AI Article Synopsis
- The COVID-19 pandemic has disrupted healthcare, prompting the use of telemedicine, particularly for cancer patients receiving oral anti-cancer agents through a dedicated follow-up program.
- A study involving 178 patients during France's first lockdown showed significant changes in medication habits, with many patients reporting the use of treatments for fatigue, mood, sleep, stress, and energy levels.
- Most patients expressed satisfaction with the telephone follow-up and indicated a preference for telemedicine moving forward, especially among younger and more educated individuals.
Article Abstract
Purpose: The COVID-19 pandemic has disrupted healthcare access and telemedicine has been widely deployed. The aim of this study is to assess the impact of this health crisis on treatment consumption and telemedicine development in outpatients treated by oral anti-cancer agents and followed by the Oncoral hospital/community multidisciplinary program where continuity care is maintained by a pharmacist/nurse pair.
Methods: A prospective monocentric study was conducted among cancer patients who received Oncoral telephone follow-up during the 1st lockdown in France using a 56-item questionnaire which covered sociodemographic data, patient medication management, and telehealth.
Results: 178 patients received Oncoral follow-up during the 1st lockdown and 67.4% responded to the questionnaire. During lockdown, 9.2% of patients took medication or CAM for fatigue, 6.7% for mood alteration, 10.8% for sleep disorder, 11.7% for stress and anxiety, and 12.5% to get more energy. Homeopathy consumption was triggered by the pandemic. Habits about getting drugs from the pharmacy changed significantly (p < 0.001), while other treatment habits did not. 83% of patients were satisfied by the telephone follow-up established, 69% would be in favor of repeating this in case of a new epidemic wave. Those most in favor of using telemedicine seemed to be the youngest (p < 0.001), with several dependent children (p < 0.007), high school degree or higher education (p = 0.023), and in work (p < 0.001).
Conclusion: Health system reorganization enables to limit the impact of the crisis on patients' drug use in oncology care. Telemedicine is a promising public health tool.
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| http://dx.doi.org/10.1007/s00432-023-04971-0 | DOI Listing |
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