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@ARTICLE{Eckford:178974,
      author       = {R. Eckford$^*$ and A. Gaisser$^*$ and V. Arndt$^*$ and M.
                      Baumann$^*$ and E. Kludt$^*$ and K. Mehlis and J. Ubels$^*$
                      and E. C. Winkler and S. Weg-Remers$^*$ and M.
                      Schlander$^*$},
      title        = {{T}he {COVID}-19 {P}andemic and {C}ancer {P}atients in
                      {G}ermany: {I}mpact on {T}reatment, {F}ollow-{U}p {C}are and
                      {P}sychological {B}urden.},
      journal      = {Frontiers in Public Health},
      volume       = {9},
      issn         = {2296-2565},
      address      = {Lausanne},
      publisher    = {Frontiers Media},
      reportid     = {DKFZ-2022-00390},
      pages        = {788598},
      year         = {2022},
      note         = {#EA:C100#LA:C100#},
      abstract     = {In response to the ongoing coronavirus disease 2019
                      (COVID-19) pandemic, governments imposed various measures to
                      decrease the rate of disease spread, and health care policy
                      makers prioritized resource allocation to accommodate
                      COVID-19 patients. We conducted a cross-sectional online
                      survey in Germany (July 2020-June 2021) to assess the
                      frequency of changes to cancer care among cancer patients
                      and to explore the psychological impact of the pandemic writ
                      large. Cancer patients who contacted the Cancer Information
                      Service (Krebsinformationsdienst, KID) of the German Cancer
                      Research Center (Deutsches Krebsforschungszentrum, DKFZ) via
                      email were invited to complete an online questionnaire,
                      capturing demographics, cancer specifics (e.g., type,
                      disease phase, primary place of treatment, etc.), and any
                      changes to their medical, follow-up, psycho-oncological or
                      nursing care. General level of psychological distress was
                      measured using the Hospital Anxiety and Depression Scale
                      (HADS) along with face-validated items regarding worries and
                      social isolation specific to the pandemic. In total, $13\%$
                      of 621 patients reported a change to their treatment or care
                      plan. Of those patients with changes, the majority of
                      changes were made to follow-up care after treatment
                      $(56\%),$ to monitoring during treatment $(29\%)$ and to
                      psychological counseling $(20\%).$ Of the overall sample,
                      more than half of patients $(55\%)$ reported symptoms of
                      anxiety and $39\%$ reported symptoms of depression. Patients
                      with a change in cancer care were more likely to report
                      symptoms of depression than those with no change (AOR: 2.18;
                      $95\%$ CI: 1.26-3.76). Concern about the pandemic affecting
                      the quality of health care was a predictor of both anxiety
                      (AOR: 2.76; $95\%$ CI: 1.75-4.35) and depression (AOR: 2.15;
                      $95\%$ CI: 1.43-3.23). Results showed that the majority of
                      cancer patients in our study did not experience a change in
                      their cancer care. However, the level of anxiety and
                      psycho-social burden of cancer patients during the pandemic
                      was high throughout the study period. Our findings
                      underscore the need for health care services and policy
                      makers to assess and to attend cancer patients' medical
                      needs, with added emphasis on patients' psychological and
                      social well-being. This applies particularly in situations
                      where the healthcare system is strained and prioritization
                      is necessary.},
      keywords     = {COVID-19 (Other) / anxiety (Other) / cancer care (Other) /
                      changes in treatment (Other) / depression (Other) / health
                      care management (Other)},
      cin          = {C100 / M100 / C071 / M110 / E220},
      ddc          = {610},
      cid          = {I:(DE-He78)C100-20160331 / I:(DE-He78)M100-20160331 /
                      I:(DE-He78)C071-20160331 / I:(DE-He78)M110-20160331 /
                      I:(DE-He78)E220-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:35223757},
      pmc          = {pmc:PMC8865576},
      doi          = {10.3389/fpubh.2021.788598},
      url          = {https://inrepo02.dkfz.de/record/178974},
}