-19 and
about family members or patients (or both) contracting covid-19 from them.
Despite that high level of concern, considerable variability in the use of ppe in
direct cancer care was reported at the time of this survey, with 33% of
respondents indicating no routine ppe use at their institutions and 69%
indicating uncertainty about access to adequate ppe. Of the respondents, 54% were
experiencing feelings of nervousness or anxiety on most days, and 52% were having
feelings of depression or hopelessness on at least some days. Concern about aging
parents or family and individual wellness represented the top personal challenges
identified. The management of cancer patients has been affected, with adoption of
telemedicine reported by 82% of respondents, and cessation of clinical trial
accrual reported by 54%. The 3 factors deemed most important for treatment
decision-making were? cancer prognosis and anticipated benefit from treatment,?
risk of treatment toxicity during scarce health care access, and? patient risk of
contracting covid-19. CONCLUSIONS: This report describes the results of the first
national survey assessing the impact of the covid-19 on Canadian medical
oncologists and how they deliver systemic anticancer therapies. We hope that
these data will provide a framework to address the challenges identified.