Health impacts on cancer patients: an overview of the COVID-19 pandemic in Brazil
DOI:
https://doi.org/10.33233/fb.v22i3.4736Keywords:
COVID-19; cancer; anxiety; depression; stressAbstract
Introduction: Because of the social isolation during the COVID-19 pandemic, the use of health services and the participation in social activities of cancer patients have been reduced, which can have a direct impact on their health. Objective: To identify the repercussions on the cancer treatment, participation in social activities and emotional state of cancer patients in Brazil during COVID-19 pandemic. Methods: This is a cross-sectional study using an online questionnaire for cancer patients. A non-probability sample was recruited by convenience. Sociodemographic and clinical data, physical activity levels and emotional state (DASS-21) during the pandemic were collected. Quantitative data were analyzed and the significance level set at 95% (p < 0.05). Results: A total of 105 individuals participated in the study. Results indicated that younger participants were more stressed; 16.2% reported interrupting cancer treatment and 42.9% cancelled examinations or appointments during the pandemic, associated with a higher rate of stress, anxiety, and depression. More than half of the individuals engaged in exercise before the pandemic, but only 35.2% did so in the previous 2 months. Physical exercise during the pandemic was associated with lower depression score. Conclusion: As observed worldwide, the COVID-19 pandemic has had a direct impact on the physical and mental health of cancer patients in Brazil.
References
Hamid S, Mir MY, Rohela GK. Novel coronavirus disease (COVID-19): a pandemic (epidemiology, pathogenesis and potential therapeutics). New Microbes New Infect 2020;35:100679. doi: 10.1016/j.nmni.2020.100679
Moujaess E, Kourie HR, Ghosn M. Cancer patients and research during COVID-19 pandemic: A systematic review of current evidence. Crit Rev Oncol Hematol 2020;150:102972. doi: 10.1016/j.critrevonc.2020.102972
Instituto Nacional do Câncer (INCA). Cancer e Coronavirus (COVID-19) [Internet]; 2020. [cited 2020 May 30]. https://www.inca.gov.br/perguntas-frequentes/cancer-e-coronavirus-covid-19
Santos Thuler LC, Melo AC. Sars-CoV-2/Covid-19 em pacientes com câncer. Rev Bras Cancerol 2020;66:e-00970. doi: 10.32635/2176-9745.RBC.2020v66n2.970
Aquino EML, Silveira IH, Pescarini JM, Aquino R, Souza-Filho JA, Rocha AS, et al. Medidas de distanciamento social no controle da pandemia de COVID-19: potenciais impactos e desafios no Brasil. Ciênc Saúde Coletiva 2020;25(Suppl 1):2423-46. doi: 10.1590/1413-81232020256.1.10502020
Macedo FO, Costa RM, Ferreira FO, Torres DM, Bergmann A, Fabro EA. Linfedema secundário ao tratamento do câncer de mama: abordagem fisioterapêutica em tempos de pandemia. Rev Bras Cancer 2020;66. doi: 10.32635/2176-9745.RBC.2020v66nTemaAtual.1043
Shinan-Altman S, Levkovich I, Tavori G. Healthcare utilization among breast cancer patients during the COVID-19 outbreak. Palliat Support Care 2020;1-7. doi: 10.1017/S1478951520000516
Tsamakis K, Gavriatopoulou M, Schizas D, Stravodimou A, Mougkou A, Tsiptsios D, et al. Oncology during the COVID-19 pandemic: challenges, dilemmas and the psychosocial impact on cancer patients. Oncol Lett 2020;20(1):441-7. doi: 10.3892/ol.2020.11599
Ciążyńska M, Pabianek M, Szczepaniak K, Ułańska M, Skibińska M, Owczarek W, et al. Quality of life of cancer patients during coronavirus disease (COVID-19) pandemic. Psychooncology 2020;29(9):1377-79. doi: 10.1002/pon.5434
Chirico A, Lucidi F, Merluzzi T, Alivernini F, Laurentiis M, Botti G, et al. A meta-analytic review of the relationship of cancer coping self-efficacy with distress and quality of life. Oncotarget 2017;8(22):36800-11. doi: 10.18632/oncotarget.15758
Vignola RC, Tucci AM. Adaptation and validation of the depression, anxiety and stress scale (DASS) to Brazilian Portuguese. Journal of Affective Disorders 2014;155:104-9. doi: 10.1016/j.jad.2013.10.031
Ministério da Saúde. BRASIL. Covid-19 - Casos no Brasil. [cited 2020 Aug 15]. https://susanalitico.saude.gov.br/extensions/covid-19_html/covid-19_html.html/
Duan L, Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatr 2020;7(4):300-2. doi: 10.1016/S2215-0366(20)30073-0
Chen G, Wu Q, Jiang H, Zhang H, Peng J, Hu J, et al. Fear of disease progression and psychological stress in cancer patients under the outbreak of COVID-19. Psycho-Oncology 2020;1-4. doi: 10.1002/pon.5451
Casanova M, Pagani Bagliacca E, Silva M, Patriarca C, Veneroni L, Clerici CA, et al. How young patients with cancer perceive the COVID-19 (coronavirus) epidemic in Milan, Italy: is there room for other fears? Pediatr Blood Cancer 2020;67:e28318. doi: 10.1002/pbc.28318
Curigliano G, Cardoso MJ, Poortmans P, Gentilini O, Pravettoni G, Mazzocco K, et al. Editorial board of The Breast. Recommendations for triage, prioritization and treatment of breast cancer patients during the COVID-19 pandemic. Breast 2020;52:8-16. doi: 10.1016/j.breast.2020.04.006
Fujita K, Ito T, Saito Z, Kanai O, Nakatani K, Mio T. Impact of COVID-19 pandemic on lung cancer treatment Scheduling. Thoracic Cancer 2020;11:2983-6. doi: 10.1111/1759-7714.13615
Berardi G, Colasanti M, Sandri GBVL, Basso CD, Ferrett S, Laurenzi A, et al. Continuing our work: transplant surgery and surgical oncology in a tertiary referral COVID-19 center. Updates in Surgery 2020;72:281-9. doi: 10.1007/s13304-020-00825-3
Frey MK, Ellis AE, Zeligs K, Chapman-Davis E, Thomas C, Christos PJ, et al. Impact of the COVID-19 pandemic on quality of life for women with ovarian cancer. Am J Obstetr Gynecol 2020. doi: 10.1016/j.ajog.2020.06.049
Angelis V, Tippu Z, Joshi K, Reis S, Gronthoud F, Fribbens C, et al. Defining the true impact of coronavirus disease 2019 in the at-risk population of patients with cancer. Eur J Cancer 2020;136:99-106. doi: 10.1016/j.ejca.2020.06.027
Romito F, Dellino M, Loseto G, Opinto G, Silvestris E, Cormio C, et al. Psychological distress in outpatients with lymphoma during the COVID-19 pandemic. Front Oncol 2020;10:1270. doi: 10.3389/fonc.2020.01270
Wang Y, Duan Z, Ma Z, Mao Y, Li X, Wilson A, et al. Epidemiology of mental health problems among patients with cancer during COVID-19 pandemic. Transl Psychiatr 2020;10:263. doi: 10.1038/s41398-020-00950-y
Joode K, Dumoulin DW, Engelen V, Bloemendal HJ, Verheij M, van Laarhoven HWM, et al. Impact of the coronavirus disease 2019 pandemic on cancer treatment: the patients' perspective. Eur J Cancer 2020;136:132-9. doi: 10.1016/j.ejca.2020.06.019
Segal R, Zwaal C, Green E, Tomasone JR, Loblaw A, Petrella T. Exercise for people with cancer: a systematic review. Curr Oncol 2017;24(4):e290-e315. doi: 10.3747/co.24.3619
Schmidt ME, Wiskemann J, Armbrust P, Schneeweiss A, Ulrich CM, Steindorf K. Effects of resistance exercise on fatigue and quality of life in breast cancer patients undergoing adjuvant chemotherapy: A randomized controlled trial. Int J Cancer 2015;137(2):471-480. doi: 10.1002/ijc.29383
Stout NL, Baima J, Swisher AK, Winters-Stone KM, Welsh J. A systematic review of exercise in the cancer literature (2005-2017). PMR 2017;9(9S2):S347-S384. doi: 10.1016/j.pmrj.2017.07.074
Hofman M, Ryan JL, Figueroa-Moseley CD, Jean-Pierre P, Morrow GR. Cancer-related fatigue: the scale of the problem. Oncologist 2007;12(Suppl1):4-10. doi: 10.1634/theoncologist.12-S1-4
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Copyright (c) 2021 Andrea Felinto Moura, Kellyane Munick Rodrigues, Natália Roque, Márcio Higor, Maria Paula, Nayanna, Daniela Gardano Bucharles Mont’Alverne
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