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10.1007/s00520-020-05744-y

http://scihub22266oqcxt.onion/10.1007/s00520-020-05744-y
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suck abstract from ncbi


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pmid33047163      Support+Care+Cancer 2021 ; 29 (3): 1161-1164
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  • Risk stratification and outreach to hematology/oncology patients during the COVID-19 pandemic #MMPMID33047163
  • Osterman CK; Triglianos T; Winzelberg GS; Nichols AD; Rodriguez-O'Donnell J; Bigelow SM; van Deventer H; Sanoff HK; Ray EM
  • Support Care Cancer 2021[Mar]; 29 (3): 1161-1164 PMID33047163show ga
  • PURPOSE: Cancer patients have many medical and psychosocial needs, which may increase during the COVID-19 pandemic. We sought to (1) risk-stratify hematology/oncology patients using general medicine and cancer-specific methods to identify those at high risk for acute care utilization, (2) measure the correlation between two risk stratification methods, and (3) perform a telephone-based needs assessment with intervention for high-risk patients. METHODS: Patients were risk-stratified using a general medical health composite score (HCS) and a cancer-specific risk (CSR) stratification based on disease and treatment characteristics. The correlation between HCS and CSR was measured using Spearman's correlation. A multi-disciplinary team developed a focused needs assessment script with recommended interventions for patients categorized as high-risk by either method. The number of patient needs identified and referrals for services made in the first month of outreach are reported. RESULTS: A total of 1697 patients were risk-stratified, with 17% high-risk using HCS and 22% high-risk using CSR. Correlation between HCS and CSR was modest (rho = 0.41). During the first month of the pilot, 286 patients were called for outreach with 245 contacted (86%). Commonly identified needs were financial difficulties (17%), uncontrolled symptoms (15%), and interest in advance care planning (13%), resulting in referral for supportive services for 33% of patients. CONCLUSION: There is a high burden of unmet medical and psychosocial needs in hematology/oncology patients during the COVID-19 pandemic. A telephone-based outreach program results in the identification of and intervention for these needs; however, additional cancer-specific risk models are needed to improve targeting to high-risk patients.
  • |*COVID-19[MESH]
  • |*Hematologic Diseases[MESH]
  • |*Neoplasms[MESH]
  • |Health Services[MESH]
  • |Humans[MESH]
  • |Needs Assessment[MESH]
  • |Referral and Consultation[MESH]
  • |Risk Assessment[MESH]
  • |SARS-CoV-2[MESH]


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