Impact of the COVID-19 Pandemic on Palliative Care in Cancer Patients in Spain

Background: The COVID-19 pandemic outbreak has severely affected healthcare organizations worldwide, and the provision of palliative care (PC) to cancer patients has been no exception. The aim of this paper was to analyse the levels of health care provided by the Clinical Management Unit for PC in C...

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Autores principales:	Cristina M. Beltran-Aroca, Rafael Ruiz-Montero, Antonio Llergo-Muñoz, Leticia Rubio, Eloy Girela-López
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	palliative care cancer ethical issues COVID-19 pandemic legal medicine Medicine R
Acceso en línea:	https://doaj.org/article/2c63985332f14c95a5009e3c253ee78a
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spelling	oai:doaj.org-article:2c63985332f14c95a5009e3c253ee78a2021-11-25T17:50:07ZImpact of the COVID-19 Pandemic on Palliative Care in Cancer Patients in Spain10.3390/ijerph1822119921660-46011661-7827https://doaj.org/article/2c63985332f14c95a5009e3c253ee78a2021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/11992https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Background: The COVID-19 pandemic outbreak has severely affected healthcare organizations worldwide, and the provision of palliative care (PC) to cancer patients has been no exception. The aim of this paper was to analyse the levels of health care provided by the Clinical Management Unit for PC in Córdoba (Spain) for cancer patients. Method: a retrospective cohort study was conducted. It analyzed the PC internal management database including all cancer patients treated in the period of 2018–2021. Results: 1967 cases were studied. There was a drop in cancer cases (<i>p</i> = 0.008), deaths at the PC hospital (<i>p</i> < 0.001), and referrals from primary care (<i>p</i> < 0.001). However, there was a rise in highly complex clinical situations (<i>p</i> = 0.020) and in ECOG performance status scores of 3–4 (<i>p</i> < 0.001). The pandemic was not shown to be a risk factor for survival in the PC program (0.99 [0.82–1.20]; <i>p</i> = 0.931). However, being female (<i>p</i> = 0.005), being older and having a high Karnofsky Performance Status (KPS) score (<i>p</i> < 0.001) could be indicators of a longer stay. Conclusion: The COVID-19 pandemic has presented a challenge in the management of patients requiring PC and has highlighted the urgent needs of the healthcare system if it is to continue providing a level of care which meets the needs of patients and their families.Cristina M. Beltran-ArocaRafael Ruiz-MonteroAntonio Llergo-MuñozLeticia RubioEloy Girela-LópezMDPI AGarticlepalliative carecancerethical issuesCOVID-19pandemiclegal medicineMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11992, p 11992 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	palliative care cancer ethical issues COVID-19 pandemic legal medicine Medicine R
spellingShingle	palliative care cancer ethical issues COVID-19 pandemic legal medicine Medicine R Cristina M. Beltran-Aroca Rafael Ruiz-Montero Antonio Llergo-Muñoz Leticia Rubio Eloy Girela-López Impact of the COVID-19 Pandemic on Palliative Care in Cancer Patients in Spain
description	Background: The COVID-19 pandemic outbreak has severely affected healthcare organizations worldwide, and the provision of palliative care (PC) to cancer patients has been no exception. The aim of this paper was to analyse the levels of health care provided by the Clinical Management Unit for PC in Córdoba (Spain) for cancer patients. Method: a retrospective cohort study was conducted. It analyzed the PC internal management database including all cancer patients treated in the period of 2018–2021. Results: 1967 cases were studied. There was a drop in cancer cases (<i>p</i> = 0.008), deaths at the PC hospital (<i>p</i> < 0.001), and referrals from primary care (<i>p</i> < 0.001). However, there was a rise in highly complex clinical situations (<i>p</i> = 0.020) and in ECOG performance status scores of 3–4 (<i>p</i> < 0.001). The pandemic was not shown to be a risk factor for survival in the PC program (0.99 [0.82–1.20]; <i>p</i> = 0.931). However, being female (<i>p</i> = 0.005), being older and having a high Karnofsky Performance Status (KPS) score (<i>p</i> < 0.001) could be indicators of a longer stay. Conclusion: The COVID-19 pandemic has presented a challenge in the management of patients requiring PC and has highlighted the urgent needs of the healthcare system if it is to continue providing a level of care which meets the needs of patients and their families.
format	article
author	Cristina M. Beltran-Aroca Rafael Ruiz-Montero Antonio Llergo-Muñoz Leticia Rubio Eloy Girela-López
author_facet	Cristina M. Beltran-Aroca Rafael Ruiz-Montero Antonio Llergo-Muñoz Leticia Rubio Eloy Girela-López
author_sort	Cristina M. Beltran-Aroca
title	Impact of the COVID-19 Pandemic on Palliative Care in Cancer Patients in Spain
title_short	Impact of the COVID-19 Pandemic on Palliative Care in Cancer Patients in Spain
title_full	Impact of the COVID-19 Pandemic on Palliative Care in Cancer Patients in Spain
title_fullStr	Impact of the COVID-19 Pandemic on Palliative Care in Cancer Patients in Spain
title_full_unstemmed	Impact of the COVID-19 Pandemic on Palliative Care in Cancer Patients in Spain
title_sort	impact of the covid-19 pandemic on palliative care in cancer patients in spain
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/2c63985332f14c95a5009e3c253ee78a
work_keys_str_mv	AT cristinambeltranaroca impactofthecovid19pandemiconpalliativecareincancerpatientsinspain AT rafaelruizmontero impactofthecovid19pandemiconpalliativecareincancerpatientsinspain AT antoniollergomunoz impactofthecovid19pandemiconpalliativecareincancerpatientsinspain AT leticiarubio impactofthecovid19pandemiconpalliativecareincancerpatientsinspain AT eloygirelalopez impactofthecovid19pandemiconpalliativecareincancerpatientsinspain
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Impact of the COVID-19 Pandemic on Palliative Care in Cancer Patients in Spain

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