Universität zu Köln

Weber, Jan P., Tielker, Jannik M., Kamandi, Nilab, Simon, Steffen T., Bausewein, Claudia, Stiel, Stephanie and Schneider, Nils (2021). Outpatient care of oncological patients in palliative treatment situations and their relatives during the COVID-19 pandemic Resident oncologists' experiences, challenges and approaches. Onkologe, 27 (8). S. 783 - 790. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1433-0415

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Abstract

Background During the current pandemic situation, the public health care system must ensure the ongoing provision of regular medical care as well as the treatment of severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) infected patients. Resident oncologists and their practices are equally affected. Objectives The study examines resident oncologists' challenges, experiences and approaches in the delivery of care for oncological patients receiving palliative treatment and their relatives during the pandemic. Findings will support future pandemic preparedness for cancer treatment in outpatients. Materials and methods Content analyses of 13 guideline-based telephone interviews with resident oncologists. Results Solid local networks, staff and structural rearrangements and infection control within offices helped oncologists maintaining quality of care. Required treatments have been continued. The interrupted information flow towards patients' relatives and catching up on previously postponed primary, control or follow-up consultations have been reported as a challenge. Other issues have been linked to suspected SARS-CoV-2 infection in patients and staff. The lack of information, temporal inaccessibility of health care authorities and physicians' associations, and additional costs for infection control material caused further problems. Conclusions Due to the firmly implemented infection control and the re-organisation of facilities and staff, oncologists have been able to maintain treatment and care for cancer patients and their relatives. Hygiene procedures proved to work well and might be re-activated. An increased use of digital applications for treatment monitoring might be considered. Furthermore, solutions to meet additional financial and personnel demands caused by infection control must be identified. The design of suitable concepts for the prevention of health-related hazards due to visiting bans for relatives and therapeutic staff such as physio- and occupational therapists is inevitable.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Weber, Jan P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Tielker, Jannik M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kamandi, Nilab UNSPECIFIED UNSPECIFIED UNSPECIFIED Simon, Steffen T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bausewein, Claudia UNSPECIFIED UNSPECIFIED UNSPECIFIED Stiel, Stephanie UNSPECIFIED UNSPECIFIED UNSPECIFIED Schneider, Nils UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-576239
DOI:	10.1007/s00761-021-00974-z
Journal or Publication Title:	Onkologe
Volume:	27
Number:	8
Page Range:	S. 783 - 790
Date:	2021
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1433-0415
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Oncology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/57623