학술논문

Patient-reported outcomes and complications during head and neck cancer radiotherapy before versus during the COVID-19 pandemic
Document Type
Academic Journal
Source
Supportive Care in Cancer. March, 2022, Vol. 30 Issue 3, p2745, 9 p.
Subject
Oncology, Experimental -- Analysis
Cancer patients -- Care and treatment -- Patient outcomes
Radiotherapy -- Analysis
Cancer -- Research
Language
English
ISSN
0941-4355
Abstract
Purpose This study compares patient-reported outcomes and treatment-related complications during radiotherapy before (August 2019-January 2020) versus during (March-Sept 2020) the COVID-19 pandemic. Materials and methods The MD Anderson Symptom Inventory-head and neck module was used to assess curative intent in H&N cancer patients' symptoms during radiotherapy. Results There were 158 patients in the pre-pandemic cohort and 137 patients in the pandemic cohort. There was no significant difference in enteral feeding requirements between the cohorts (21% versus 30%, p = 0.07). Weight loss was higher during the pandemic (mean - 5.6% versus 6.8%, p = 0.03). On multivariate analysis, treatment during the pandemic was associated with higher symptom scores for coughing/choking while eating (2.7 versus 2.1, p = 0.013). Conclusions Complication rates during H&N radiotherapy during the COVID-19 pandemic were similar at our institution relative to the pre-pandemic era, although weight loss was greater and patients reported more severe choking/coughing while eating.
Author(s): Sarah Nicole Hamilton [sup.1] [sup.2], Nicole Chau [sup.1] [sup.2], Eric Berthelet [sup.1] [sup.2], Jonn Wu [sup.1] [sup.2], Eric Tran [sup.1] [sup.2], Melanie Chevrier [sup.1], Victoria Lau [sup.1], Matthew Chan [...]