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Poster Display session

190P - COVID-19 pandemic impact on lung cancer patient’s performance status and access to treatment: A comparative study pre and during COVID-19 era

Date

03 Apr 2022

Session

Poster Display session

Topics

COVID-19 and Cancer

Tumour Site

Thoracic Malignancies

Presenters

Rute Fernandes

Citation

Annals of Oncology (2022) 33 (suppl_2): S117-S121. 10.1016/annonc/annonc858

Authors

R. Fernandes, M. Fernandes, C. Fava Gaspar, A.R. Teixeira, C. Oliveira, A. Rodrigues, I. Azevedo

Author affiliations

  • Instituto Portugues de Oncologia do Porto Francisco Gentil, EPE (IPO-Porto), Porto/PT

Resources

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Abstract 190P

Background

COVID-19 represents a large health care system consuming problem worldwide, and two years after its onset the real impact among non-COVID disease is still undetermined. Since the pandemic outbreak, cancer patients encountered profound changes in health care accessibility with an unknown impact in their diagnosis and treatment.

Methods

We conducted a retrospective cohort study including a total of 500 first consult patients with lung cancer in a Portuguese Cancer Center during homologous time period, pre (2019) and in the COVID-19 era (2021). Our aim was to characterize and compare both groups in relation to patient’s initial performance status, disease staging and patient’s conditions to initiate systemic treatment, before and during COVID-19 pandemics.

Results

We found no significant differences in age, gender distribution, time from 1st suspicious image exam to 1st consultation and staging on both groups. However, we observed a tendency towards frailty, with an increased number of patients presenting ECOG-PS >2 (26/250 in 2019 vs. 32/250), this functional deterioration explained the increased number of patients with no conditions to initiate systemic treatment and early referencing to best supportive care treatment (18% [45/250] in 2019 vs. 22% [54/250] in 2021).

Conclusions

We believe that pandemic impact in non-COVID-19 patients, particularly in lung cancer population, is still an emerging and crescent problem that societies and health care systems will need to address in coming years as a concerted effort involving increased investment in the detection and treatment of cancer patients, in order to gradually recover pre-COVID-19 health levels.

Legal entity responsible for the study

The authors.

Funding

Has not received any funding.

Disclosure

All authors have declared no conflicts of interest.

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