Childhood cancer survivorship care during the COVID-19 pandemic: an international report of practice implications and provider concerns.
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van den Oever Selina R, Pluijm Saskia M F, Skinner Rod, Glaser Adam, Mulder Renée L, Armenian Saro, Bardi Edit, Berger Claire, Ehrhardt Matthew J, Gilleland Marchak Jordan, Haeusler Gabrielle M, Hartogh Jaap den, Hjorth Lars, Kepak Tomas, Kriviene Izolda, Langer Thorsten, Maeda Miho, Márquez-Vega Catalina, Michel Gisela, Muraca Monica, Najib Mohamed, Nathan Paul C, Panasiuk Anna, Prasad Maya, Roganovic Jelena, Uyttebroeck Anne, Winther Jeanette F, Zadravec Zaletel Lorna, van Dalen Elvira C, van der Pal Helena J H, Hudson Melissa M, Kremer Leontien C M, IGHG COVID-19 working group
Аннотация
METHODS: A COVID-19 working group within the International Late Effects of Childhood Cancer Guideline Harmonization Group (IGHG) distributed a questionnaire to LTFU service providers in 37 countries across Europe, Asia, North America, Central/South America, and Australia. The questionnaire assessed how care delivery methods changed during the pandemic and respondents' level of worry about the pandemic's impact on LTFU care delivery, their finances, their health, and that of their family and friends.
RESULTS: Among 226 institutions, providers from 178 (79%) responded. Shortly after the initial outbreak, 42% of LTFU clinics closed. Restrictions during the pandemic resulted in fewer in-person consultations and an increased use of telemedicine, telephone, and email consultations. The use of a risk assessment to prioritise the method of LTFU consultation for individual CCS increased from 12 to 47%. While respondents anticipated in-person consultations to remain the primary method for LTFU service delivery, they expected significantly increased use of telemedicine and telephone consultations after the pandemic. On average, respondents reported highest levels of worry about psychosocial well-being of survivors.
CONCLUSIONS: The pandemic necessitated changes in LTFU service delivery, including greater use of virtual LTFU care and risk-stratification to identify CCS that need in-person evaluations.
IMPLICATIONS FOR CANCER SURVIVORS: Increased utilisation of virtual LTFU care and risk stratification is likely to persist post-pandemic.