RT Journal Article
T1 Childhood cancer survivorship care during the COVID-19 pandemic: an international report of practice implications and provider concerns.
A1 van den Oever, Selina R
A1 Pluijm, Saskia M F
A1 Skinner, Rod
A1 Glaser, Adam
A1 Mulder, Renée L
A1 Armenian, Saro
A1 Bardi, Edit
A1 Berger, Claire
A1 Ehrhardt, Matthew J
A1 Gilleland Marchak, Jordan
A1 Haeusler, Gabrielle M
A1 Hartogh, Jaap den
A1 Hjorth, Lars
A1 Kepak, Tomas
A1 Kriviene, Izolda
A1 Langer, Thorsten
A1 Maeda, Miho
A1 Márquez-Vega, Catalina
A1 Michel, Gisela
A1 Muraca, Monica
A1 Najib, Mohamed
A1 Nathan, Paul C
A1 Panasiuk, Anna
A1 Prasad, Maya
A1 Roganovic, Jelena
A1 Uyttebroeck, Anne
A1 Winther, Jeanette F
A1 Zadravec Zaletel, Lorna
A1 van Dalen, Elvira C
A1 van der Pal, Helena J H
A1 Hudson, Melissa M
A1 Kremer, Leontien C M
A1 IGHG COVID-19 working group, 
K1 COVID-19
K1 Childhood cancer
K1 Long-term follow-up care
K1 Paediatric oncology
AB Long-term follow-up (LTFU) care is essential to optimise health outcomes in childhood cancer survivors (CCS). We aimed to assess the impact of the COVID-19 pandemic on LTFU services and providers. A COVID-19 working group within the International Late Effects of Childhood Cancer Guideline Harmonization Group (IGHG) distributed a questionnaire to LTFU service providers in 37 countries across Europe, Asia, North America, Central/South America, and Australia. The questionnaire assessed how care delivery methods changed during the pandemic and respondents' level of worry about the pandemic's impact on LTFU care delivery, their finances, their health, and that of their family and friends. Among 226 institutions, providers from 178 (79%) responded. Shortly after the initial outbreak, 42% of LTFU clinics closed. Restrictions during the pandemic resulted in fewer in-person consultations and an increased use of telemedicine, telephone, and email consultations. The use of a risk assessment to prioritise the method of LTFU consultation for individual CCS increased from 12 to 47%. While respondents anticipated in-person consultations to remain the primary method for LTFU service delivery, they expected significantly increased use of telemedicine and telephone consultations after the pandemic. On average, respondents reported highest levels of worry about psychosocial well-being of survivors. The pandemic necessitated changes in LTFU service delivery, including greater use of virtual LTFU care and risk-stratification to identify CCS that need in-person evaluations. Increased utilisation of virtual LTFU care and risk stratification is likely to persist post-pandemic.
YR 2022
FD 2022-01-12
LK http://hdl.handle.net/10668/20908
UL http://hdl.handle.net/10668/20908
LA en
DS RISalud
RD Apr 16, 2025