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Expected Medium- and Long-Term Impact of the COVID-19 Outbreak in Oncology

Authors: Giuseppe Curigliano; Vivianne C. G. Tjan-Heijnen; Nadia Harbeck; Sylvie Rottey; Javier Cortes; Marco Tagliamento; Rupert Bartsch; +14 Authors

Expected Medium- and Long-Term Impact of the COVID-19 Outbreak in Oncology

Abstract

PURPOSEThe COVID-19 pandemic has affected healthcare systems globally, leading to reorganization of medical activities. We performed an international survey aimed to investigate the medium- and long-term impact on oncology units.MATERIALS AND METHODSAn 82-item survey was distributed from June 17 to July 14, 2020 among medical oncologists worldwide.RESULTSOne hundred nine medical oncologists from 18 countries in Europe (n = 93), United States (n = 5), and Latin America (n = 11) answered the survey. A systematic tracing of COVID-19–positive patients was continued in the postacute phase by 77.1% of the centers; 64.2% of the respondents participated in a local registry and 56% in international or national registries of infected patients. Treatment adaptations were introduced, and surgery was the most affected modality being delayed or canceled in more than 10% of patients in 34% of the centers, whereas early cessation of palliative treatment was reported in 32.1% of the centers; 64.2% of respondents reported paying attention to avoid undertreatments. The use of telemedicine has been largely increased. Similarly, virtual tools are increasingly used particularly for medical education and international or national or multidisciplinary meetings. 60.6% of the participants reduced clinical activity, and 28.4% compensated by increasing their research activity. Significant reduction of clinical trial activities is expected in 37% of centers this year. The well-being of healthcare staff would not recover by the end of the year according to 18% of the participants.CONCLUSIONThe COVID-19 outbreak has had a major impact on oncologic activity, which will persist in the future, irrespective of geographical areas.

Keywords

Registrie, Male, Oncologia, Oncologie, Medical Oncology, COVID-19 (Malaltia), Adult; COVID-19; Clinical Trials as Topic; Europe; Female; Geography; Humans; Interdisciplinary Communication; Internet; Latin America; Male; Medical Oncology; Middle Aged; Neoplasms; Palliative Care; Registries; Surveys and Questionnaires; Telemedicine; United States; Pandemics, DISEASES::Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections, Neoplasms, Surveys and Questionnaires, Medicine and Health Sciences, Neoplasms/therapy, Surveys and Questionnaire, Registries, Human health sciences, RC254-282, COVID-19/epidemiology, Clinical Trials as Topic, Geography, Latin America/epidemiology, Palliative Care, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, Telemedicina, Middle Aged, United States/epidemiology, DISCIPLINES AND OCCUPATIONS::Health Occupations::Medicine::Internal Medicine::Medical Oncology, Telemedicine, Europe, Oncology, Female, Life Sciences & Biomedicine, Human, United State, Adult, Medical Oncology/trends, Sciences de la santé humaine, Europe/epidemiology, Humans, ENFERMEDADES::virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por Coronavirus, Pandemics, Internet, Science & Technology, COVID-19, ATENCIÓN DE SALUD::administración de los servicios de salud::gestión de la atención al paciente::prestación sanitaria::telemedicina, SPECIAL ARTICLES, DISCIPLINAS Y OCUPACIONES::profesiones sanitarias::medicina::medicina interna::oncología médica, United States, HEALTH CARE::Health Services Administration::Patient Care Management::Delivery of Health Care::Telemedicine, Latin America, Palliative Care/organization & administration, Neoplasm, Interdisciplinary Communication, Human medicine

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
36
Top 10%
Top 10%
Top 1%
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