TY - JOUR
AU - Baxter, Mark A.J.
AU - Murphy, John
AU - Cameron, David
AU - Jordan, Judith
AU - Crearie, Christine
AU - Lilley, Christina
AU - Sadoyze, Azmat
AU - Maclean, Mary
AU - Hall, Peter S.
AU - Phillips, Angela
AU - Greger, Alex
AU - Madeleine, Jude
AU - Petty, Russell D.
PY - 2021
DA - February
TI - The impact of COVID-19 on systemic anticancer treatment delivery in Scotland
JO - British Journal of Cancer 
EP - 1356
VL - 124
DO - https://doi.org/10.1038/s41416-021-01262-8
AB - Understanding the impact of the COVID-19 pandemic on systemic anticancer therapy delivery (SACT) is crucial to appreciate the short- and long-term consequences for cancer patients and plan future care. Here, we report real-time national SACT delivery data from NHS Scotland. We demonstrate an initial rapid reduction in patient attendance of 28.7% with subsequent rapid recovery following service redesign. The smallest decrease was seen in breast cancer (19.7%), which also had the most rapid recovery and the largest decrease seen in colorectal cancer (43.4%). Regional variation in the magnitude of impact on SACT delivery was observed, but nadirs occurred at the same time and the rate of recovery was similar across all regions. This recovery reflected a coordinated national approach and associated patient and clinician support structures, which facilitated the creation of COVID-19-protected areas for SACT delivery in Scottish cancer centres enabling rapid sharing of successful and innovative strategies. The data show that these actions have limited the disadvantage to cancer patients.
PB - Springer Nature
UR - https://discovery.dundee.ac.uk/en/publications/6dd29fb8-8879-4e23-aafb-b0cc50c47c6a
KW - Coronavirus (COVID-19)
KW - Service recovery and remobilisation
ER