Palliative care to cancer patients: how COVID-19 pandemic could affect quality of care
ABSTRACT Objective To evaluate the impact of COVID-19 pandemic on the care delivered to hospitalized cancer patients in end-of-life. Methods A retrospective analysis of data of hospitalized patients with advanced solid tumors, who died under exclusive palliative care during first wave (March 202...
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| Format: | Article |
| Language: | English |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
2022-05-01
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| Series: | Einstein (São Paulo) |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100252&tlng=en |
| _version_ | 1811231598442446848 |
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| author | Juliana Todaro Camila Viale Nogueira Elisa Rossi Conte Rafael Aliosha Kaliks |
| author_facet | Juliana Todaro Camila Viale Nogueira Elisa Rossi Conte Rafael Aliosha Kaliks |
| author_sort | Juliana Todaro |
| collection | DOAJ |
| description | ABSTRACT Objective To evaluate the impact of COVID-19 pandemic on the care delivered to hospitalized cancer patients in end-of-life. Methods A retrospective analysis of data of hospitalized patients with advanced solid tumors, who died under exclusive palliative care during first wave (March 2020 to July 2020) compared with the period previous pandemic (January 2018 to February 2020). Results A total of 190 oncologic patients were included, 161 patients before the pandemic, and 29 in the period from March 2020 to July 2020. The average hospitalization was 497.2 patients per month, before the pandemic, and dropped to an average of 46.5 in the pandemic, whereas the death rate decreased from an average of 6.3 patients per month to 4.8. Considering the benchmarks for quality of care during end-of-life care, preferences on life assistance were discussed prior to hospitalization for 34.4%, before the pandemic, and 13.8% during the pandemic (p=0.0298); 9.3% received chemotherapy 15 days prior to the date of death, before the pandemic, and 20.7%, in the pandemic (p=0.1012). Conclusion Based on the present results, despite the decrease in oncology admissions, the advanced-stage cancer patients continued to seek hospital for end-of-life care. However, we could observe in our benchmarking analyses for palliative quality of care that talks about prognosis occurred less often during the pandemic. |
| first_indexed | 2024-04-12T10:47:39Z |
| format | Article |
| id | doaj.art-435e8c0dba0a483eb5cc561306c94de0 |
| institution | Directory Open Access Journal |
| issn | 2317-6385 |
| language | English |
| last_indexed | 2024-04-12T10:47:39Z |
| publishDate | 2022-05-01 |
| publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
| record_format | Article |
| series | Einstein (São Paulo) |
| spelling | doaj.art-435e8c0dba0a483eb5cc561306c94de02022-12-22T03:36:21ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-63852022-05-012010.31744/einstein_journal/2022ao6459Palliative care to cancer patients: how COVID-19 pandemic could affect quality of careJuliana Todarohttps://orcid.org/0000-0003-2709-4767Camila Viale Nogueirahttps://orcid.org/0000-0002-4842-406XElisa Rossi Contehttps://orcid.org/0000-0003-0911-1789Rafael Aliosha Kalikshttps://orcid.org/0000-0003-4728-535XABSTRACT Objective To evaluate the impact of COVID-19 pandemic on the care delivered to hospitalized cancer patients in end-of-life. Methods A retrospective analysis of data of hospitalized patients with advanced solid tumors, who died under exclusive palliative care during first wave (March 2020 to July 2020) compared with the period previous pandemic (January 2018 to February 2020). Results A total of 190 oncologic patients were included, 161 patients before the pandemic, and 29 in the period from March 2020 to July 2020. The average hospitalization was 497.2 patients per month, before the pandemic, and dropped to an average of 46.5 in the pandemic, whereas the death rate decreased from an average of 6.3 patients per month to 4.8. Considering the benchmarks for quality of care during end-of-life care, preferences on life assistance were discussed prior to hospitalization for 34.4%, before the pandemic, and 13.8% during the pandemic (p=0.0298); 9.3% received chemotherapy 15 days prior to the date of death, before the pandemic, and 20.7%, in the pandemic (p=0.1012). Conclusion Based on the present results, despite the decrease in oncology admissions, the advanced-stage cancer patients continued to seek hospital for end-of-life care. However, we could observe in our benchmarking analyses for palliative quality of care that talks about prognosis occurred less often during the pandemic.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100252&tlng=enPalliative careNeoplasmsCoronavirus infectionsCOVID-19SARS-CoV-2BetacoronavirusQuality of health care |
| spellingShingle | Juliana Todaro Camila Viale Nogueira Elisa Rossi Conte Rafael Aliosha Kaliks Palliative care to cancer patients: how COVID-19 pandemic could affect quality of care Einstein (São Paulo) Palliative care Neoplasms Coronavirus infections COVID-19 SARS-CoV-2 Betacoronavirus Quality of health care |
| title | Palliative care to cancer patients: how COVID-19 pandemic could affect quality of care |
| title_full | Palliative care to cancer patients: how COVID-19 pandemic could affect quality of care |
| title_fullStr | Palliative care to cancer patients: how COVID-19 pandemic could affect quality of care |
| title_full_unstemmed | Palliative care to cancer patients: how COVID-19 pandemic could affect quality of care |
| title_short | Palliative care to cancer patients: how COVID-19 pandemic could affect quality of care |
| title_sort | palliative care to cancer patients how covid 19 pandemic could affect quality of care |
| topic | Palliative care Neoplasms Coronavirus infections COVID-19 SARS-CoV-2 Betacoronavirus Quality of health care |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100252&tlng=en |
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