Division of Surgical Oncology, Department of Surgery, Clinical Professor of Surgery, Pritzker School of Medicine, NorthShore University HealthSystem, University of Chicago, 2650 Ridge Ave, Evanston, IL, 60201, USA.
Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, Westwood, CA, USA.
Breast Cancer Res Treat. 2021 Apr;186(3):625-635. doi: 10.1007/s10549-021-06101-1. Epub 2021 Jan 31.
To examine how treatment delays brought on by the COVID-19 pandemic impacted the physical and emotional well-being of physicians treating these patients.
A cross-sectional survey of physician breast specialists was posted from April 23rd to June 11th, 2020 on membership list serves and social media platforms of the National Accreditation Program for Breast Centers and the American Society of Breast Surgeons. Physician well-being was measured using 6 COVID-19 burnout emotions and the 4-item PROMIS short form for anxiety and sleep disturbance. We examined associations between treatment delays and physician well-being, adjusting for demographic factors, COVID-19 testing and ten COVID-19 pandemic concerns.
870 physicians completed the survey, 61% were surgeons. The mean age of physicians was 52 and 548 (63.9%) were female. 669 (79.4%) reported some delay in patient care as a result of the COVID-19 pandemic. 384 (44.1%) and 529 (60.8%) of physicians scored outside normal limits for anxiety and sleep disturbance, respectively. After adjusting for demographic factors and COVID-19 testing, mean anxiety and COVID-19 burnout scores were significantly higher among physicians whose patients experienced either delays in surgery, adjuvant chemotherapy, radiation, breast imaging or specialty consultation. A multivariable model adjusting for ten physician COVID-19 concerns and delays showed that "delays will impact my emotional well-being" was the strongest concern associated with anxiety, sleep disturbance and COVID-19 burnout factors.
Breast cancer treatment delays during the initial surge of the COVID-19 pandemic in the United States were associated with a negative impact on physician emotional wellness.
探讨 COVID-19 大流行导致的治疗延迟如何影响治疗这些患者的医生的身心健康。
2020 年 4 月 23 日至 6 月 11 日，对乳腺科医师进行了横断面调查，调查通过美国国家认证乳腺中心和美国乳腺外科学会的会员名单服务和社交媒体平台进行。使用 6 项 COVID-19 倦怠情绪和 4 项 PROMIS 焦虑和睡眠障碍简短表格来衡量医生的健康状况。我们研究了治疗延迟与医生健康状况之间的关联，并根据人口统计学因素、COVID-19 检测和 10 项 COVID-19 大流行关注点进行了调整。
870 名医生完成了调查，其中 61%是外科医生。医生的平均年龄为 52 岁，其中 548 名（63.9%）为女性。669 名（79.4%）报告说，由于 COVID-19 大流行，患者的护理出现了一些延迟。384 名（44.1%）和 529 名（60.8%）医生的焦虑和睡眠障碍评分分别超出正常范围。在调整人口统计学因素和 COVID-19 检测后，手术、辅助化疗、放疗、乳房成像或专科咨询延迟的患者的医生焦虑和 COVID-19 倦怠评分显著更高。在调整了 10 名医生对 COVID-19 的担忧和延迟后，多变量模型显示，“延迟会影响我的情绪健康”是与焦虑、睡眠障碍和 COVID-19 倦怠因素最相关的担忧。
在美国 COVID-19 大流行初期，乳腺癌治疗延迟与医生情绪健康状况恶化有关。
