Take care or “German Angst”? Lessons from cancer care during COVID-19 pandemic in spring 2020
Open accessAbstract
OBJECTIVE: While the second wave of COVID-19 has started in Europe, data are still missing on the consequences of the first one for patients with cancer. The aim of our study was to learn more about the experiences of German patients and staff in the oncology services. MATERIALS AND METHODS: An anonymous online survey was conducted among cancer patients and their therapists (physicians, medical staff, psychologists, spiritual care givers) in Germany between April and May 2020 asking about burden, fears, and perceived changes in German oncology service system. Besides answer frequencies of different stakeholders, uni- and multivariate analyses were performed for selected items to identify areas of high impact. RESULTS: In total 752 participants were included. All groups have identified high mental burden as central problem. A majority was confused about varying information policies and strategies against the pandemic. Patient reported restricted visits, isolation and delay of treatment as central fears and problems. The majority of fears could be coped by the health care workers. The patients describe processes at the oncology services during the first wave. Personal experiences with COVID-19 have had no influence on the felt burden of the patients. Physicians, medical staff, psychologists and spiritual care givers were extremely stressed but repressed their own burden. They await financial, physical and mental problems for their own future. CONCLUSIONS: The presented personal views and experiences allow focusing the discussions about heath care systems during the on-going pandemic. Support for health care workers, as much routine as possible in oncology services, and transparency in information will be the keys for good management in futural situations of crisis.
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0 of 7 cited sources checked · 0 supported · 0 flagged
- Findingown data
Patients' personal experiences with COVID-19 did not influence their felt burden.
“Personal experiences with COVID-19 have had no influence on the felt burden of the patients.”
- Also stated in: § Focus cancer patients · plain
“Personal contact to COVID-19-patients or own infection are not affecting this answers/impression regarding the pandemic situation at all.”
Quote in the paperSubstantial claim - Also stated in: § Focus cancer patients · plain
- Findingown data
46 physicians (48.9%) anticipated negative physical and/or mental consequences for themselves after the COVID-19 pandemic.
“46 (48.9%) anticipated negative physical and/or mental sequels for themself after the Covid-19 pandemic.”
Quote in the paperNot a substantial claim - Findingown data
Patients with active cancer disease were more often concerned about ongoing treatments and organization of oncology services than survivors (p = 0.002).
“Patients with active cancer disease were more often concerned regarding on-going treatments and organization of oncology services (p = 0.002) than survivors.”
Quote in the paperNot a substantial claim - Findingown data
123 of 129 psychologists and spiritual care givers (95.3%) described prohibition of visits as one of the main problems for patients during the pandemic.
“123/129 psychologists/spiritual care givers (95.3%) were describing prohibition of visits as one of the main problems for patients during the pandemic.”
Quote in the paperSubstantial claim - Findingown data
Professionals reported an increasing level of mental burden between the two survey points.
“In contrast, professionals reported an increasing level of their mental burden (distress) between both points of survey (see Fig. 2).”
Quote in the paperSubstantial claim
- Findingown data
318 of 357 patients (89.1%) were satisfied with their own possibilities to stay active during lockdown.
“Nevertheless, a big majority (318/357, 89.1%) was satisfied with their own possibilities to stay active during the phase of lockdown.”
Quote in the paperNot a substantial claim - Findingown data
A majority of participants were confused about varying information policies and strategies against the pandemic.
“A majority was confused about varying information policies and strategies against the pandemic.”
Quote in the paperNot a substantial claim - Findingown data
68 oncologists (79.1%) reported a high or very high impact of the pandemic on their daily professional work.
“68 oncologists (79.1%) reported high or very high impact of pandemic on their daily professional work.”
Quote in the paperSubstantial claim - Findingown data
53 oncologists (56.4%) reported being stressed by the situation.
“53 oncologists (56.4%) reported to be stressed by the situation.”
Quote in the paperNot a substantial claim - Findingown data
30 of 69 care givers feared mental and/or physical consequences for themselves from the COVID-19 pandemic in the future.
“30/69 feared mental and/or physical consequences for themself due to Covid-19 pandemic in the future.”
Quote in the paperNot a substantial claim - Findingown data
Every participant group identified high mental burden as a central problem.
“All groups have identified high mental burden as central problem.”
Quote in the paperSubstantial claim - Findingown data
186 of 354 patients (52.5%) were afraid of prolonged breaks between therapies or waiting times for necessary treatments because of COVID-19.
“the majority of participating patients (186/354, 52.5%) has been afraid of prolonged breaks between therapies or waiting times for necessary treatments because of COVID-19 pandemic.”
Quote in the paperSubstantial claim - Findingown data
247 of 357 patients (69.2%) reported confusion caused by public discussion and information about COVID-19.
“247/357 (69.2%) participants reported to be confused by the public discussion and information about COVID-19.”
Quote in the paperSubstantial claim - Findingown data
65 of 68 nurses or therapists (95.6%) observed an increased level of mental stress in their patients.
“65/68 (95.6%) nurses or therapists observed an increased level of mental stress of their patients.”
Quote in the paperSubstantial claim - Findingown data
226 of 309 outpatients and survivors (73.1%) would expect distress because of isolation.
“226/309 (73.1%) would await distress because of isolation.”
Quote in the paperSubstantial claim - Findingown data
82 of 84 oncologists (97.6%) expected strong or very strong difficulties for the care process because of total restrictions on visiting patients in hospital.
“82/84 participating oncologists (97.6%) awaited strong or very strong difficulties for the care-process because of the common total restrictions of visiting patients at hospital.”
Quote in the paperSubstantial claim - Findingown data
59 of 69 care givers (81.2%) reported a strong or very strong impact on their daily work in cancer care.
“59/69 (81.2%) participants reported a strong or very strong impact on their daily work in cancer care.”
Quote in the paperSubstantial claim - Findingown data
125 of 130 psychologists and spiritual care givers (96.1%) saw high mental burden in cancer patients.
“High mental burden for cancer patients was seen by 125/130 (96.1%) participants.”
Quote in the paperSubstantial claim - Findingown data
70 of 83 oncologists (84.3%) observed increased mental stress in their patients.
“70/83 oncologists (84.3%) have seen increased mental stress of their patients.”
Quote in the paperSubstantial claim - Findingown data
64 of 67 nurses or therapists saw strong or very strong problems or concerns for patients resulting from the strict contact lock at hospitals.
“64/67 nurses/therapists saw strong or very strong problems/concerns for their patients resulting from the strict contact lock at the hospitals.”
Quote in the paperSubstantial claim - Findingown data
At participation, 150 of 350 patients (42.9%) had felt strong or very strong mental stress from the pandemic situation.
“At the time of participation, already 150/350 (42.9%) patients have felt strong or very strong mental stress with this actual pandemic situation.”
Quote in the paperSubstantial claim - Findingown data
Physicians, medical staff, psychologists, and spiritual care givers anticipated financial, physical, and mental problems for their own future.
“They await financial, physical and mental problems for their own future.”
Quote in the paperNot a substantial claim - Findingown data
100 of 132 psychologists and spiritual care givers (75.8%) reported restricted professional work due to public lockdown regulations.
“100 out of 132 answering participants (75.8%) reported to be restricted in the professional work by the regulations of public lockdown.”
Quote in the paperSubstantial claim - Findingown data
70 of 127 psychologists and spiritual care givers (55.1%) feared further personal mental or physical consequences from the pandemic.
“70/127 participants (55.1%) feared further personal mental or physical consequences due to the actual pandemic.”
Quote in the paperSubstantial claim - Findingown data
The federal state of residence and the resulting infection rate had no impact on patients' answers to any question.
“The federal state of home and in consequence the infection rate had no impact on patients’ answers to any of the questions.”
Quote in the paperNot a substantial claim - Findingown data
During lockdown, 239 of 355 patients (67.3%) felt strongly or very strongly restricted by official regulations.
“During the lockdown 239/355 (67.3%) persons felt strongly or very strongly restricted by the official regulations.”
Quote in the paperNot a substantial claim - Findingown data
Patients with active cancer disease were more confused by diverging COVID-19 information in press, TV, and social media than survivors (p = 0.02).
“Furthermore, those patients were more confused by diverging information on COVID-19 in press, on TV and in social media (p = 0.02).”
Quote in the paperNot a substantial claim - Findingown data
Health care workers could help patients cope with the majority of their fears.
“The majority of fears could be coped by the health care workers.”
Quote in the paperSubstantial claim - Findingown data
Patients' distress thermometer data showed a stable situation between April and May 2020.
“Analyzing the distress thermometer data, patients showed a stable situation between April and May 2020.”
Quote in the paperNot a substantial claim - Findingown data
The data show that caregivers and partners were much more affected than patients.
“As our data show, caregivers and partners are much stronger affected than patients.”
Quote in the paperSubstantial claim - Findingown data
A relevant part of German medical and health care professionals in the survey signaled confusion and uncertainty about the public discussion of the COVID-19 pandemic and its management.
“A relevant part of German medical and health care professionals participating in our survey has given the signal of confusion and uncertainty with respect to the public discussion of COVID-pandemic and its management.”
Quote in the paperSubstantial claim - Findingown data
An important result of the survey is the enormous burden due to the COVID-19 pandemic seen in all professional groups.
“An important result of our survey is the enormous burden due to COVID-19 pandemic, which is seen in all professional groups.”
Quote in the paperSubstantial claim - Findingnone given
Most participating patients were satisfied with cancer services during the first wave of the pandemic.
“Most patients participating were satisfied with the cancer services during the first wave of pandemic.”
Quote in the paperSubstantial claim - Interpretationreasoning
Patients were able to limit the physical consequences of the first lockdown.
“So, they were able to limit the physical consequences of the first lockdown.”
Quote in the paperNot a substantial claim - Premisecitation
During the first wave, patients developed coping strategies by seeking nature and outdoor activities.
“They were searching nature and out-door activities (Büssing et al. 2020).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Büssing et al. 2020 source
Not checked in the free run.
- Interpretationown data
The main problems in cancer care during the first wave were strategic and mental.
“Main problems are seen in strategic and mental topics.”
Quote in the paperSubstantial claim - Interpretationown data
During the first wave, patients experienced cancer care at a high level in Germany.
“During the first wave patients have experienced cancer care at high level in Germany.”
Quote in the paperSubstantial claim - Interpretationreasoning
The German cancer care system reached its limits during the first wave.
“But this system has reached its borders and we have to protect the system itself and its professional care givers.”
Quote in the paperSubstantial claim - Interpretationown data
At the time of the study, the main burden for patients appeared to be mental.
“At the moment, the main burden seems to be a mental one.”
Quote in the paperSubstantial claim - Interpretationreasoning
The public health system supplied continued care for people suffering from life-threatening diseases such as cancer.
“Public health system supplied continued care for people suffering from life-threating diseases as cancer.”
Quote in the paperSubstantial claim - Interpretationreasoning
Even the strong German health care system might collapse in a second wave.
“Thus, even the strong German health care system might collapse in a second wave.”
Quote in the paperSubstantial claim - Premisecitation
Cancer patients have specific concerns about isolation experiences.
“Cancer patients have specific concerns about isolation experiences as it was described by Tanya Campell in 1999 (Campbell 1999).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Campbell 1999 source
Not checked in the free run.
- Interpretationown data
The initiating factor was the impact of social distancing at its maximum during lockdown on private life, such as the ban on visiting hospitalized relatives.
“Initiating factor is the impact of social distancing arriving at its maximum during the lock down on private life for many people, for example the ban of visiting hospitalized relatives.”
Quote in the paperSubstantial claim - Interpretationreasoning
The personal experience of medical staff during the first wave was quite similar to that of patients.
“The personal experience of medical staff during the first wave of the pandemic is quite similar to that of patients.”
Quote in the paperNot a substantial claim - Interpretationreasoning
Repression appears to be a relevant coping strategy for all professions, including psychologists.
“Repression seems to be a relevant coping strategy for all professions, psychologists included.”
Quote in the paperNot a substantial claim - Premisecitation
First studies report increasing rates of depression among cancer patients.
“First studies report about increasing rates of depression among cancer patients (Zheng et al. 2020).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Zheng et al. 2020
Not checked in the free run.
- Interpretationown data
Physicians and nurses managed to make German cancer patients feel safe despite all restrictions.
“In the health care system, physicians and nurses managed to make German cancer patients feeling safe despite all restrictions.”
Quote in the paperSubstantial claim
- Classified as probably not a substantial claim. 13
- May combine two claims. 8
- The quote only partly states this claim. 1
Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Findingnone givenNinety-four physicians participated in the survey.
“94 physicians haven taken part in our survey.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe survey program included 752 participants in total.
“In total 752 participants were included.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataPatients reported restricted visits, isolation, and delay of treatment as central fears and problems.
“Patient reported restricted visits, isolation and delay of treatment as central fears and problems.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataOne hundred fifty-two psychologists and spiritual care givers participated in the survey.
“One hundred and fifty-two participants took part in our survey for psychologists/spiritual care givers.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingnone givenPhysicians, medical staff, psychologists, and spiritual care givers were extremely stressed but repressed their own burden.
“Physicians, medical staff, psychologists and spiritual care givers were extremely stressed but repressed their own burden.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataSeventy-three care givers participated in the medical staff survey.
“73 care givers have taken part in this survey.”
Quote in the paperNot a substantial claimThe quote only partly states this claim.
Findingown dataFour hundred thirty-three cancer patients completed the patient questionnaire.
“Four hundred thirty-three participants completed the questionnaire.”
Quote in the paperNot a substantial claimMay combine two claims.
FindingreasoningPrecipitous decisions based on these premonitions were reported, including no treatment, rejection of adjuvant therapy, therapy discontinuation, and therapy breaks.
“Precipitous decisions, based on these premonitions are reported (no treatment, rejection of adjuvant therapy, therapy discontinuation, therapy breaks).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe majority of health care workers anticipated decreasing income and increasing individual physical or mental problems.
“The majority of health care workers is awaiting decreasing income, increasing individual physical or mental problems.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataPatients' fears and premonitions included delay of diagnosis, isolation from family and friends, and other barriers to cancer, supportive, or social care.
“Fears and premonitions of patients include delay of diagnosis, isolation from family and friends, other barriers to cancer, supportive or social care.”
Quote in the paperSubstantial claimMay combine two claims.
Findingnone givenDuring lockdown most support offers were closed, and even self-help groups did not meet.
“During the lock down most offers of support were closed, even self-help groups did not meet”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationProblems in communicating about COVID-19 exist worldwide independently of country and culture.
“Nicola et al. described problems in communicating about COVID-19 around the world, which are existing independently from country and culture (Nicola et al. 2020).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Nicola et al. 2020 source
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningDespite its drawbacks, the survey provides an authentic and wide-ranging image of the experiences and attitudes of actors in cancer care in April and May 2020.
“Despite several drawbacks as the quickly developed and unvalidated instruments, online distribution via different organizations thus mainly recruiting selected and the special motivated participants, this is an authentic and wide-ranging image of the experiences and attitudes of the actors in cancer care, which reflects the impressions of the moment in April/May 2020.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Interpretationown dataA principal component analysis underlines an eminent need for professional supervision.
“An additional principal component analysis (Fig. 4) underlines the eminent need of a professional supervision (see view of psychologists on the others).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable). May combine two claims.
InterpretationreasoningA more restrictive lockdown would break this coping system and remove these possibilities of coping.
“A more restrictive lock down would break this system and avoid these possibilities of coping.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationConfusion appears to be a phenomenon in crisis times.
“Confusion seems to be a phenomenon in crisis times.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Nicola et al. 2020 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
InterpretationreasoningThe external view of psychologists and spiritual care givers on medical professionals clearly underlines an impending collapse.
“The external view of psychologists/spiritual care givers on the medical professionals clearly underlines this impending collapse.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Study design and conductnone givenHeat maps are not a validated instrument for assessing mental stress.
“Heat maps are no validated instrument to assess mental stress”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Interpretationown dataA uniform warning from all professional groups warns against mental burden and the resulting danger for ongoing or future anti-cancer strategies.
“A uniform warning from all professional groups warns against this mental burden and the resulting danger for ongoing or futural anti-cancer strategies.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S4 (based).
Study design and conductnone givenParticipation in an online survey probably selects participants who feel relatively well and are not overwhelmed by fears or have a poor disease course.
“Yet, we have to realize, that most probably, taking part in an online survey selects participants who feel rather well and are not overwhelmed from fears or have a poor course of their disease.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationcitationAs growing numbers of nurses, physicians, and other care givers drop out due to exhaustion, illness, or burnout, stress on the remaining staff will increase, as already seen in structurally weaker regions.
“With a growing number of nurses, physicians and other care givers dropping out of the system due to exhaustion, bodily or mental illness or burn-out, the stress on the remaining will even increase as already can be seen in structurally weaker regions (El-Hage et al. 2020; Petzold et al. 2020).”
Quote in the paperSubstantial claim0 of 2 sources checked
The paper relies on this without support.
The presented survey dataset is the largest survey conducted during the first wave of the COVID-19 pandemic in Europe.
“With more than 750 patients and health care professionals participating in our online survey are, the here presented data set presents—to the best of our knowledge—the largest survey during the first wave of the pandemic in Europe.”
The paper relies on this without support.
Data on the consequences of the first COVID-19 wave for cancer patients are still missing.
“While the second wave of COVID-19 has started in Europe, data are still missing on the consequences of the first one for patients with cancer.”
The paper relies on this without support.
The perspectives of all actors are necessary to complete the picture of experiences and emotions during the pandemic.
“Accordingly, the perspective of all actors is necessary to complete the picture of experiences/emotions in the pandemic situation.”
The paper relies on this without support.
Official statistics indicate sufficient resources, capacities, and fully running supply for cancer patients at university hospitals during COVID-19.
“While the official statistics point to sufficient resources, capacities, and fully running supply for cancer patients at university hospitals during COVID-19, only few real world data exist on cancer care in other settings.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Several patients have considered stopping their conventional treatment during the first wave of the pandemic.
“At least one has to state that several patients have considered stopping their conventional treatment during the first wave of the pandemic (Büntzel et al. 2021).”
From Tumor patients’ fears and worries and perceived changes of specific attitudes, perceptions and behaviors due to the COVID-19 pandemic are still relevant (2021) · cites this paper as Büntzel et al. 2021
Physical needs were commonly reported as a well-being concern, with common needs including fatigue, weakness, mobility issues affecting physical functioning and activities of daily living, pain, gastro-intestinal symptoms, and disturbances to sleep, eating, and exercise.
“Common needs reported included fatigue, weakness, and mobility issues affecting physical functioning and activities of daily living because of restrictions during the COVID-19 pandemic [19–23].”
From The unmet supportive care needs of people affected by cancer during the COVID-19 pandemic: an integrative review (2023) · cites this paper as [20]
Many participants irrespective of age, cancer type, or treatment regimen expressed unmet needs related to psychological or emotional domains of well-being, including fear of contracting COVID-19 compounded by increased risk recognition leading to anxiety and distress, fear of the unknown long-term impact, and a positive association between fear of COVID-19 and increased psychological distress and
“Many of the participants irrespective of age, cancer type, or treatment regimen expressed unmet needs related to psychological or emotional domains of well-being [19–21, 24–28].”
From The unmet supportive care needs of people affected by cancer during the COVID-19 pandemic: an integrative review (2023) · cites this paper as [20]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Distress comparison is assigned different time periods
MinorThe methods specify a comparison between weeks 16 and 17 of 2020, both in April. The results describe that distress comparison as occurring between April and May.
“We compare the distress thermometers of all participants at week 16 and at week 17 of the year 2020.”
“Analyzing the distress thermometer data, patients showed a stable situation between April and May 2020. In contrast, professionals reported an increasing level of their mental burden (distress) between both points of survey (see Fig. 2).”
Daily-work impact percentage is understated
MinorAmong medical staff, 59 of 69 is 85.5%, not the reported 81.2%.
Reported 81.2 · recomputed 85.507246
“59/69 (81.2%) participants reported a strong or very strong impact on their daily work in cancer care.”
Percentage describing other professionals as heated is incorrect
MinorThe section says 128 participants answered this question; 87 of 128 is about 68.0%, not 62.5%.
Reported 62.5 · recomputed 67.96875
“128/152 reported about their impression of other health care professionals. The emotional situation was described as cool by 2 participants (1.5%), as normal by 34 participants (26.7%), as moved/heated by 87 participants (62.5%) and as burned by 5 participants (3.9%).”
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Impact of the COVID-19 pandemic on oncological care in Germany: rapid review
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“…(Arndt et al. 2022; Balakirski et al. 2022; Balk et al. 2022; Bartella et al. 2021; Beller et al. 2022; Bollmann et al. 2021; Brunner et al. 2020; Buntzel et al. 2020, 2021; Diene-mann et al. 2021; Diers et al. 2021, 2022; Donath et al. 2021; Eckford et al. 2021; Erdmann et al. 2021, 2022;…”
So, S., Wang, T. Q., Yu, B. E., & Malvankar‐Mehta, M. S. (2023) · European Journal of Mental Health · doi:10.5708/ejmh.18.2023.0003 · Cited by 6 · see citing works
Stoeklé, H., Ladrat, L., Landrin, T., Beuzeboc, P., & Hervé, C. (2022) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.13766 · Cited by 6 · see citing works
“scientific and technical resources, but also solid human and psychological support.(15,51) Both oncologists and cancer patients can experience significant distress, as highlighted by the discourse of”
BackgroundErnstmann, N., Nakata, H., Heier, L., Heuser, C., Dohmen, M., Bremen, R., Geiser, F., Holsteg, S., Karger, A., Viehmann, A., et al. (2024) · Journal of Cancer Research and Clinical Oncology · doi:10.1007/s00432-024-05946-5 · Cited by 5 · see citing works
“Additionally, the burden and restrictions caused by the COVID-19 pandemic in 2020 and 2021 have been an unexpected challenge for families (Hoppe et al. 2023), the family-scouts and the design of the intervention (Büntzel et al. 2021; Voigtländer et al. 2021).”
BackgroundAssessment of Cancer Patients’ Mental Health during the Coronavirus Pandemic in Serbia
Klikovac, T., Petrović, N., & Šarić, Đ. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20021132 · Cited by 5 · see citing works
Psychosocial effects of the corona pandemic on people with cancer: a qualitative study
Hoppe, C., Büntzel, J., Paradies, K., et al. (2023) · Journal of Cancer Research and Clinical Oncology · doi:10.1007/s00432-023-04970-1 · Cited by 3 · see citing works
Self-citationLegge, H., Toohey, K. L., Kavanagh, P. S., & Paterson, C. C. (2023) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2023.151508 · Cited by 1 · see citing works
COVID-19: Kollateralschäden in der Kopf-Hals-Onkologie und Präventivmaßnahmen für künftige Pandemien
Wilhelm, C., Radeloff, K., Scherzad, A., Scheich, M., & Hagen, R. (2023) · Laryngo-Rhino-Otologie · doi:10.1055/a-2007-2002 · Cited by 1 · see citing works
“In einer weiteren Arbeit führten die Autoren eine Online-Befragung mit 752 Tumorpatienten und deren Behandlern durch [30].”
BackgroundTumorpatienten und onkologisches Personal während der Pandemie
Hoppe, C., Büntzel, J., Hübner, J., & Büntzel, J. (2022) · Forum · doi:10.1007/s12312-022-01067-7 · Cited by 1 · see citing works
Self-citationAdams, A. T., Jones, I., & Deane, J. B. (2024) · Voluntary Sector Review · doi:10.1332/20408056y2024d000000030
Impact on Hospital Staff When Organising Spiritual Care for Patients During PandemicsPreprint
Kristensen, M. L., Andersen, P. T., & Jensen, H. I. (2024) · doi:10.31219/osf.io/a4gcd
COVID-19: Kollateralschäden in der Kopf-Hals-Onkologie und Präventivmaßnahmen für künftige Pandemien
Wilhelm, C., Radeloff, K., Scherzad, A., Scheich, M., & Hagen, R. (2024) · Onkologische Welt · doi:10.1055/a-2276-2299
Analisis Nilai Kearifan Lokal Dalam Tradisi Berburu Sumbun Di Kabupaten Tanjung Jabung Timur
Hariandi, A., Riana, M., Rosifa.S, H., et al. (2022) · Journal of Comprehensive Science (JCS) · doi:10.59188/jcs.v1i4.118
“Disisi lain, peranan pengetahuan lokal berkontribusi besar dalam perkembangan ilmu pengetahuan misalnya dalam bidang pengobatan dan pengelolaan sumberdaya alam (Büntzel et al., 2021).”
BackgroundImpact of COVID-19 pandemic on patients seeking cancer therapy at a cancer hospital in Sri Lanka
Silva, K. N. S., Dharamarathna, H. H. N. D., Jayamaha, A. R., et al. (2021) · International journal of KIU · doi:10.37966/ijkiu2021022014
Mental Health in der Covid-19-Pandemie – Beobachtungen unter Kopf-Hals-Tumorpatienten
Büntzel, J., Vitek, P., Micke, O., Walter, S., & Büssing, A. (2021) · Deutsche Zeitschrift für Onkologie · doi:10.1055/a-1545-2218
Self-citation
- Authors
- Büntzel, J., Micke, O., Klein, M., Büntzel, J., Walter, S., Keinki, C., & Huebner, J.
- Affiliations
- Universitätsmedizin Göttingen (DE)
- Francis Hospital (DE)
- Jena University Hospital (DE)
- Corresponding author
- Büntzel, Jens
- Büntzel, Judith
- Venue
- Journal of Cancer Research and Clinical Oncology
- Published
- 2021-01-02
- Volume
- 147
- Issue
- 7
- Pages
- 2093-2105
- ISSN
- 0084-5353 (ISSN-L)
- 0171-5216
- 1432-1335
- PMC
- PMC7776312
- OpenAlex
- W3114057928
- Cited by
- 24
- References
- 13
- Citations by year
- 2024: 3 · 2023: 6 · 2022: 9 · 2021: 6
- FWCI
- 2.18
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Cancer Research and Clinical Oncology (publishedVersion, other-oa)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- GoeScholar The Publication Server of the Georg-August-Universität Göttingen (Georg-August-Universität Göttingen) (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- COVID-19 pandemic, cancer care, psychological burden, fear, healthcare workers, patient experience, oncology services, treatment delay, isolation, information transparency, psychological support, Germany
- MeSH terms
- COVID-19, SARS-CoV-2, Delivery of Health Care, Germany, Health Personnel, Humans, Mental Health, Neoplasms, Patients, Surveys and Questionnaires, Needs Assessment
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