Evaluating the impact of COVID-19 on supportive care needs, psychological distress and 3 quality of life in UK cancer survivors and their support network.
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COVID Unmet needs.pdf
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2022-03-25
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Authors
Hulbert-Williams, Nicholas J.Leslie, Monica
Hulbert-Williams, Lee
Smith, Eilidh
Howells, Lesley
Pinato, David J
Affiliation
University of Chester; Maggie's Cancer Centres; Imperial College London
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Objectives: The COVID-19 pandemic is having considerable impact on cancer care, including restricted access to hospital-based care, treatment and psychosocial support. We investigated the impact on unmet needs and psychosocial wellbeing. Methods: 144 participants (77% female), including people with cancer and their support networks, were recruited. The most prevalent diagnosis was breast cancer. Forty-one participants recruited pre-pandemic were compared with 103 participants recruited during the COVID-19 pandemic. We measured participants’ unmet supportive care needs, psychological distress and quality of life. Results: Half of our patient respondents reported unexpected changes to treatment following pandemic onset, with widespread confusion about their longer-term consequences. Although overall need levels have not increased, specific needs have changed in prominence. People with cancer reported significantly reduced anxiety (p=.049) and improved quality of life (p=.032) following pandemic onset, but support network participants reported reduced quality of life (p=.009), and non-significantly elevated anxiety, stress and depression. Conclusion: Psychological wellbeing of people with cancer has not been detrimentally affected by pandemic onset. Reliance on home-based support to compensate for the lost availability of structured healthcare pathways may, however, explain significant and detrimental effects on the wellbeing and quality of life of people in their support and informal care networks.Citation
Hulbert-Williams, N. J., Leslie, M., Hulbert-Williams, L., Smith, E., Howells, L., & Pinato, D.J. (2021). Evaluating the impact of COVID-19 on supportive care needs, psychological distress and 3 quality of life in UK cancer survivors and their support network.. European Journal of Cancer Care (epub ahead of print). https://https://doi.org/10.1111/ecc.13442Publisher
WileyJournal
European Journal of Cancer CareAdditional Links
https://onlinelibrary.wiley.com/doi/full/10.1111/ecc.13442Type
ArticleDescription
This is the peer reviewed version of the following article: Hulbert-Williams, N. J., Leslie, M., Hulbert-Williams, L., Smith, E., Howells, L., & Pinato, D.J. (2021). Evaluating the impact of COVID-19 on supportive care needs, psychological distress and 3 quality of life in UK cancer survivors and their support network.. European Journal of Cancer Care., which has been published in final form at https://doi.org/10.1111/ecc.13442. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.ISSN
0961-5423EISSN
1365-2354ae974a485f413a2113503eed53cd6c53
10.1111/ecc.13442
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