Ce dossier présente un ensemble d'articles concernant la prise en charge des cancers durant la crise sanitaire liée au COVID-19

Emerging challenges in the evaluation of fever in cancer patients at risk of febrile neutropenia in the era of COVID-19: a MASCC position paper

Cooksley, Tim ; Font, Carme ; Scotté, Florian ; Escalante, Carmen ; Johnson, Leslie ; Anderson, Ronald ; Rapoport, Bernardo

Patients with cancer are at higher risk of more severe COVID-19 infection and have more associated complications. The position paper describes the management of cancer patients, especially those receiving anticancer treatment, during the COVID-19 pandemic. Dyspnea is a common emergency presentation in patients with cancer with a wide range of differential diagnoses, including pulmonary embolism, pleural disease, lymphangitis, and infection, of which SARS-CoV-2 is now a pathogen to be [...]

Ce dossier présente un ensemble d'articles concernant la prise en charge des cancers durant la crise sanitaire liée au COVID-19

COVID-19: facts and failures, a tale of two worlds

Gómez-Ochoa, Sergio Alejandro ; Franco, Oscar H.

The new coronavirus disease of 2019 (COVID-19) pandemic has resulted in a major public health crisis and a colossal political and communication challenge for governments, media, and citizens around the world [1]. From the beginning of the pandemic, the generalized lack of knowledge about this new disease generated an enormous debate across countries regarding the optimal preventive strategies and policies to mitigate its spread [2]. The truth is that even today, after almost a year from the [...]

Ce dossier présente un ensemble d'articles concernant la prise en charge des cancers durant la crise sanitaire liée au COVID-19

Psychological symptoms of cancer survivors during the COVID-19 outbreak: A longitudinal study

Han, Jing ; Zhou, Fang ; Zhang, Li ; Su, Yali ; Mao, Lijun

Objective : Due to the coronavirus disease 2019 (COVID‐19) pandemic, self‐isolation at home was adopted to control the spread of COVID‐19 in China for 3 months from 29 January 2020. The psychological status of cancer survivors is affected by their social environment. In this study, we investigated the psychological status and psychological symptoms of Chinese cancer survivors. Methods : A longitudinal study design was adopted, and an online sample of cancer survivors was successfully recruited [...]

Ce dossier présente un ensemble d'articles concernant la prise en charge des cancers durant la crise sanitaire liée au COVID-19

Optimizing the use of telemedicine in oncology care: post-pandemic opportunities

Knudsen, Karen E ; Willman, Cheryl ; Winn, Robert A

Utilization of telehealth as part of the cancer care delivery continuum dramatically escalated in response to the COVID-19 pandemic at major cancer centers across the globe. The rapid shift toward telehealth visits for non-treatment cancer care provided immediate benefit through reducing unnecessary risk of exposure, overcoming transportation barriers faced by both patients and caregivers, and fast-tracking care transformation. As such, delineating the impact of telehealth on access, health [...]

Ce dossier présente un ensemble d'articles concernant la prise en charge des cancers durant la crise sanitaire liée au COVID-19

Cancer in Lockdown: Impact of the COVID-19 Pandemic on Patients with Cancer

Moraliyage, Harsha ; De Silva, Daswin ; Ranasinghe, Weranja ; Adikari, Achini ; Alahakoon, Damminda ; Prasad, Raj ; Lawrentschuk, Nathan ; Bolton, Damien

The lockdown measures of the ongoing COVID‐19 pandemic have disengaged patients with cancer from formal health care settings, leading to an increased use of social media platforms to address unmet needs and expectations. Although remote health technologies have addressed some of the medical needs, the emotional and mental well‐being of these patients remain underexplored and underreported. We used a validated artificial intelligence framework to conduct a comprehensive real‐time analysis of two [...]

Ce dossier présente un ensemble d'articles concernant la prise en charge des cancers durant la crise sanitaire liée au COVID-19

The Impact of the COVID-19 Pandemic on Surgical Management of Breast Cancer: Global Trends and Future Perspectives

Rocco, Nicola ; Montagna, Giacomo ; Di Micco, Rosa ; Benson, John ; Criscitiello, Carmen ; Chen, Li ; Di Pace, Bruno ; Esgueva Colmenarejo, Antonio Jesus ; Harder, Yves ; Karakatsanis, Andreas ; Maglia, Anna ; Mele, Marco ; Nafissi, Nahid ; Ferreira, Pedro Santos ; Taher, Wafa ; Tejerina, Antonio ; Vinci, Alessio ; Nava, Maurizio ; Catanuto, Giuseppe

Introduction : The rapid spread of COVID‐19 across the globe is forcing surgical oncologists to change their daily practice. We sought to evaluate how breast surgeons are adapting their surgical activity to limit viral spread and spare hospital resources. Methods : A panel of 12 breast surgeons from the most affected regions of the world convened a virtual meeting on April 7, 2020, to discuss the changes in their local surgical practice during the COVID‐19 pandemic. Similarly, a Web‐based poll [...]

Ce dossier présente un ensemble d'articles concernant la prise en charge des cancers durant la crise sanitaire liée au COVID-19

Perceived Care and Well-being of Patients With Cancer and Matched Norm Participants in the COVID-19 Crisis: Results of a Survey of Participants in the Dutch PROFILES Registry

van de Poll-Franse, Lonneke V. ; de Rooij, Belle H. ; Horevoorts, Nicole J. E. ; May, Anne M. ; Vink, Geraldine R. ; Koopman, Miriam ; van Laarhoven, Hanneke W. M. ; Besselink, Marc G. ; Oerlemans, Simone ; Husson, Olga ; Beijer, Sandra ; Ezendam, Nicole P. M. ; Raijmakers, Natasja J. H. ; Wollersheim, Barbara M. ; Hoedjes, Meeke ; Siesling, Sabine ; van Eenbergen, Mies C. ; Mols, Floortje

Importance : As the resolution of the coronavirus disease 2019 (COVID-19) crisis is unforeseeable, and/or a second wave of infections may arrive in the fall of 2020, it is important to evaluate patients’ perspectives to learn from this. Objective : To assess how Dutch patients with cancer perceive cancer treatment and follow-up care (including experiences with telephone and video consultations [TC/VC]) and patients’ well-being in comparison with a norm population during the COVID-19 crisis. [...]

Ce dossier présente un ensemble d'articles concernant la prise en charge des cancers durant la crise sanitaire liée au COVID-19

The impact of episodic screening interruption: COVID-19 and population-based cancer screening in Canada

Jean HE Yong ; James G Mainprize ; Martin J Yaffe

Background : Population-based cancer screening can reduce cancer burden but was interrupted temporarily due to the COVID-19 pandemic. We estimated the long-term clinical impact of breast and colorectal cancer screening interruptions in Canada using a validated mathematical model. Methods : We used the OncoSim breast and colorectal cancers microsimulation models to explore scenarios of primary screening stops for 3, 6, and 12 months followed by 6–24-month transition periods of reduced screening [...]

Menée aux Etats-Unis à partir de données portant sur 92 418 patients atteints d'un cancer de la prostate (âge médian au diagnostic : 60 ans), cette étude analyse, par région géographique, l'utilisation des tests génétiques et identifie les facteurs associés à cette utilisation

Prognostic Genomic Biomarkers in Patients With Localized Prostate Cancer: Is Rising Utilization Justified by Evidence?

Lin, Daniel W. ; Nelson, Peter S.

A diagnosis of localized prostate cancer poses an array of treatment decisions for patients and treating physicians. Prostate cancer is notable for the remarkable diversity in clinical outcomes that range from an indolent course, with no impact on the patient if left untreated, to rapid progression to metastatic disease and cancer-specific death. Consequently, treatment options also span conservative approaches, such as active surveillance to radical curative therapy that involves prostatectomy [...]

Menée aux Etats-Unis à partir de données portant sur 92 418 patients atteints d'un cancer de la prostate (âge médian au diagnostic : 60 ans), cette étude analyse, par région géographique, l'utilisation des tests génétiques et identifie les facteurs associés à cette utilisation

Regional Adoption of Commercial Gene Expression Testing for Prostate Cancer

Leapman, Michael S. ; Wang, Rong ; Ma, Shuangge ; Gross, Cary P. ; Ma, Xiaomei

Importance : Although tissue-based genomic tests can aid in treatment decision-making for patients with prostate cancer, little is known about their clinical adoption. Objective : To evaluate regional adoption of genomic testing for prostate cancer and understand common trajectories of uptake shared by regions. Design, Setting, and Participants : This dynamic cohort study of patients diagnosed with prostate cancer used administrative claims from Blue Cross Blue Shield Axis, the largest source [...]

Menée aux Etats-Unis à partir de données portant sur 8 176 patients atteints d'un cancer colorectal de stade locorégional et ayant reçu un traitement chirurgical entre 2006 et 2007, cette étude analyse les disparités ethniques dans le risque de récidive et dans la survie globale (durée de suivi : 5 ans)

Racial disparities in colorectal cancer recurrence and mortality: equitable care, inequitable outcomes?

Manz, Christopher R ; Schrag, Deborah

Racial disparities in cancer survival have persisted over decades and colorectal cancer is no exception.[1] Colorectal cancer occurs in 46 per 100,000 Black Americans compared to 39 per 100,000 non-Hispanic White Americans, with a more pronounced disparity in colorectal cancer deaths at 19 per 100,000 Black Americans vs 14 per 100,000 White Americans.[2] Racial disparities in cancer outcomes can occur as the result of differences in social determinants of health, comorbid conditions, severity [...]

Menée aux Etats-Unis à partir de données portant sur 8 176 patients atteints d'un cancer colorectal de stade locorégional et ayant reçu un traitement chirurgical entre 2006 et 2007, cette étude analyse les disparités ethniques dans le risque de récidive et dans la survie globale (durée de suivi : 5 ans)

Racial Disparities in Recurrence and Overall Survival in Patients with Locoregional Colorectal Cancer

Snyder, Rebecca A ; Hu, Chung-Yuan ; Zafar, Syed Nabeel ; Francescatti, Amanda ; Chang, George J

Background : The purpose of this study was to determine the association between race and long-term cancer outcomes [recurrence and overall survival (OS)] within a population of U.S. patients with locoregional colorectal cancer (CRC). Methods : A cohort study of primary patient data merged with the National Cancer Database as part of a Commission on Cancer Special Study was performed. The study population was a random sample of patients undergoing surgery for stage I to III CRC between 2006–2007 [...]

Menée aux Etats-Unis à partir de données portant sur 371 enfants atteints d'un neuroblastome à haut risque de récidive traité par immunothérapie, cette étude de cohorte rétrospective analyse l'association entre la pauvreté du voisinage et du foyer, la survie sans événement et la survie globale

Poverty and Targeted Immunotherapy: Survival in Children’s Oncology Group Clinical Trials for High-Risk Neuroblastoma

Bona, Kira ; Li, Yimei ; Winestone, Lena E ; Getz, Kelly D ; Huang, Yuan-Shung ; Fisher, Brian T ; Desai, Ami V ; Richardson, Troy ; Hall, Matt ; Naranjo, Arlene ; Henderson, Tara O ; Aplenc, Richard ; Bagatell, Rochelle

Background : Whether social determinants of health are associated with survival in the context of pediatric oncology–targeted immunotherapy trials is not known. We examined the association between poverty and event-free survival (EFS) and overall survival (OS) for children with high-risk neuroblastoma treated in targeted immunotherapy trials. Methods : We conducted a retrospective cohort study of 371 children with high-risk neuroblastoma treated with GD2-targeted immunotherapy in the Children’s [...]

Menée aux Etats-Unis à partir de données portant sur 371 enfants atteints d'un neuroblastome à haut risque de récidive traité par immunothérapie, cette étude de cohorte rétrospective analyse l'association entre la pauvreté du voisinage et du foyer, la survie sans événement et la survie globale

Poverty and Survival in Childhood Cancer: A Framework to Move Toward Systemic Change

Wolfson, Julie Anna

As cure rates have risen among children with cancer, racial and ethnic disparities in cancer-related outcomes have become apparent (1-14). Although biology explains a portion of these disparities (15,16), it is evident that socioeconomic status (SES) is associated with outcome (1-4, 6-14) and mediates the effect of race and ethnicity in acute leukemias, lymphomas, and neuroblastoma (5). These SES studies often used population-level data without the granularity to understand how the complex [...]

Ces articles présentent les enjeux et défis liés à l'intégration du métier d'infirmier dans le continuum des soins en oncologie

Oncology nursing workforce: challenges, solutions, and future strategies

Challinor, Julia M. ; Alqudimat, Mohammad R. ; Teixeira, Tamara O. A. ; Oldenmenger, Wendy H.

The global oncology nursing workforce is essential to achieving Sustainable Development Goals 3.4 (reduce non-communicable disease morbidity by a third by 2030) and 3.8 (universal health coverage). Unfortunately, challenges to a robust oncology nursing workforce include nursing shortages, recruitment barriers (eg, perceptions of a demanding specialty with complex care and hazardous work environments), and burnout. Innovative recruitment strategies, onboarding and continuing education [...]

Ces articles présentent les enjeux et défis liés à l'intégration du métier d'infirmier dans le continuum des soins en oncologie

Essential oncology nursing care along the cancer continuum

Young, Annie M. ; Charalambous, Andreas ; Owen, Ray I. ; Njodzeka, Bernard ; Oldenmenger, Wendy H. ; Alqudimat, Mohammad R. ; So, Winnie K. W.

Oncology nurses are at the heart of tackling the increasing global burden of cancer. Their contribution is unique because of the scale and the diversity of care roles and responsibilities in cancer care. In this Series paper, to celebrate the International Year of the Nurse and Midwife, we highlight the contribution and impact of oncology nurses along the cancer care continuum. Delivering people-centred integrated care and optimal communication are essential components of oncology nursing care, [...]