TY - JOUR
T1 - Perspectives on the COVID-19 pandemic impact on cardio-oncology
T2 - results from the COVID-19 International Collaborative Network survey
AU - on behalf of the Cardio-Oncology International Collaborative Network
AU - Sadler, Diego
AU - DeCara, Jeanne M.
AU - Herrmann, Joerg
AU - Arnold, Anita
AU - Ghosh, Arjun K.
AU - Abdel-Qadir, Husam
AU - Yang, Eric H.
AU - Szmit, Sebastian
AU - Akhter, Nausheen
AU - Leja, Monika
AU - Silva, Carolina Maria Pinto Domingues Carvalho
AU - Raikhelkar, Jayant
AU - Brown, Sherry Ann
AU - Dent, Susan
AU - O’Quinn, Rupal
AU - Thuny, Franck
AU - Moudgil, Rohit
AU - Raez, Luis E.
AU - Okwuosa, Tochukwu
AU - Daniele, Andres
AU - Bauer, Brenton
AU - Kondapalli, Lavanya
AU - Ismail-Khan, Roohi
AU - Lax, Jorge
AU - Blaes, Anne
AU - Nahleh, Zeina
AU - Elson, Leah
AU - Baldassarre, Lauren A.
AU - Zaha, Vlad
AU - Rao, Vijay
AU - Lara, Daniel Sierra
AU - Skurka, Kerry
N1 - Publisher Copyright:
© 2020, The Author(s).
PY - 2020/12
Y1 - 2020/12
N2 - Background: Re-allocation of resources during the COVID-19 pandemic has resulted in delays in care delivery to patients with cardiovascular disease and cancer. The ability of health care providers to provide optimal care in this setting has not been formally evaluated. Objectives: To assess the impact of COVID-19 resource re-allocation on scheduling, testing, elective procedures, telemedicine access, use of new COVID-19 therapies, and providers’ opinions on healthcare policies among oncology and cardiology practitioners. Methods: An electronic survey was conducted by a cardio-oncology collaborative network through regional and state chapters of the American College of Cardiology, American Society of Clinical Oncology, and the International Cardio-Oncology Society. Descriptive statistics were reported by frequency and proportion for analyses, and stratified categorically by geographic region and specialty. Results: One thousand four hundred fifteen providers (43 countries) participated: 986 cardiologists, 306 oncologists, and 118 trainees/internal medicine. 63% (195/306) of oncologists vs 92% (896/976) of cardiologists reported cancellations of treatments/elective procedures (p = 0.01). 46% (442/970) of cardiologists and 25% (76/303) of oncologists modified the scope of their practice (p = < 0.001). Academic physicians (74.5%) felt better supplied with personal protective equipment (PPE) vs non-academic (74.5% vs 67.2%; p = 0.018). Telemedicine was less common in Europe 81% (74/91), and Latin America 64% (101/158), than the United States, 88% (950/1097) (p = < 0.001). 95% of all groups supported more active leadership from medical professional societies. Conclusions: These results support initiatives to promote expanded coverage for telemedicine, increased access to PPE, better testing availability and involvement of medical professional societies to help with preparedness for future health care crisis.
AB - Background: Re-allocation of resources during the COVID-19 pandemic has resulted in delays in care delivery to patients with cardiovascular disease and cancer. The ability of health care providers to provide optimal care in this setting has not been formally evaluated. Objectives: To assess the impact of COVID-19 resource re-allocation on scheduling, testing, elective procedures, telemedicine access, use of new COVID-19 therapies, and providers’ opinions on healthcare policies among oncology and cardiology practitioners. Methods: An electronic survey was conducted by a cardio-oncology collaborative network through regional and state chapters of the American College of Cardiology, American Society of Clinical Oncology, and the International Cardio-Oncology Society. Descriptive statistics were reported by frequency and proportion for analyses, and stratified categorically by geographic region and specialty. Results: One thousand four hundred fifteen providers (43 countries) participated: 986 cardiologists, 306 oncologists, and 118 trainees/internal medicine. 63% (195/306) of oncologists vs 92% (896/976) of cardiologists reported cancellations of treatments/elective procedures (p = 0.01). 46% (442/970) of cardiologists and 25% (76/303) of oncologists modified the scope of their practice (p = < 0.001). Academic physicians (74.5%) felt better supplied with personal protective equipment (PPE) vs non-academic (74.5% vs 67.2%; p = 0.018). Telemedicine was less common in Europe 81% (74/91), and Latin America 64% (101/158), than the United States, 88% (950/1097) (p = < 0.001). 95% of all groups supported more active leadership from medical professional societies. Conclusions: These results support initiatives to promote expanded coverage for telemedicine, increased access to PPE, better testing availability and involvement of medical professional societies to help with preparedness for future health care crisis.
KW - COVID-19
KW - Cardio oncology
KW - Global Health
KW - Health policy
UR - http://www.scopus.com/inward/record.url?scp=85111096149&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85111096149&partnerID=8YFLogxK
U2 - 10.1186/s40959-020-00085-5
DO - 10.1186/s40959-020-00085-5
M3 - Article
C2 - 33292763
AN - SCOPUS:85111096149
SN - 2057-3804
VL - 6
JO - Cardio-Oncology
JF - Cardio-Oncology
IS - 1
M1 - 28
ER -