Sociodemographic and clinical profile of cancer patients in the context of the COVID-19 pandemic at a University Hospital in the Northeast: cross-sectional study

Detalhes bibliográficos
Autor(a) principal: Fontes Júnior, José
Data de Publicação: 2021
Outros Autores: Silva, Érika Ramos, Almeida, Lucas Aragão da Hora, Santos, Caroline Nunes dos, Souza, Julia Lorena Santos de, Bezerra, David Jacinto, Matos, Carlos José Oliveira, Tofani, Patrícia Silva
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/19611
Resumo: The COVID-19 pandemic has overloaded public health services, making it a barrier to administering anti-cancer therapies. The restructuring of health services and the vulnerability of cancer patients contributed to the interruption of anticancer treatment. Thus, the objective was to describe the sociodemographic and clinical profile and main outcomes of adult and elderly cancer patients admitted to a university hospital (HU), undergoing physical therapy intervention, considering the previous and current period of the pandemic. Exploratory and retrospective study involving 71 cancer patients admitted to the HU in 2019 and 2020. Epidemiological data were collected through electronic medical records. Eligibility criteria were registration of the primary ICD related to cancer and age group (≥ 30 and ≥ 60 years). The statistical analysis considered the confounding variables: age, gender, place of residence, type of cancer, clinical outcome (discharge or death), physical therapy approaches (oxygen therapy, invasive and non-invasive mechanical ventilation) length of stay. The results demonstrate that gender was not a determining variable for hospitalization. Higher incidences of hospitalization were observed in the elderly, African descendants, patients with cancer of the colon/rectum and rectum, lung and, in equal percentage, cancers of the breast, stomach and oropharynx. Patients who required physical therapy and oxygen therapy follow-up evolved the outcome of death, regardless of the type of intervention (invasive or non-invasive mechanical ventilatory support). There was difference between the number of admissions and discharge and death outcomes in 2020 when compared to 2019.
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spelling Sociodemographic and clinical profile of cancer patients in the context of the COVID-19 pandemic at a University Hospital in the Northeast: cross-sectional studyPerfil sociodemográfico y clínico de pacientes oncológicos en el contexto de la pandemia COVID-19 en un Hospital Universitario del Nordeste: estudio transversalPerfil sociodemográfico e clínico de pacientes com câncer no contexto da pandemia da COVID-19 em um Hospital Universitário do Nordeste: estudo transversalCOVID-19FisioterapiaDatos de salud generados por el pacienteOncología.COVID-19PhysiotherapyPatient-generated health dataOncology.COVID-19FisioterapiaDados de saúde gerados pelo pacienteOncologia.The COVID-19 pandemic has overloaded public health services, making it a barrier to administering anti-cancer therapies. The restructuring of health services and the vulnerability of cancer patients contributed to the interruption of anticancer treatment. Thus, the objective was to describe the sociodemographic and clinical profile and main outcomes of adult and elderly cancer patients admitted to a university hospital (HU), undergoing physical therapy intervention, considering the previous and current period of the pandemic. Exploratory and retrospective study involving 71 cancer patients admitted to the HU in 2019 and 2020. Epidemiological data were collected through electronic medical records. Eligibility criteria were registration of the primary ICD related to cancer and age group (≥ 30 and ≥ 60 years). The statistical analysis considered the confounding variables: age, gender, place of residence, type of cancer, clinical outcome (discharge or death), physical therapy approaches (oxygen therapy, invasive and non-invasive mechanical ventilation) length of stay. The results demonstrate that gender was not a determining variable for hospitalization. Higher incidences of hospitalization were observed in the elderly, African descendants, patients with cancer of the colon/rectum and rectum, lung and, in equal percentage, cancers of the breast, stomach and oropharynx. Patients who required physical therapy and oxygen therapy follow-up evolved the outcome of death, regardless of the type of intervention (invasive or non-invasive mechanical ventilatory support). There was difference between the number of admissions and discharge and death outcomes in 2020 when compared to 2019.La pandemia de COVID-19 ha sobrecargado los servicios de salud pública, lo que la convierte en una barrera para administrar terapias contra el cáncer. La reestructuración de los servicios de salud y la vulnerabilidad de los pacientes con cáncer contribuyeron a la interrupción del tratamiento contra el cáncer. Así, el objetivo fue describir el perfil sociodemográfico y clínico y los principales desenlaces de los pacientes oncológicos adultos y ancianos ingresados ​​en un hospital universitario (UH), sometidos a intervención de fisioterapia, considerando el período anterior y actual de la pandemia. Estudio exploratorio y retrospectivo en el que participaron 71 pacientes oncológicos ingresados ​​en la UH en 2019 y 2020. Los datos epidemiológicos se recopilaron a través de historias clínicas electrónicas. Los criterios de elegibilidad fueron el registro del DAI primario relacionado con el cáncer y el grupo de edad (≥ 30 y ≥ 60 años). El análisis estadístico consideró las variables de confusión: edad, sexo, lugar de residencia, tipo de cáncer, resultado clínico (alta o muerte), enfoques de fisioterapia (oxigenoterapia, ventilación mecánica invasiva y no invasiva) duración de la estancia. Los resultados demuestran que el género no fue una variable determinante para la hospitalización. Se observaron mayores incidencias de hospitalización en ancianos, afrodescendientes, pacientes con cáncer de colon y recto, pulmón y, en igual porcentaje, cánceres de mama, estómago y orofaringe. Los pacientes que requirieron seguimiento de fisioterapia y oxigenoterapia evolucionaron al desenlace de muerte, independientemente del tipo de intervención (soporte ventilatorio mecánico invasivo o no invasivo). Hubo diferencias entre el número de ingresos y los resultados de alta y muerte en 2020 en comparación con 2019.A pandemia do COVID-19 gerou sobrecarga dos serviços público de saúde tornando-se uma barreira para administração de terapias anticâncer. A reestruturação dos serviços de saúde e a vulnerabilidade dos pacientes oncológicos contribuíram para a interrupção do tratamento anticâncer. Assim, o objetivo foi descrever o perfil sociodemográfico, clínico e principais desfechos dos pacientes adultos e idosos com câncer internados em um hospital universitário (HU), submetidos à intervenção da Fisioterapia, considerando período prévio e atual à pandemia. Estudo exploratório e retrospectivo envolvendo 71 pacientes oncológicos internados no HU nos anos de 2019 e 2020. Os dados epidemiológicos foram coletados por meio de prontuários eletrônicos. Os critérios de elegibilidade foram registro do CID primário relacionado a neoplasia e faixa etária (≥ 30 e ≥ 60 anos). A análise estatística considerou as variáveis confundidoras: idade, sexo, local onde reside, tipo de neoplasia, desfecho clínico (alta ou óbito), condutas de fisioterapia (oxigenioterapia, ventilação mecânica invasiva e não invasiva) tempo de internação. Os resultados demonstram que o sexo não foi uma variável determinante para internação. Maior incidência de internação foram observados em idosos, afrodescendentes, pacientes com câncer de cólon e reto, pulmão e, em igual percentual, cânceres de mama, estômago e orofaringe. Os pacientes que necessitaram de acompanhamento fisioterapêutico e de oxigenoterapia evoluíram o desfecho óbito, independente do tipo de intervenção (suporte ventilatório mecânico invasivo ou não invasivo). Houve diferença entre a quantidade de admissões e desfechos alta e óbito no ano de 2020 quando comparado com 2019.Research, Society and Development2021-08-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1961110.33448/rsd-v10i11.19611Research, Society and Development; Vol. 10 No. 11; e255101119611Research, Society and Development; Vol. 10 Núm. 11; e255101119611Research, Society and Development; v. 10 n. 11; e2551011196112525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/19611/17486Copyright (c) 2021 José Fontes Júnior; Érika Ramos Silva; Lucas Aragão da Hora Almeida; Caroline Nunes dos Santos; Julia Lorena Santos de Souza; David Jacinto Bezerra; Carlos José Oliveira Matos; Patrícia Silva Tofanihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFontes Júnior, José Silva, Érika Ramos Almeida, Lucas Aragão da Hora Santos, Caroline Nunes dosSouza, Julia Lorena Santos de Bezerra, David Jacinto Matos, Carlos José OliveiraTofani, Patrícia Silva2021-10-23T19:01:11Zoai:ojs.pkp.sfu.ca:article/19611Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:39:28.799787Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Sociodemographic and clinical profile of cancer patients in the context of the COVID-19 pandemic at a University Hospital in the Northeast: cross-sectional study
Perfil sociodemográfico y clínico de pacientes oncológicos en el contexto de la pandemia COVID-19 en un Hospital Universitario del Nordeste: estudio transversal
Perfil sociodemográfico e clínico de pacientes com câncer no contexto da pandemia da COVID-19 em um Hospital Universitário do Nordeste: estudo transversal
title Sociodemographic and clinical profile of cancer patients in the context of the COVID-19 pandemic at a University Hospital in the Northeast: cross-sectional study
spellingShingle Sociodemographic and clinical profile of cancer patients in the context of the COVID-19 pandemic at a University Hospital in the Northeast: cross-sectional study
Fontes Júnior, José
COVID-19
Fisioterapia
Datos de salud generados por el paciente
Oncología.
COVID-19
Physiotherapy
Patient-generated health data
Oncology.
COVID-19
Fisioterapia
Dados de saúde gerados pelo paciente
Oncologia.
title_short Sociodemographic and clinical profile of cancer patients in the context of the COVID-19 pandemic at a University Hospital in the Northeast: cross-sectional study
title_full Sociodemographic and clinical profile of cancer patients in the context of the COVID-19 pandemic at a University Hospital in the Northeast: cross-sectional study
title_fullStr Sociodemographic and clinical profile of cancer patients in the context of the COVID-19 pandemic at a University Hospital in the Northeast: cross-sectional study
title_full_unstemmed Sociodemographic and clinical profile of cancer patients in the context of the COVID-19 pandemic at a University Hospital in the Northeast: cross-sectional study
title_sort Sociodemographic and clinical profile of cancer patients in the context of the COVID-19 pandemic at a University Hospital in the Northeast: cross-sectional study
author Fontes Júnior, José
author_facet Fontes Júnior, José
Silva, Érika Ramos
Almeida, Lucas Aragão da Hora
Santos, Caroline Nunes dos
Souza, Julia Lorena Santos de
Bezerra, David Jacinto
Matos, Carlos José Oliveira
Tofani, Patrícia Silva
author_role author
author2 Silva, Érika Ramos
Almeida, Lucas Aragão da Hora
Santos, Caroline Nunes dos
Souza, Julia Lorena Santos de
Bezerra, David Jacinto
Matos, Carlos José Oliveira
Tofani, Patrícia Silva
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Fontes Júnior, José
Silva, Érika Ramos
Almeida, Lucas Aragão da Hora
Santos, Caroline Nunes dos
Souza, Julia Lorena Santos de
Bezerra, David Jacinto
Matos, Carlos José Oliveira
Tofani, Patrícia Silva
dc.subject.por.fl_str_mv COVID-19
Fisioterapia
Datos de salud generados por el paciente
Oncología.
COVID-19
Physiotherapy
Patient-generated health data
Oncology.
COVID-19
Fisioterapia
Dados de saúde gerados pelo paciente
Oncologia.
topic COVID-19
Fisioterapia
Datos de salud generados por el paciente
Oncología.
COVID-19
Physiotherapy
Patient-generated health data
Oncology.
COVID-19
Fisioterapia
Dados de saúde gerados pelo paciente
Oncologia.
description The COVID-19 pandemic has overloaded public health services, making it a barrier to administering anti-cancer therapies. The restructuring of health services and the vulnerability of cancer patients contributed to the interruption of anticancer treatment. Thus, the objective was to describe the sociodemographic and clinical profile and main outcomes of adult and elderly cancer patients admitted to a university hospital (HU), undergoing physical therapy intervention, considering the previous and current period of the pandemic. Exploratory and retrospective study involving 71 cancer patients admitted to the HU in 2019 and 2020. Epidemiological data were collected through electronic medical records. Eligibility criteria were registration of the primary ICD related to cancer and age group (≥ 30 and ≥ 60 years). The statistical analysis considered the confounding variables: age, gender, place of residence, type of cancer, clinical outcome (discharge or death), physical therapy approaches (oxygen therapy, invasive and non-invasive mechanical ventilation) length of stay. The results demonstrate that gender was not a determining variable for hospitalization. Higher incidences of hospitalization were observed in the elderly, African descendants, patients with cancer of the colon/rectum and rectum, lung and, in equal percentage, cancers of the breast, stomach and oropharynx. Patients who required physical therapy and oxygen therapy follow-up evolved the outcome of death, regardless of the type of intervention (invasive or non-invasive mechanical ventilatory support). There was difference between the number of admissions and discharge and death outcomes in 2020 when compared to 2019.
publishDate 2021
dc.date.none.fl_str_mv 2021-08-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/19611
10.33448/rsd-v10i11.19611
url https://rsdjournal.org/index.php/rsd/article/view/19611
identifier_str_mv 10.33448/rsd-v10i11.19611
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/19611/17486
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 10 No. 11; e255101119611
Research, Society and Development; Vol. 10 Núm. 11; e255101119611
Research, Society and Development; v. 10 n. 11; e255101119611
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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