Impact of COVID‐19 pandemic on lung cancer treatment scheduling

The current coronavirus disease 2019 (COVID‐19) pandemic is associated with a heavy burden on the mental and physical health of patients, regional healthcare resources, and global economic activity. Many patients with lung cancer are thought to be affected by this situation. Therefore, in this study...

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Main Authors: Kohei Fujita, Takanori Ito, Zentaro Saito, Osamu Kanai, Koichi Nakatani, Tadashi Mio
Format: Article
Language:English
Published: Wiley 2020-10-01
Series:Thoracic Cancer
Subjects:
Online Access:https://doi.org/10.1111/1759-7714.13615
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author Kohei Fujita
Takanori Ito
Zentaro Saito
Osamu Kanai
Koichi Nakatani
Tadashi Mio
author_facet Kohei Fujita
Takanori Ito
Zentaro Saito
Osamu Kanai
Koichi Nakatani
Tadashi Mio
author_sort Kohei Fujita
collection DOAJ
description The current coronavirus disease 2019 (COVID‐19) pandemic is associated with a heavy burden on the mental and physical health of patients, regional healthcare resources, and global economic activity. Many patients with lung cancer are thought to be affected by this situation. Therefore, in this study, we aimed to evaluate the impact of COVID‐19 pandemic on lung cancer treatment scheduling. We retrospectively reviewed the medical records of lung cancer patients who were undergoing anticancer treatment at the National Hospital Organization Kyoto Medical Center (600 beds) in Kyoto, Japan, between 1 March 2020 and 31 May 2020. After the medical records were reviewed, the patients were assigned to one of two groups, depending on whether their lung cancer treatment schedule was delayed. We assessed the characteristics, types of histopathology and treatment, and the reason for the delay. A total 15 (9.1%) patients experienced a delay in lung cancer treatment during the COVID‐19 pandemic. Patients with a treatment delay received significantly more immune checkpoint inhibitor (ICI) monotherapy than patients without a treatment delay (P = 0.0057). On the contrary, no patients receiving molecular targeted agents experienced a treatment delay during the COVID‐19 pandemic period (P = 0.0027). The treatments of most of the patients were delayed at their request. We determined that 9.1% lung cancer patients suffered anxiety and requested a treatment delay during the COVID‐19 pandemic. Oncologists should bear in mind that patients with cancer have more anxiety than expected under unprecedented circumstances such as the COVID‐19 pandemic.
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spelling doaj.art-3392b9dd13e847fe9a4eb598c9a0d3052022-12-21T19:52:36ZengWileyThoracic Cancer1759-77061759-77142020-10-0111102983298610.1111/1759-7714.13615Impact of COVID‐19 pandemic on lung cancer treatment schedulingKohei Fujita0Takanori Ito1Zentaro Saito2Osamu Kanai3Koichi Nakatani4Tadashi Mio5Division of Respiratory Medicine, Center for Respiratory Diseases National Hospital Organization Kyoto Medical Center Kyoto JapanDivision of Respiratory Medicine, Center for Respiratory Diseases National Hospital Organization Kyoto Medical Center Kyoto JapanDivision of Respiratory Medicine, Center for Respiratory Diseases National Hospital Organization Kyoto Medical Center Kyoto JapanDivision of Respiratory Medicine, Center for Respiratory Diseases National Hospital Organization Kyoto Medical Center Kyoto JapanDivision of Respiratory Medicine, Center for Respiratory Diseases National Hospital Organization Kyoto Medical Center Kyoto JapanDivision of Respiratory Medicine, Center for Respiratory Diseases National Hospital Organization Kyoto Medical Center Kyoto JapanThe current coronavirus disease 2019 (COVID‐19) pandemic is associated with a heavy burden on the mental and physical health of patients, regional healthcare resources, and global economic activity. Many patients with lung cancer are thought to be affected by this situation. Therefore, in this study, we aimed to evaluate the impact of COVID‐19 pandemic on lung cancer treatment scheduling. We retrospectively reviewed the medical records of lung cancer patients who were undergoing anticancer treatment at the National Hospital Organization Kyoto Medical Center (600 beds) in Kyoto, Japan, between 1 March 2020 and 31 May 2020. After the medical records were reviewed, the patients were assigned to one of two groups, depending on whether their lung cancer treatment schedule was delayed. We assessed the characteristics, types of histopathology and treatment, and the reason for the delay. A total 15 (9.1%) patients experienced a delay in lung cancer treatment during the COVID‐19 pandemic. Patients with a treatment delay received significantly more immune checkpoint inhibitor (ICI) monotherapy than patients without a treatment delay (P = 0.0057). On the contrary, no patients receiving molecular targeted agents experienced a treatment delay during the COVID‐19 pandemic period (P = 0.0027). The treatments of most of the patients were delayed at their request. We determined that 9.1% lung cancer patients suffered anxiety and requested a treatment delay during the COVID‐19 pandemic. Oncologists should bear in mind that patients with cancer have more anxiety than expected under unprecedented circumstances such as the COVID‐19 pandemic.https://doi.org/10.1111/1759-7714.13615COVID‐19lung cancerpandemicSARS‐CoV‐2treatment delay
spellingShingle Kohei Fujita
Takanori Ito
Zentaro Saito
Osamu Kanai
Koichi Nakatani
Tadashi Mio
Impact of COVID‐19 pandemic on lung cancer treatment scheduling
Thoracic Cancer
COVID‐19
lung cancer
pandemic
SARS‐CoV‐2
treatment delay
title Impact of COVID‐19 pandemic on lung cancer treatment scheduling
title_full Impact of COVID‐19 pandemic on lung cancer treatment scheduling
title_fullStr Impact of COVID‐19 pandemic on lung cancer treatment scheduling
title_full_unstemmed Impact of COVID‐19 pandemic on lung cancer treatment scheduling
title_short Impact of COVID‐19 pandemic on lung cancer treatment scheduling
title_sort impact of covid 19 pandemic on lung cancer treatment scheduling
topic COVID‐19
lung cancer
pandemic
SARS‐CoV‐2
treatment delay
url https://doi.org/10.1111/1759-7714.13615
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