Survey of the Impact of COVID-19 on Oncologists’ Decision Making in Cancer

PURPOSE To understand readiness measures taken by oncologists to protect patients and health care workers from the novel coronavirus (COVID-19) and how their clinical decision making was influenced by the pandemic. METHODS An online survey was conducted between March 24 and April 29, 2020. RESULTS A...
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Autor*in:	Yüksel Ürün [verfasserIn] Syed A. Hussain [verfasserIn] Ziad Bakouny [verfasserIn] Daniel Castellano [verfasserIn] Saadettin Kılıçkap [verfasserIn] Gilberto Morgan [verfasserIn] Rana R. Mckay [verfasserIn] Kevin Pels [verfasserIn] Andrew Schmidt [verfasserIn] Deborah B. Doroshow [verfasserIn] Fábio Schütz [verfasserIn] Laurence Albiges [verfasserIn] Gilberto Lopes [verfasserIn] James W. F. Catto [verfasserIn] Solange Peters [verfasserIn] Toni K. Choueiri [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Übergeordnetes Werk:	In: JCO Global Oncology - American Society of Clinical Oncology, 2021, (2020), 6, Seite 1248-1257
Übergeordnetes Werk:	year:2020 ; number:6 ; pages:1248-1257

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1200/GO.20.00300

Katalog-ID:	DOAJ06440949X

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allfields	10.1200/GO.20.00300 doi (DE-627)DOAJ06440949X (DE-599)DOAJ10c712e7f144403792a261a26b22e458 DE-627 ger DE-627 rakwb eng RC254-282 Yüksel Ürün verfasserin aut Survey of the Impact of COVID-19 on Oncologists’ Decision Making in Cancer 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier PURPOSE To understand readiness measures taken by oncologists to protect patients and health care workers from the novel coronavirus (COVID-19) and how their clinical decision making was influenced by the pandemic. METHODS An online survey was conducted between March 24 and April 29, 2020. RESULTS A total of 343 oncologists from 28 countries participated. The median age was 43 years (range, 29-68 years), and the majority were male (62%). At the time of the survey, nearly all participants self-reported an outbreak in their country (99.7%). Personal protective equipment was available to all participants, of which surgical mask was the most common (n = 308; 90%). Telemedicine, in the form of phone or video encounters, was common and implemented by 80% (n = 273). Testing patients with cancer for COVID-19 via reverse transcriptase polymerase chain reaction before systemic treatment was not routinely implemented: 58% reported no routine testing, 39% performed testing in selected patients, and 3% performed systematic testing in all patients. The most significant factors influencing an oncologist’s decision making regarding choice of systemic therapy included patient age and comorbidities (81% and 92%, respectively). Although hormonal treatments and tyrosine kinase inhibitors were considered to be relatively safe, cytotoxic chemotherapy and immune therapies were perceived as being less safe or unsafe by participants. The vast majority of participants stated that during the pandemic they would use less chemotherapy, immune checkpoint inhibitors, and steroids. Although treatment in neoadjuvant, adjuvant, and first-line metastatic disease was less affected, most of the participants stated that they would be more hesitant to recommend second- or third-line therapies in metastatic disease. CONCLUSION Decision making by oncologists has been significantly influenced by the ongoing COVID-19 pandemic. Neoplasms. Tumors. Oncology. Including cancer and carcinogens Syed A. Hussain verfasserin aut Ziad Bakouny verfasserin aut Daniel Castellano verfasserin aut Saadettin Kılıçkap verfasserin aut Gilberto Morgan verfasserin aut Rana R. Mckay verfasserin aut Kevin Pels verfasserin aut Andrew Schmidt verfasserin aut Deborah B. Doroshow verfasserin aut Fábio Schütz verfasserin aut Laurence Albiges verfasserin aut Gilberto Lopes verfasserin aut James W. F. Catto verfasserin aut Solange Peters verfasserin aut Toni K. Choueiri verfasserin aut In JCO Global Oncology American Society of Clinical Oncology, 2021 (2020), 6, Seite 1248-1257 (DE-627)1696314941 26878941 nnns year:2020 number:6 pages:1248-1257 https://doi.org/10.1200/GO.20.00300 kostenfrei https://doaj.org/article/10c712e7f144403792a261a26b22e458 kostenfrei https://ascopubs.org/doi/10.1200/GO.20.00300 kostenfrei https://doaj.org/toc/2687-8941 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2020 6 1248-1257
spelling	10.1200/GO.20.00300 doi (DE-627)DOAJ06440949X (DE-599)DOAJ10c712e7f144403792a261a26b22e458 DE-627 ger DE-627 rakwb eng RC254-282 Yüksel Ürün verfasserin aut Survey of the Impact of COVID-19 on Oncologists’ Decision Making in Cancer 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier PURPOSE To understand readiness measures taken by oncologists to protect patients and health care workers from the novel coronavirus (COVID-19) and how their clinical decision making was influenced by the pandemic. METHODS An online survey was conducted between March 24 and April 29, 2020. RESULTS A total of 343 oncologists from 28 countries participated. The median age was 43 years (range, 29-68 years), and the majority were male (62%). At the time of the survey, nearly all participants self-reported an outbreak in their country (99.7%). Personal protective equipment was available to all participants, of which surgical mask was the most common (n = 308; 90%). Telemedicine, in the form of phone or video encounters, was common and implemented by 80% (n = 273). Testing patients with cancer for COVID-19 via reverse transcriptase polymerase chain reaction before systemic treatment was not routinely implemented: 58% reported no routine testing, 39% performed testing in selected patients, and 3% performed systematic testing in all patients. The most significant factors influencing an oncologist’s decision making regarding choice of systemic therapy included patient age and comorbidities (81% and 92%, respectively). Although hormonal treatments and tyrosine kinase inhibitors were considered to be relatively safe, cytotoxic chemotherapy and immune therapies were perceived as being less safe or unsafe by participants. The vast majority of participants stated that during the pandemic they would use less chemotherapy, immune checkpoint inhibitors, and steroids. Although treatment in neoadjuvant, adjuvant, and first-line metastatic disease was less affected, most of the participants stated that they would be more hesitant to recommend second- or third-line therapies in metastatic disease. CONCLUSION Decision making by oncologists has been significantly influenced by the ongoing COVID-19 pandemic. Neoplasms. Tumors. Oncology. Including cancer and carcinogens Syed A. Hussain verfasserin aut Ziad Bakouny verfasserin aut Daniel Castellano verfasserin aut Saadettin Kılıçkap verfasserin aut Gilberto Morgan verfasserin aut Rana R. Mckay verfasserin aut Kevin Pels verfasserin aut Andrew Schmidt verfasserin aut Deborah B. Doroshow verfasserin aut Fábio Schütz verfasserin aut Laurence Albiges verfasserin aut Gilberto Lopes verfasserin aut James W. F. Catto verfasserin aut Solange Peters verfasserin aut Toni K. Choueiri verfasserin aut In JCO Global Oncology American Society of Clinical Oncology, 2021 (2020), 6, Seite 1248-1257 (DE-627)1696314941 26878941 nnns year:2020 number:6 pages:1248-1257 https://doi.org/10.1200/GO.20.00300 kostenfrei https://doaj.org/article/10c712e7f144403792a261a26b22e458 kostenfrei https://ascopubs.org/doi/10.1200/GO.20.00300 kostenfrei https://doaj.org/toc/2687-8941 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2020 6 1248-1257
allfields_unstemmed	10.1200/GO.20.00300 doi (DE-627)DOAJ06440949X (DE-599)DOAJ10c712e7f144403792a261a26b22e458 DE-627 ger DE-627 rakwb eng RC254-282 Yüksel Ürün verfasserin aut Survey of the Impact of COVID-19 on Oncologists’ Decision Making in Cancer 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier PURPOSE To understand readiness measures taken by oncologists to protect patients and health care workers from the novel coronavirus (COVID-19) and how their clinical decision making was influenced by the pandemic. METHODS An online survey was conducted between March 24 and April 29, 2020. RESULTS A total of 343 oncologists from 28 countries participated. The median age was 43 years (range, 29-68 years), and the majority were male (62%). At the time of the survey, nearly all participants self-reported an outbreak in their country (99.7%). Personal protective equipment was available to all participants, of which surgical mask was the most common (n = 308; 90%). Telemedicine, in the form of phone or video encounters, was common and implemented by 80% (n = 273). Testing patients with cancer for COVID-19 via reverse transcriptase polymerase chain reaction before systemic treatment was not routinely implemented: 58% reported no routine testing, 39% performed testing in selected patients, and 3% performed systematic testing in all patients. The most significant factors influencing an oncologist’s decision making regarding choice of systemic therapy included patient age and comorbidities (81% and 92%, respectively). Although hormonal treatments and tyrosine kinase inhibitors were considered to be relatively safe, cytotoxic chemotherapy and immune therapies were perceived as being less safe or unsafe by participants. The vast majority of participants stated that during the pandemic they would use less chemotherapy, immune checkpoint inhibitors, and steroids. Although treatment in neoadjuvant, adjuvant, and first-line metastatic disease was less affected, most of the participants stated that they would be more hesitant to recommend second- or third-line therapies in metastatic disease. CONCLUSION Decision making by oncologists has been significantly influenced by the ongoing COVID-19 pandemic. Neoplasms. Tumors. Oncology. Including cancer and carcinogens Syed A. Hussain verfasserin aut Ziad Bakouny verfasserin aut Daniel Castellano verfasserin aut Saadettin Kılıçkap verfasserin aut Gilberto Morgan verfasserin aut Rana R. Mckay verfasserin aut Kevin Pels verfasserin aut Andrew Schmidt verfasserin aut Deborah B. Doroshow verfasserin aut Fábio Schütz verfasserin aut Laurence Albiges verfasserin aut Gilberto Lopes verfasserin aut James W. F. Catto verfasserin aut Solange Peters verfasserin aut Toni K. Choueiri verfasserin aut In JCO Global Oncology American Society of Clinical Oncology, 2021 (2020), 6, Seite 1248-1257 (DE-627)1696314941 26878941 nnns year:2020 number:6 pages:1248-1257 https://doi.org/10.1200/GO.20.00300 kostenfrei https://doaj.org/article/10c712e7f144403792a261a26b22e458 kostenfrei https://ascopubs.org/doi/10.1200/GO.20.00300 kostenfrei https://doaj.org/toc/2687-8941 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2020 6 1248-1257
allfieldsGer	10.1200/GO.20.00300 doi (DE-627)DOAJ06440949X (DE-599)DOAJ10c712e7f144403792a261a26b22e458 DE-627 ger DE-627 rakwb eng RC254-282 Yüksel Ürün verfasserin aut Survey of the Impact of COVID-19 on Oncologists’ Decision Making in Cancer 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier PURPOSE To understand readiness measures taken by oncologists to protect patients and health care workers from the novel coronavirus (COVID-19) and how their clinical decision making was influenced by the pandemic. METHODS An online survey was conducted between March 24 and April 29, 2020. RESULTS A total of 343 oncologists from 28 countries participated. The median age was 43 years (range, 29-68 years), and the majority were male (62%). At the time of the survey, nearly all participants self-reported an outbreak in their country (99.7%). Personal protective equipment was available to all participants, of which surgical mask was the most common (n = 308; 90%). Telemedicine, in the form of phone or video encounters, was common and implemented by 80% (n = 273). Testing patients with cancer for COVID-19 via reverse transcriptase polymerase chain reaction before systemic treatment was not routinely implemented: 58% reported no routine testing, 39% performed testing in selected patients, and 3% performed systematic testing in all patients. The most significant factors influencing an oncologist’s decision making regarding choice of systemic therapy included patient age and comorbidities (81% and 92%, respectively). Although hormonal treatments and tyrosine kinase inhibitors were considered to be relatively safe, cytotoxic chemotherapy and immune therapies were perceived as being less safe or unsafe by participants. The vast majority of participants stated that during the pandemic they would use less chemotherapy, immune checkpoint inhibitors, and steroids. Although treatment in neoadjuvant, adjuvant, and first-line metastatic disease was less affected, most of the participants stated that they would be more hesitant to recommend second- or third-line therapies in metastatic disease. CONCLUSION Decision making by oncologists has been significantly influenced by the ongoing COVID-19 pandemic. Neoplasms. Tumors. Oncology. Including cancer and carcinogens Syed A. Hussain verfasserin aut Ziad Bakouny verfasserin aut Daniel Castellano verfasserin aut Saadettin Kılıçkap verfasserin aut Gilberto Morgan verfasserin aut Rana R. Mckay verfasserin aut Kevin Pels verfasserin aut Andrew Schmidt verfasserin aut Deborah B. Doroshow verfasserin aut Fábio Schütz verfasserin aut Laurence Albiges verfasserin aut Gilberto Lopes verfasserin aut James W. F. Catto verfasserin aut Solange Peters verfasserin aut Toni K. Choueiri verfasserin aut In JCO Global Oncology American Society of Clinical Oncology, 2021 (2020), 6, Seite 1248-1257 (DE-627)1696314941 26878941 nnns year:2020 number:6 pages:1248-1257 https://doi.org/10.1200/GO.20.00300 kostenfrei https://doaj.org/article/10c712e7f144403792a261a26b22e458 kostenfrei https://ascopubs.org/doi/10.1200/GO.20.00300 kostenfrei https://doaj.org/toc/2687-8941 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2020 6 1248-1257
allfieldsSound	10.1200/GO.20.00300 doi (DE-627)DOAJ06440949X (DE-599)DOAJ10c712e7f144403792a261a26b22e458 DE-627 ger DE-627 rakwb eng RC254-282 Yüksel Ürün verfasserin aut Survey of the Impact of COVID-19 on Oncologists’ Decision Making in Cancer 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier PURPOSE To understand readiness measures taken by oncologists to protect patients and health care workers from the novel coronavirus (COVID-19) and how their clinical decision making was influenced by the pandemic. METHODS An online survey was conducted between March 24 and April 29, 2020. RESULTS A total of 343 oncologists from 28 countries participated. The median age was 43 years (range, 29-68 years), and the majority were male (62%). At the time of the survey, nearly all participants self-reported an outbreak in their country (99.7%). Personal protective equipment was available to all participants, of which surgical mask was the most common (n = 308; 90%). Telemedicine, in the form of phone or video encounters, was common and implemented by 80% (n = 273). Testing patients with cancer for COVID-19 via reverse transcriptase polymerase chain reaction before systemic treatment was not routinely implemented: 58% reported no routine testing, 39% performed testing in selected patients, and 3% performed systematic testing in all patients. The most significant factors influencing an oncologist’s decision making regarding choice of systemic therapy included patient age and comorbidities (81% and 92%, respectively). Although hormonal treatments and tyrosine kinase inhibitors were considered to be relatively safe, cytotoxic chemotherapy and immune therapies were perceived as being less safe or unsafe by participants. The vast majority of participants stated that during the pandemic they would use less chemotherapy, immune checkpoint inhibitors, and steroids. Although treatment in neoadjuvant, adjuvant, and first-line metastatic disease was less affected, most of the participants stated that they would be more hesitant to recommend second- or third-line therapies in metastatic disease. CONCLUSION Decision making by oncologists has been significantly influenced by the ongoing COVID-19 pandemic. Neoplasms. Tumors. Oncology. Including cancer and carcinogens Syed A. Hussain verfasserin aut Ziad Bakouny verfasserin aut Daniel Castellano verfasserin aut Saadettin Kılıçkap verfasserin aut Gilberto Morgan verfasserin aut Rana R. Mckay verfasserin aut Kevin Pels verfasserin aut Andrew Schmidt verfasserin aut Deborah B. Doroshow verfasserin aut Fábio Schütz verfasserin aut Laurence Albiges verfasserin aut Gilberto Lopes verfasserin aut James W. F. Catto verfasserin aut Solange Peters verfasserin aut Toni K. Choueiri verfasserin aut In JCO Global Oncology American Society of Clinical Oncology, 2021 (2020), 6, Seite 1248-1257 (DE-627)1696314941 26878941 nnns year:2020 number:6 pages:1248-1257 https://doi.org/10.1200/GO.20.00300 kostenfrei https://doaj.org/article/10c712e7f144403792a261a26b22e458 kostenfrei https://ascopubs.org/doi/10.1200/GO.20.00300 kostenfrei https://doaj.org/toc/2687-8941 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2020 6 1248-1257
language	English
source	In JCO Global Oncology (2020), 6, Seite 1248-1257 year:2020 number:6 pages:1248-1257
sourceStr	In JCO Global Oncology (2020), 6, Seite 1248-1257 year:2020 number:6 pages:1248-1257
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Neoplasms. Tumors. Oncology. Including cancer and carcinogens
isfreeaccess_bool	true
container_title	JCO Global Oncology
authorswithroles_txt_mv	Yüksel Ürün @@aut@@ Syed A. Hussain @@aut@@ Ziad Bakouny @@aut@@ Daniel Castellano @@aut@@ Saadettin Kılıçkap @@aut@@ Gilberto Morgan @@aut@@ Rana R. Mckay @@aut@@ Kevin Pels @@aut@@ Andrew Schmidt @@aut@@ Deborah B. Doroshow @@aut@@ Fábio Schütz @@aut@@ Laurence Albiges @@aut@@ Gilberto Lopes @@aut@@ James W. F. Catto @@aut@@ Solange Peters @@aut@@ Toni K. Choueiri @@aut@@
publishDateDaySort_date	2020-01-01T00:00:00Z
hierarchy_top_id	1696314941
id	DOAJ06440949X
language_de	englisch
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callnumber-first	R - Medicine
author	Yüksel Ürün
spellingShingle	Yüksel Ürün misc RC254-282 misc Neoplasms. Tumors. Oncology. Including cancer and carcinogens Survey of the Impact of COVID-19 on Oncologists’ Decision Making in Cancer
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topic_title	RC254-282 Survey of the Impact of COVID-19 on Oncologists’ Decision Making in Cancer
topic	misc RC254-282 misc Neoplasms. Tumors. Oncology. Including cancer and carcinogens
topic_unstemmed	misc RC254-282 misc Neoplasms. Tumors. Oncology. Including cancer and carcinogens
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title	Survey of the Impact of COVID-19 on Oncologists’ Decision Making in Cancer
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title_full	Survey of the Impact of COVID-19 on Oncologists’ Decision Making in Cancer
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author_browse	Yüksel Ürün Syed A. Hussain Ziad Bakouny Daniel Castellano Saadettin Kılıçkap Gilberto Morgan Rana R. Mckay Kevin Pels Andrew Schmidt Deborah B. Doroshow Fábio Schütz Laurence Albiges Gilberto Lopes James W. F. Catto Solange Peters Toni K. Choueiri
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title_sort	survey of the impact of covid-19 on oncologists’ decision making in cancer
callnumber	RC254-282
title_auth	Survey of the Impact of COVID-19 on Oncologists’ Decision Making in Cancer
abstract	PURPOSE To understand readiness measures taken by oncologists to protect patients and health care workers from the novel coronavirus (COVID-19) and how their clinical decision making was influenced by the pandemic. METHODS An online survey was conducted between March 24 and April 29, 2020. RESULTS A total of 343 oncologists from 28 countries participated. The median age was 43 years (range, 29-68 years), and the majority were male (62%). At the time of the survey, nearly all participants self-reported an outbreak in their country (99.7%). Personal protective equipment was available to all participants, of which surgical mask was the most common (n = 308; 90%). Telemedicine, in the form of phone or video encounters, was common and implemented by 80% (n = 273). Testing patients with cancer for COVID-19 via reverse transcriptase polymerase chain reaction before systemic treatment was not routinely implemented: 58% reported no routine testing, 39% performed testing in selected patients, and 3% performed systematic testing in all patients. The most significant factors influencing an oncologist’s decision making regarding choice of systemic therapy included patient age and comorbidities (81% and 92%, respectively). Although hormonal treatments and tyrosine kinase inhibitors were considered to be relatively safe, cytotoxic chemotherapy and immune therapies were perceived as being less safe or unsafe by participants. The vast majority of participants stated that during the pandemic they would use less chemotherapy, immune checkpoint inhibitors, and steroids. Although treatment in neoadjuvant, adjuvant, and first-line metastatic disease was less affected, most of the participants stated that they would be more hesitant to recommend second- or third-line therapies in metastatic disease. CONCLUSION Decision making by oncologists has been significantly influenced by the ongoing COVID-19 pandemic.
abstractGer	PURPOSE To understand readiness measures taken by oncologists to protect patients and health care workers from the novel coronavirus (COVID-19) and how their clinical decision making was influenced by the pandemic. METHODS An online survey was conducted between March 24 and April 29, 2020. RESULTS A total of 343 oncologists from 28 countries participated. The median age was 43 years (range, 29-68 years), and the majority were male (62%). At the time of the survey, nearly all participants self-reported an outbreak in their country (99.7%). Personal protective equipment was available to all participants, of which surgical mask was the most common (n = 308; 90%). Telemedicine, in the form of phone or video encounters, was common and implemented by 80% (n = 273). Testing patients with cancer for COVID-19 via reverse transcriptase polymerase chain reaction before systemic treatment was not routinely implemented: 58% reported no routine testing, 39% performed testing in selected patients, and 3% performed systematic testing in all patients. The most significant factors influencing an oncologist’s decision making regarding choice of systemic therapy included patient age and comorbidities (81% and 92%, respectively). Although hormonal treatments and tyrosine kinase inhibitors were considered to be relatively safe, cytotoxic chemotherapy and immune therapies were perceived as being less safe or unsafe by participants. The vast majority of participants stated that during the pandemic they would use less chemotherapy, immune checkpoint inhibitors, and steroids. Although treatment in neoadjuvant, adjuvant, and first-line metastatic disease was less affected, most of the participants stated that they would be more hesitant to recommend second- or third-line therapies in metastatic disease. CONCLUSION Decision making by oncologists has been significantly influenced by the ongoing COVID-19 pandemic.
abstract_unstemmed	PURPOSE To understand readiness measures taken by oncologists to protect patients and health care workers from the novel coronavirus (COVID-19) and how their clinical decision making was influenced by the pandemic. METHODS An online survey was conducted between March 24 and April 29, 2020. RESULTS A total of 343 oncologists from 28 countries participated. The median age was 43 years (range, 29-68 years), and the majority were male (62%). At the time of the survey, nearly all participants self-reported an outbreak in their country (99.7%). Personal protective equipment was available to all participants, of which surgical mask was the most common (n = 308; 90%). Telemedicine, in the form of phone or video encounters, was common and implemented by 80% (n = 273). Testing patients with cancer for COVID-19 via reverse transcriptase polymerase chain reaction before systemic treatment was not routinely implemented: 58% reported no routine testing, 39% performed testing in selected patients, and 3% performed systematic testing in all patients. The most significant factors influencing an oncologist’s decision making regarding choice of systemic therapy included patient age and comorbidities (81% and 92%, respectively). Although hormonal treatments and tyrosine kinase inhibitors were considered to be relatively safe, cytotoxic chemotherapy and immune therapies were perceived as being less safe or unsafe by participants. The vast majority of participants stated that during the pandemic they would use less chemotherapy, immune checkpoint inhibitors, and steroids. Although treatment in neoadjuvant, adjuvant, and first-line metastatic disease was less affected, most of the participants stated that they would be more hesitant to recommend second- or third-line therapies in metastatic disease. CONCLUSION Decision making by oncologists has been significantly influenced by the ongoing COVID-19 pandemic.
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title_short	Survey of the Impact of COVID-19 on Oncologists’ Decision Making in Cancer
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up_date	2024-07-03T22:45:00.587Z
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