Anxiety and Fear During the Covid-19 Pandemic: A Web-Based Survey of Thyroid Cancer Survivors
| العنوان: | Anxiety and Fear During the Covid-19 Pandemic: A Web-Based Survey of Thyroid Cancer Survivors |
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| المؤلفون: | Anna O. Levin, Quan-Yang Duh, Insoo Suh, Julie Ann Sosa, Jina Kim, Sanziana A. Roman, Claire E. Graves, Miriam A Nuno, Neha G. Goyal, Jessica E. Gosnell, Michael J. Campbell, Wen T. Shen |
| المصدر: | Journal of the Endocrine Society Journal of the Endocrine Society, vol 5, iss Supplement_1 Journal of the Endocrine Society, vol 5, iss Suppl 1 |
| بيانات النشر: | Oxford University Press, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Endocrinology, Diabetes and Metabolism, Population, Papillary thyroid cancer, Quality of life, Clinical Research, Behavioral and Social Science, Pandemic, Health care, medicine, education, Psychiatry, Thyroid cancer, Cancer, Thyroid, education.field_of_study, business.industry, Health Services, medicine.disease, Brain Disorders, Good Health and Well Being, Anxiety, medicine.symptom, business, AcademicSubjects/MED00250, Thyroid Autoimmunity, COVID-19 & Thyroid Disease |
| الوصف: | Author(s): Graves, Claire E; Goyal, Neha; Levin, Anna; Nuno, Miriam A; Kim, Jina; Campbell, Michael J; Shen, Wen T; Gosnell, Jessica Erin; Roman, Sanziana; Sosa, Julie Ann; Duh, Quan-Yang; Suh, Insoo | Abstract: Abstract Background: The coronavirus (COVID-19) pandemic has led to rapid changes in our society and healthcare system. Cancer patients and survivors may be disproportionately affected by these changes, including decreased access to healthcare, increased infection risk, and economic challenges. We sought to determine the effects of the pandemic on thyroid cancer survivors’ quality of life. Methods: An anonymous web-based survey was administered in collaboration with ThyCa: Thyroid Cancer Survivors’ Association, consisting of questions about (1) demographics, (2) thyroid cancer clinical characteristics, (3) attitudes toward and impact of COVID-19, and (4) the Patient-Reported Outcomes Measurement Information System (PROMIS) 29-item profile. The survey was linked on the ThyCa homepage. PROMIS measures were scored using item response theory models with a T-score metric relative to U.S. reference data via the HealthMeasures Scoring Service (https://www.healthmeasures.net). T-scores were analyzed using Mann-Whitney U, Wilcoxon signed-rank, Kruskal-Wallis, and Spearman’s rank correlation tests. Results: From 5/6/2020 - 10/8/2020, 505 participants accessed the survey, and all completed surveys by U.S.-based thyroid cancer survivors were analyzed (n=378, 75%). Mean age was 53 years, 89% were female, 90% were white, 74% had papillary thyroid cancer, 97% had surgery, and 70% received radioactive iodine. The vast majority agreed or strongly agreed (83%) that their lives were very different during COVID-19, as was the way they interacted with their doctors (79%). Less than half (43%) agreed or strongly agreed that they were satisfied with the amount of information from their doctor’s office regarding COVID-19 changes. Compared to previously-published PROMIS data for this population, T-scores were significantly higher in the domain of anxiety/fear (57.8 vs. 56.5, pl0.01) and lower for ability to participate in social roles and activities (46.2 vs. 48.1, pl0.01). Younger age was weakly correlated with greater anxiety/fear (Spearman’s rho=-0.38, pl0.01), and greater anxiety/fear was associated with pending treatment (pl0.01), lower cancer stage (p=0.01), and female sex (p=0.02). Conclusions: During the COVID-19 pandemic, thyroid cancer survivors reported increased anxiety/fear and decreased social participation. In our efforts to care for patients both physically and mentally as the pandemic continues, we must better understand their fears and concerns and improve communication about potential changes to their care. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 2472-1972 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a8659fc01a9d977f5eef79e411ba77ab http://europepmc.org/articles/PMC8090361 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....a8659fc01a9d977f5eef79e411ba77ab |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 24721972 |
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