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COVID-19 大流行对癌症幸存者影响的系统快速实时综述:更新至 2020 年 8 月 27 日。

Systematic rapid living review of the impact of the COVID-19 pandemic on cancer survivors: update to August 27, 2020.

机构信息

Global Health Program, McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.

Division of Palliative Care, William Osler Health System, 2100 Bovaird Dr E, Brampton, ON, L6R 3J7, Canada.

出版信息

Support Care Cancer. 2021 Jun;29(6):2841-2850. doi: 10.1007/s00520-020-05908-w. Epub 2020 Nov 26.

Abstract

BACKGROUND

The COVID-19 pandemic has resulted in drastic changes in the global healthcare delivery landscape and has had practical repercussions for cancer survivors. This systematic rapid living review has been undertaken to synthesise the available knowledge regarding the impact of the COVID-19 pandemic in a timely manner. This initial rapid review will present the findings of literature published up to August 27, 2020.

DESIGN

A systematic search of PubMed, Scopus and Google Scholar databases was conducted to identify all articles, available in English language, regarding the impact of the COVID-19 pandemic on cancer survivors published between December 2019 and August 27, 2020. The search strategy employed the following search strings: "covid-19 OR coronavirus OR sars-cov-2" with "cancer survivors OR cancer survivorship".

RESULTS

The database search yielded 1639 articles, of which 19 were included. Of the 19 selected articles, there were 12 expert opinion articles, two literature reviews, two prospective cohort studies, one retrospective cohort study, one descriptive study and one pooled meta-analysis that comment on the impact of the COVID-19 pandemic on the physical wellbeing (16 articles), psychosocial wellbeing (15 articles) and financial wellbeing of cancer survivors (3 articles).

CONCLUSIONS

Limited definitive evidence exists regarding the impact of the COVID-19 pandemic on cancer survivors. Currently available literature provides preliminary indications of wide-ranging impacts of the pandemic on cancer survivors with respect to the requirement to adapt to new means of healthcare delivery as well as their physical, psychosocial and economic wellbeing. The pandemic has left survivors dealing with the consequences of rigorous cancer treatment in the context of new challenges related to social isolation, financial hardship and uncertainty with respect to their ongoing care. Additional rigorously designed research initiatives are required to elucidate the impact of the pandemic on cancer survivors.

摘要

背景

COVID-19 大流行导致全球医疗保健服务格局发生了巨大变化,对癌症幸存者产生了实际影响。本系统快速综述旨在及时综合现有知识,了解 COVID-19 大流行的影响。本初步快速综述将介绍截至 2020 年 8 月 27 日发表的文献的研究结果。

设计

系统检索了 PubMed、Scopus 和 Google Scholar 数据库,以查找所有发表于 2019 年 12 月至 2020 年 8 月 27 日之间的、关于 COVID-19 大流行对癌症幸存者影响的英文文献。采用的检索策略包括以下检索词:“covid-19”或“coronavirus”或“sars-cov-2”,以及“cancer survivors”或“cancer survivorship”。

结果

数据库检索共获得 1639 篇文章,其中 19 篇被纳入。在所选择的 19 篇文章中,有 12 篇是专家意见文章,2 篇文献综述,2 篇前瞻性队列研究,1 篇回顾性队列研究,1 篇描述性研究和 1 篇汇总荟萃分析,这些文章评论了 COVID-19 大流行对癌症幸存者的身体(16 篇文章)、心理社会(15 篇文章)和经济(3 篇文章)健康的影响。

结论

目前关于 COVID-19 大流行对癌症幸存者影响的证据有限。目前可用的文献提供了大流行对癌症幸存者广泛影响的初步迹象,包括适应新的医疗保健提供方式以及他们的身体、心理社会和经济健康。大流行使幸存者在面临新的挑战的情况下,应对严格的癌症治疗的后果,这些挑战与社会隔离、经济困难和对他们正在进行的护理的不确定性有关。需要开展更多严格设计的研究倡议,以阐明大流行对癌症幸存者的影响。

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