Conceptual Framework for Cancer Care During a Pandemic Incorporating Evidence From the COVID-19 Pandemic

Area of Science:

• Oncology
• Public Health
• Health Services Research

Background:

• The COVID-19 pandemic significantly impacted healthcare, particularly cancer care.
• Successive infection waves and variants heightened risks for cancer patients.
• Balancing infection control with essential cancer services is crucial.

Purpose of the Study:

• To develop a framework for managing cancer care during pandemics.
• To guide health services and policymakers in maintaining cancer care continuity.
• To address the challenges posed by pandemic-related health system strain.

Main Methods:

• Review of evidence on COVID-19's impact on cancer care and health systems (to June 2021).
• Development and iterative updating of a conceptual framework for pandemic cancer care.
• Incorporation of principles for optimal cancer care.

Main Results:

• Health system capacity fluctuates during pandemics, affecting cancer care resources.
• Decision-making for cancer care must consider dynamic health system capacity.
• The framework guides continuation of care across the cancer pathway, mitigating risks and service backlogs.

Conclusions:

• Continuation of cancer care during pandemics is supported by COVID-19 evidence.
• The Cancer Australia framework aids decision-making across the cancer care continuum.
• The framework is adaptable globally, considering varying health system capacities and pandemic progression.