The impact of changes in service delivery in patients with colorectal cancer during the first peak of the COVID-19 pandemic.

• DOI: 10.1200/jco.2021.39.3_suppl.28
• Publication Date: 2021-01-22T19:59:19Z
• Authors: Konstantinos Kamp...; Kok Haw Jonathan Lim; Mark P. Saunders; Kalena Marti; Daniel Anderson; Mark Cutting; Danielle McCool; Jacqueline Connell; Lilly Simpson; Jurjees Hasan; Michael Braun; Victoria Lavin; Saifee Mullamitha; Jorge Barriuso
• Keywords: Depression

28 Background: Increased levels of anxiety and distress in both patients physicians have been reported response to the significant impact COVID-19 has on cancer service delivery globally. We aimed investigate how these changes perceived by diagnosed with colorectal identify determinants increased anxiety. Methods: Survey (32-item) consecutive attending a large tertiary comprehensive centre United Kingdom (18 May 1 July 2020). Self-reported GAD-7 (both paper/electronic forms) was used as screening tool for Statistical analyses associations:Chi-square, Fisher’s exact, uni- multi-variable were performed using SPSS v19 R. Results: A total 143 (response rate 67%), 82% male, median age 61-70 years included. Majority had telephone consultation (78%), including 40% who scan results discussed over phone; favourable feedback received respectively. Twenty-three (18%) considered anxiety, 7 (6%) scoring moderate or severe Three items asked if they concerns about getting COVID-19, worried that would effect mental health, affect their experience care. Patients answering positively any most likely anxiety; multivariate analysis – OR 2.361 (95% CI 1.187-4.694, p=0.014), 3.219 1.401-7.395, p=0.006) 3.206 1.036-9.920, p=0.043), did not feel needed support during pandemic period hence available well-being services used. felt friends family very supportive but less so primary care (p<0.05). However, supported clinical team. Conclusions: At our centre, first-peak UK, display rates The findings this survey suggests some implemented, follow-up, may already improved overall Importantly, much more concerned treatment than emphasising need continue provide even we get “2nd wave” COVID-19.