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. 2021 Apr;123(5):1188-1198.
doi: 10.1002/jso.26429. Epub 2021 Feb 16.

Impact of COVID-19 pandemic on cancer surgery: Patient's perspective

Shiv Rajan  1 , Naseem Akhtar  1 , Abhilasha Tripathi  2 , Vijay Kumar  1 , Arun Chaturvedi  1 , Prabhaker Mishra  3 , Sonali Sharma  4 , Sanjeev Misra  5 , Sameer Gupta  1 , Mohit Singh  1
Affiliations

Impact of COVID-19 pandemic on cancer surgery: Patient's perspective

Shiv Rajan et al. J Surg Oncol. 2021 Apr.

Abstract

Background: Coronavirus disease 2019 (COVID-19) has impacted cancer care globally. The aim of this study is to analyze the impact of COVID-19 on cancer healthcare from the perspective of patients with cancer.

Methods: A cross-sectional survey was conducted between June 19, 2020, to August 7, 2020, using a questionnaire designed by patients awaiting cancer surgery. We examined the impact of COVID-19 on five domains (financial status, healthcare access, stress, anxiety, and depression) and their relationship with various patient-related variables. Factors likely to determine the influence of COVID-19 on patient care were analyzed.

Results: A significant adverse impact was noted in all five domains (p = < 0.05), with the maximal impact felt in the domain of financial status followed by healthcare access. Patients with income levels of INR < 35 K (adjusted odds ratio [AOR] = 1.61, p < 0.05), and 35K- 100 K (AOR = 1.96, p < 0.05), married patients (AOR = 3.30, p < 0.05), and rural patients (AOR = 2.82, p < 0.05) experienced the most adverse COVID-19-related impact.

Conclusion: Delivering quality cancer care in low to middle-income countries is a challenge even in normal times. During this pandemic, deficiencies in this fragile healthcare delivery system were exacerbated. Identification of vulnerable groups of patients and strategic utilization of available resources becomes even more important during global catastrophes, such as the current COVID-19 pandemic. Further work is required in these avenues to not only address the current pandemic but also any potential future crises.

Keywords: COVID-19; access to healthcare; cancer surgery; financial support; psychological health.

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Figures

Figure 1
Figure 1
Error bars showing COVID‐19 Impact Score. Higher score showing the worst impact of the pandemic (SD = standard deviation, N = total numbers of patients). COVID‐19, coronavirus disease 2019 [Color figure can be viewed at wileyonlinelibrary.com]
See this image and copyright information in PMC

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