학술논문
Specialist palliative and end-of-life care for patients with cancer and SARS-CoV-2 infection: a European perspective
Document Type
article
Author
Gehan Soosaipillai; Anjui Wu; Gino M Dettorre; Nikolaos Diamantis; John Chester; Charlotte Moss; Juan Aguilar-Company; Mark Bower; Christopher CT Sng; Ramon Salazar; Joan Brunet; Eleanor Jones; Ricard Mesia; Amanda Jackson; Uma Mukherjee; Ailsa Sita-Lumsden; Elia Seguí; Diego Ottaviani; Anna Carbó; Sarah Benafif; Rachel Würstlein; Carme Carmona; Neha Chopra; Claudia Andrea Cruz; Judith Swallow; Nadia Saoudi; Eudald Felip; Myria Galazi; Isabel Garcia-Fructuoso; Alvin J. X. Lee; Thomas Newsom-Davis; Yien Ning Sophia Wong; Anna Sureda; Clara Maluquer; Isabel Ruiz-Camps; Alba Cabirta; Aleix Prat; Angela Loizidou; Alessandra Gennari; Daniela Ferrante; Josep Tabernero; Beth Russell; Mieke Van Hemelrijck; Saoirse Dolly; Nicholas J Hulbert-Williams; David J Pinato
Source
Therapeutic Advances in Medical Oncology, Vol 13 (2021)
Subject
Language
English
ISSN
1758-8359
17588359
17588359
Abstract
Background: Specialist palliative care team (SPCT) involvement has been shown to improve symptom control and end-of-life care for patients with cancer, but little is known as to how these have been impacted by the COVID-19 pandemic. Here, we report SPCT involvement during the first wave of the pandemic and compare outcomes for patients with cancer who received and did not receive SPCT input from multiple European cancer centres. Methods: From the OnCovid repository ( N = 1318), we analysed cancer patients aged ⩾18 diagnosed with COVID-19 between 26 February and 22 June 2020 who had complete specialist palliative care team data (SPCT+ referred; SPCT− not referred). Results: Of 555 eligible patients, 317 were male (57.1%), with a median age of 70 years (IQR 20). At COVID-19 diagnosis, 44.7% were on anti-cancer therapy and 53.3% had ⩾1 co-morbidity. Two hundred and six patients received SPCT input for symptom control (80.1%), psychological support (54.4%) and/or advance care planning (51%). SPCT+ patients had more ‘Do not attempt cardio-pulmonary resuscitation’ orders completed prior to (12.6% versus 3.7%) and during admission (50% versus 22.1%, p