Comparison of the sociodemographic and clinical profiles of cancer patients admitted to a tertiary palliative care unit before and during the COVID-19 pandemic
Abstract Objective To compare the sociodemographic and clinical profiles of patients with advanced cancer admitted to a tertiary palliative care unit before and during the COVID-19 pandemic. Methods This is an analysis of data from patients receiving care before (10/21/2019 to 03/16/2020) and during...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | BMC Palliative Care |
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| Online Access: | https://doi.org/10.1186/s12904-025-01663-z |
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| author | Bruno Fernando da Silva Reis Gisele O’Dwyer Valeria Teresa Saraiva Lino Lívia Costa de Oliveira Karla Santos da Costa Rosa Simone Garruth dos Santos Machado Sampaio |
| author_facet | Bruno Fernando da Silva Reis Gisele O’Dwyer Valeria Teresa Saraiva Lino Lívia Costa de Oliveira Karla Santos da Costa Rosa Simone Garruth dos Santos Machado Sampaio |
| author_sort | Bruno Fernando da Silva Reis |
| collection | DOAJ |
| description | Abstract Objective To compare the sociodemographic and clinical profiles of patients with advanced cancer admitted to a tertiary palliative care unit before and during the COVID-19 pandemic. Methods This is an analysis of data from patients receiving care before (10/21/2019 to 03/16/2020) and during (09/23/2020 to 08/26/2021) the COVID-19 pandemic. Sociodemographic and clinical data were evaluated. Logistic regression analyses were used, with the odds ratio (OR) and 95% confidence interval (CI) as measures of effect. Results 673 patients were enrolled (204 in the pre-pandemic period and 469 in the pandemic period). The final logistic regression model demonstrated that patients admitted during the pandemic had a greater chance of having white skin (OR: 1.66 [95% CI: 1.15–2.39]), having a gastrointestinal tract cancer (OR: 2.95 [95% CI: 1.55–5.62]) and in skin, bones, and soft tissue (OR: 2.40 [95% CI: 1.13–5.08]), having received prior radiotherapy (OR: 1.83 [95% CI: 1.26–2.55]), and having a higher global PG-SGA SF score (OR: 1.06 [95% CI: 1.02–1.09]). Conclusion Ethnicity, nutritional risk, previous radiotherapy, and type of tumor were associated with advanced cancer during the COVID-19 pandemic. It is unclear what impacts the COVID-19 pandemic had on palliative care. This study presented findings based on one tertiary palliative care facility for patients with cancer. Give the limited literature on the subject, our comparative analysis of data serves as a starting point for a debate on this subject. More studies of a similar nature are needed to enable future comparisons and assist planning for other pandemics. |
| format | Article |
| id | doaj-art-2e39422b519c4ff798a1b5bd616e30c1 |
| institution | Kabale University |
| issn | 1472-684X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Palliative Care |
| spelling | doaj-art-2e39422b519c4ff798a1b5bd616e30c12025-02-02T12:47:38ZengBMCBMC Palliative Care1472-684X2025-01-012411810.1186/s12904-025-01663-zComparison of the sociodemographic and clinical profiles of cancer patients admitted to a tertiary palliative care unit before and during the COVID-19 pandemicBruno Fernando da Silva Reis0Gisele O’Dwyer1Valeria Teresa Saraiva Lino2Lívia Costa de Oliveira3Karla Santos da Costa Rosa4Simone Garruth dos Santos Machado Sampaio5Sergio Arouca National School of Public Health, Oswaldo Cruz FoundationSergio Arouca National School of Public Health, Oswaldo Cruz FoundationSergio Arouca National School of Public Health, Oswaldo Cruz FoundationPalliative Care Unit, National Cancer InstitutePalliative Care Unit, National Cancer InstitutePalliative Care Unit, National Cancer InstituteAbstract Objective To compare the sociodemographic and clinical profiles of patients with advanced cancer admitted to a tertiary palliative care unit before and during the COVID-19 pandemic. Methods This is an analysis of data from patients receiving care before (10/21/2019 to 03/16/2020) and during (09/23/2020 to 08/26/2021) the COVID-19 pandemic. Sociodemographic and clinical data were evaluated. Logistic regression analyses were used, with the odds ratio (OR) and 95% confidence interval (CI) as measures of effect. Results 673 patients were enrolled (204 in the pre-pandemic period and 469 in the pandemic period). The final logistic regression model demonstrated that patients admitted during the pandemic had a greater chance of having white skin (OR: 1.66 [95% CI: 1.15–2.39]), having a gastrointestinal tract cancer (OR: 2.95 [95% CI: 1.55–5.62]) and in skin, bones, and soft tissue (OR: 2.40 [95% CI: 1.13–5.08]), having received prior radiotherapy (OR: 1.83 [95% CI: 1.26–2.55]), and having a higher global PG-SGA SF score (OR: 1.06 [95% CI: 1.02–1.09]). Conclusion Ethnicity, nutritional risk, previous radiotherapy, and type of tumor were associated with advanced cancer during the COVID-19 pandemic. It is unclear what impacts the COVID-19 pandemic had on palliative care. This study presented findings based on one tertiary palliative care facility for patients with cancer. Give the limited literature on the subject, our comparative analysis of data serves as a starting point for a debate on this subject. More studies of a similar nature are needed to enable future comparisons and assist planning for other pandemics.https://doi.org/10.1186/s12904-025-01663-zCOVID-19Palliative careNeoplasmsCancerTherapeutics |
| spellingShingle | Bruno Fernando da Silva Reis Gisele O’Dwyer Valeria Teresa Saraiva Lino Lívia Costa de Oliveira Karla Santos da Costa Rosa Simone Garruth dos Santos Machado Sampaio Comparison of the sociodemographic and clinical profiles of cancer patients admitted to a tertiary palliative care unit before and during the COVID-19 pandemic BMC Palliative Care COVID-19 Palliative care Neoplasms Cancer Therapeutics |
| title | Comparison of the sociodemographic and clinical profiles of cancer patients admitted to a tertiary palliative care unit before and during the COVID-19 pandemic |
| title_full | Comparison of the sociodemographic and clinical profiles of cancer patients admitted to a tertiary palliative care unit before and during the COVID-19 pandemic |
| title_fullStr | Comparison of the sociodemographic and clinical profiles of cancer patients admitted to a tertiary palliative care unit before and during the COVID-19 pandemic |
| title_full_unstemmed | Comparison of the sociodemographic and clinical profiles of cancer patients admitted to a tertiary palliative care unit before and during the COVID-19 pandemic |
| title_short | Comparison of the sociodemographic and clinical profiles of cancer patients admitted to a tertiary palliative care unit before and during the COVID-19 pandemic |
| title_sort | comparison of the sociodemographic and clinical profiles of cancer patients admitted to a tertiary palliative care unit before and during the covid 19 pandemic |
| topic | COVID-19 Palliative care Neoplasms Cancer Therapeutics |
| url | https://doi.org/10.1186/s12904-025-01663-z |
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