Dataset Information

Depression and anxiety in cancer patients before and during the SARS-CoV-2 pandemic: association with treatment delays.

ABSTRACT:

Purpose

Pandemics can be associated with anxiety and depression in cancer patients who are undergoing treatment. In the present study, we aimed to perform a comparative evaluation of the conditions of cancer patients before and during the severe acute respiratory distress syndrome coronavirus 2 (SARS-CoV-2) pandemic using the Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) to detect the impact of the pandemic on treatment delays that are associated with anxiety and depression in cancer patients. In addition, the effect of public transport use on treatment delays was examined.

Methods

BDI and BAI were administered to 595 breast, ovarian, colon and gastric cancer patients before and during the pandemic. The questionnaires were administered by the physician blindly, who was unaware of the delay of the patients. The number of days by which the patients delayed their treatment due to the fear of contamination were recorded retrospectively. Correlation analyses were performed between the obtained scores and treatment delays.

Results

The depression and anxiety levels in cancer patients were found to increase during the pandemic (p?=?0.000), and this increase was positively correlated with the disruption of their treatment (p?=?0.000, r?=?0.81). Depression and anxiety levels and treatment delays were higher in elderly patients (p?=?0.021). Depression and anxiety were more pronounced in female patients (p?=?0.000). Moreover, treatment delays were more common in patients who had to use public transportation (p?=?0.038).

Conclusion

SARS-CoV-2 pandemic may increase anxiety and depression in cancer patients. This can cause patients to experience treatment delays due to concerns about becoming infected. At this point, if necessary, assistance should be obtained from psychiatric and public health experts.

SUBMITTER: Yildirim OA

PROVIDER: S-EPMC7907665 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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Publications

Depression and anxiety in cancer patients before and during the SARS-CoV-2 pandemic: association with treatment delays.

Yildirim Ozgen Ahmet OA Poyraz Kerem K Erdur Erkan E

Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation 20210226 7

<h4>Purpose</h4>Pandemics can be associated with anxiety and depression in cancer patients who are undergoing treatment. In the present study, we aimed to perform a comparative evaluation of the conditions of cancer patients before and during the severe acute respiratory distress syndrome coronavirus 2 (SARS-CoV-2) pandemic using the Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) to detect the impact of the pandemic on treatment delays that are associated with anxiety and depre ...[more]

PMID: 33635508

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Project description:BackgroundThis study aimed to determine the impact of pulmonary complications on death after surgery both before and during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic.MethodsThis was a patient-level, comparative analysis of two, international prospective cohort studies: one before the pandemic (January-October 2019) and the second during the SARS-CoV-2 pandemic (local emergence of COVID-19 up to 19 April 2020). Both included patients undergoing elective resection of an intra-abdominal cancer with curative intent across five surgical oncology disciplines. Patient selection and rates of 30-day postoperative pulmonary complications were compared. The primary outcome was 30-day postoperative mortality. Mediation analysis using a natural-effects model was used to estimate the proportion of deaths during the pandemic attributable to SARS-CoV-2 infection.ResultsThis study included 7402 patients from 50 countries; 3031 (40.9 per cent) underwent surgery before and 4371 (59.1 per cent) during the pandemic. Overall, 4.3 per cent (187 of 4371) developed postoperative SARS-CoV-2 in the pandemic cohort. The pulmonary complication rate was similar (7.1 per cent (216 of 3031) versus 6.3 per cent (274 of 4371); P = 0.158) but the mortality rate was significantly higher (0.7 per cent (20 of 3031) versus 2.0 per cent (87 of 4371); P < 0.001) among patients who had surgery during the pandemic. The adjusted odds of death were higher during than before the pandemic (odds ratio (OR) 2.72, 95 per cent c.i. 1.58 to 4.67; P < 0.001). In mediation analysis, 54.8 per cent of excess postoperative deaths during the pandemic were estimated to be attributable to SARS-CoV-2 (OR 1.73, 1.40 to 2.13; P < 0.001).ConclusionAlthough providers may have selected patients with a lower risk profile for surgery during the pandemic, this did not mitigate the likelihood of death through SARS-CoV-2 infection. Care providers must act urgently to protect surgical patients from SARS-CoV-2 infection.

Dataset Information

Depression and anxiety in cancer patients before and during the SARS-CoV-2 pandemic: association with treatment delays.

Purpose

Methods

Results

Conclusion

Publications

Depression and anxiety in cancer patients before and during the SARS-CoV-2 pandemic: association with treatment delays.

Similar Datasets

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