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Cited by 45Cancer survivorship and careCOVID-19 and healthcare impactsCOVID-19 and Mental Health

Quality of life of patients with cancer during the COVID-19 pandemic

Open access
BAFFERT, KIM-ARTHUR, DARBAS, TIFFANY, LEBRUN-LY, VALERIE, PESTRE-MUNIER, JULIA, PEYRAMAURE, CLEMENTINE, DESCOURS, CLEMENTINE, MONDOLY, MELANIE, LATROUITE, SIMON +5 more·2021·In Vivo
DOI 10.21873/invivo.12306PMC PMC7880728
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Abstract

BACKGROUND: The COVID-19 pandemic has changed the organisation of medical care. PATIENTS AND METHODS: This is the first prospective observational study on patient-reported outcomes, quality of life (HRQOL) and satisfaction in patients with cancer with their care management in a day hospital during the period of May-June 2020. The Generalised Anxiety Disorder Screener and 12-Item Short-Form Health Survey were used. RESULTS: The survey was completed by 189 of 267 patients. They were generally aged 61 to 70 years and women and presented with lung, breast, or colorectal cancer. Patients had low anxiety scores (mean: 3.2±4.5), with only 11.1% showing anxiety. Risk factors of anxiety included female gender (p=0.03) and lifestyle (residence, family environment) (p=0.01). The patient's physical health was stable, whereas mental health had deteriorated (p<0.0001). Risk factors of altered HRQOL included age and lifestyle. Patients greatly appreciated all the facilities of the day hospital and its organisation. CONCLUSION: This study shows a preserved HRQOL and low anxiety of patients with cancer during the COVID-19 pandemic.

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  • In areas minimally affected by COVID-19, patients with cancer during lockdown had lower levels of anxiety (GAD-7 = 3.2 ± 4.5).

    “The surveys conducted to ascertain levels of anxiety and changes in perceived psychological well-being in patients with cancer during the lockdown suggested lower levels of anxiety (GAD-7 = 3.2 ± 4.5) in areas minimally affected by COVID-19 [20].”

    From The Psychosocial Impact of COVID-19 on Older Adults with Cancer: A Rapid Review (2022) · cites this paper as [20]

    The Anxiety assessed by GAD-7 section reports a low mean score of 3.2±4.5, and the Conclusion places the study in an area minimally affected by COVID-19. But the Methods state that anxiety was assessed after lockdown, not during it; the authors explicitly say they did not evaluate anxiety during lockdown. (LLM, conf=0.90)

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  • Baffert et al. found that retired individuals had a higher global quality of life score (p = 0.04).

    “Jeppesen et al. [22] suggested that employed patients had a higher global Qol score, while Baffert et al. [20] found the same in retired individuals (p = 0.04).”

    From The Psychosocial Impact of COVID-19 on Older Adults with Cancer: A Rapid Review (2022) · cites this paper as [20]

    The ‘Anxiety assessed by GAD-7’ section reports that retired patients had a better mental component summary (MCS) score (p=0.04), and the Discussion compares retired with professionally active patients. This supports the direction and p-value, but MCS is a mental-health component of quality of life, not a global quality-of-life score. (LLM, conf=0.87)

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  • Both qualitative and quantitative literature conducted during the pandemic suggested a decrease in general quality of life and emotional functioning during the COVID-19 lockdown and quarantine period.

    “Both qualitative and quantitative literature conducted during the pandemic suggested a decrease in general QoL [21,26] and emotional functioning [20] during the COVID-19 lockdown and quarantine period.”

    From The Psychosocial Impact of COVID-19 on Older Adults with Cancer: A Rapid Review (2022) · cites this paper as [20]

    The Results in the Abstract report that mental health deteriorated in patients with cancer, supporting the emotional-functioning part of the sentence. But the Abstract and Conclusion describe overall quality of life as preserved, not decreased. The citing sentence does not identify which of its numbered citations refers to this paper, so the general-quality-of-life part cannot be excluded from this assessment. (LLM, conf=0.86)

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  • Being a woman (gender) was a risk factor for anxiety and distress induced by the pandemic (p < 0.03).

    “Being a woman (gender) was a risk factor for anxiety and distress induced by the pandemic (p < 0.03) [20,22,23].”

    From The Psychosocial Impact of COVID-19 on Older Adults with Cancer: A Rapid Review (2022) · cites this paper as [20]

    The Anxiety assessed by GAD-7 section reports higher post-lockdown anxiety scores in female patients (p=0.03), and the Discussion calls female gender a risk factor for anxiety. The paper does not establish that the pandemic induced the anxiety or a separate measure of distress, and it reports p=0.03 rather than p<0.03. (LLM, conf=0.86)

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  • Older adults above the age of 65 had better quality of life scores and relatively fewer fears surrounding COVID-19 compared to their younger counterparts.

    “Older adults above the age of 65 had better QoL scores and relatively fewer fears surrounding COVID-19 compared to their younger counterparts [20,22,23,26].”

    From The Psychosocial Impact of COVID-19 on Older Adults with Cancer: A Rapid Review (2022) · cites this paper as [20]

    The quality-of-life results report better physical and mental scores before COVID-19 in patients over 60, and better mental scores after lockdown in that group. They do not establish the claim for adults over 65: after lockdown, physical scores were better in patients under 60. Table II (p. 666) shows only a small, nonsignificant age-group difference in general anxiety (p=0.83), not fewer fears specifically about COVID-19. (LLM, conf=0.87)

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Authors
BAFFERT, K.-A., DARBAS, T., LEBRUN-LY, V., PESTRE-MUNIER, J., PEYRAMAURE, C., DESCOURS, C., MONDOLY, M., LATROUITE, S., BIGNON, E., NICOULEAU, S., GEYL, S., LEOBON, S., & DELUCHE, E.
Affiliations
Centre Hospitalier Universitaire de Limoges (FR)
ORCID
Venue
In Vivo
Publisher
International Institute of Anticancer Research
Published
2021
Volume
35
Issue
1
Pages
663-670
ISSN
  • 0258-851X (ISSN-L)
  • 1791-7549
DOI
10.21873/invivo.12306
PMC
PMC7880728
OpenAlex
W3121045679
Cited by
45
References
29
Citations by year
2026: 1 · 2025: 2 · 2024: 10 · 2023: 6 · 2022: 17 · 2021: 8 · 2012: 1
FWCI
3.73
Type
journal article
Language
en
Open access
Locations
  • In Vivo (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Oncology › COVID-19 and healthcare impacts
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
Keywords
quality of life, cancer patients, COVID-19 pandemic, anxiety, patient-reported outcomes, day hospital treatment, mental health, lung cancer, breast cancer, colorectal cancer, patient satisfaction, risk factors
MeSH terms
COVID-19, SARS-CoV-2, Adult, Aged, Aged, 80 and over, Anxiety, Cross-Sectional Studies, Female, Health Surveys, Humans, Male, Medical Oncology, Middle Aged, Neoplasms, Prospective Studies, Quality of Life, Pandemics

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