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Virtual Management of Patients With Cancer During the COVID-19 Pandemic: Web-Based Questionnaire Study.
Emad Tashkandi1,2, Ahmed Zeeneldin1,3, Amal AlAbdulwahab4
1Department of Medical Oncology, Oncology Center, King Abdullah Medical City, Makkah, Saudi Arabia.
Journal of Medical Internet Research
|June 6, 2020
Summary
Oncologists show high awareness of virtual cancer care, but challenges like lack of physical exams persist. Treatment priorities during the COVID-19 pandemic align with emerging research, emphasizing continued care for most patients.
Area of Science:
- Oncology
- Digital Health
- Public Health
Background:
- The COVID-19 pandemic disproportionately affects cancer patients in remote areas due to curfews.
- Virtual management (telemedicine) offers potential for reduced healthcare costs and improved patient access.
- Cancer care continuity is crucial, especially during global health crises.
Purpose of the Study:
- To assess oncologists' awareness and perspectives on virtual cancer management during the COVID-19 pandemic.
- To identify challenges and preferences regarding virtual consultations and prescriptions for anticancer therapies.
- To understand oncologists' priorities for continuing or interrupting cancer treatments.
Main Methods:
- A self-administered electronic survey was designed and pilot-tested.
- Practicing oncologists in Gulf and Arab countries were surveyed using snowball sampling.
- Data collection occurred via email and social media, with follow-up reminders.
Main Results:
- High awareness of virtual clinics (82%), multidisciplinary teams (79%), and prescriptions (75%) was reported.
- Key challenges included lack of physical examination (60%), patient access (59%), and IT support (37%).
- Oncologists preferred virtual prescriptions for hormonal therapy (85%) and targeted therapy (57%), but not chemotherapy or immunotherapy.
- Most preferred continuing neoadjuvant (83%), adjuvant (83%), perioperative (80%), and first-line palliative treatments (53%).
Conclusions:
- Oncologists demonstrate significant awareness of virtual management tools.
- Treatment continuation is prioritized for most cancer care settings, aligning with current literature.
- Addressing identified challenges is essential to optimize virtual cancer care delivery.
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