Abstract

Purpose

We examined cancer survivor worries about treatment, infection, and finances early in the U.S. COVID-19 pandemic.

Design

Closed- and open-ended online survey questions were collected from adult cancer survivors (N = 972).

Methods

Logistic regression identified factors associated with treatment, infection, and financial worry. Thematic qualitative analysis generated information around participants’ experiences and worries related to COVID-19 and healthcare.

Findings

Characteristics including marital status, race/ethnicity, cancer type, time since last treatment, education, and age were associated with health and healthcare worry outcomes. Survivors commonly expressed uncertainty about future care, fears about in-person appointments, rationed COVID-19 care, recurrence due to care delays, and distress about untreated symptoms, including mental health issues.

Conclusions

Early in the pandemic, survivors worried about and experienced cancer care delays, COVID infection, and how the pandemic would affect their prognosis.

Implications

Healthcare professionals need to be aware of cancer survivors’ concerns and uncertainties to provide appropriate care.

中文翻译：

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癌症幸存者担心 COVID-19 大流行导致治疗中断和有害健康结果

摘要

目的

我们研究了癌症幸存者在美国 COVID-19 大流行早期对治疗、感染和财务的担忧。

设计

封闭式和开放式在线调查问题是从成年癌症幸存者 (N = 972) 中收集的。

方法

Logistic 回归确定了与治疗、感染和经济担忧相关的因素。主题定性分析生成了有关参与者与 COVID-19 和医疗保健相关的经历和担忧的信息。

发现

包括婚姻状况、种族/民族、癌症类型、自上次治疗以来的时间、教育和年龄在内的特征与健康和医疗保健担忧结果相关。幸存者通常对未来的护理表示不确定、担心面对面的预约、定量的 COVID-19 护理、由于护理延误而复发，以及对未经治疗的症状（包括心理健康问题）感到痛苦。

结论

在大流行早期，幸存者担心并经历了癌症护理延误、COVID 感染以及大流行将如何影响他们的预后。

影响

医疗保健专业人员需要了解癌症幸存者的担忧和不确定性，以提供适当的护理。